A client is admitted for major depression. The client has stated that nothing seems to bring him pleasure anymore. What should the nurse expect to find during the assessment?

Choice A reason: Grandiose mood is a feature of mania, not depression. While sleep changes and fatigue are consistent with depression, the presence of grandiosity makes this option incorrect. Choice B reason: Pressured speech is a symptom of mania, not depression. Depression is characterized by slowed speech and psychomotor retardation rather than rapid, pressured communication. Choice C reason: Flight of ideas is a hallmark of mania, not depression. Depression involves slowed thought processes, difficulty concentrating, and feelings of helplessness, but not rapid shifts in thought. Choice D reason: Anhedonia (loss of pleasure), feelings of worthlessness, and difficulty focusing are core symptoms of major depression. This option directly matches the client’s report and expected findings.