A client is exhibiting behavioral symptoms of depression. Which of the following charting entries would appropriately document these symptoms?

Choice A reason: While this entry reflects cognitive symptoms of depression, it is not a behavioral observation. Charting should focus on observable actions, especially when documenting behavioral symptoms. Choice B reason: Mood ratings are subjective and self-reported. They do not reflect the nurse’s direct observation of behavior, which is essential in clinical documentation of depressive symptoms. Choice C reason: Difficulty concentrating is a cognitive symptom and may be self-reported. It lacks the specificity and objectivity of a behavioral observation. Choice D reason: This entry documents a clear, observable behavior—refusal to get out of bed when prompted. It reflects psychomotor retardation and social withdrawal, which are hallmark behavioral signs of depression.