A nurse at a primary care clinic assesses a client with manifestations of depression. Which of the following client statements should the nurse identify as consistent with depressive symptoms?

Choice A reason: Psychomotor agitation can occur in depression, but this statement may also reflect anxiety or mania. It’s not as specific as other depressive symptoms. Choice B reason: High blood pressure is a physical condition and not a symptom of depression. This statement does not reflect mood or cognitive changes. Choice C reason: Difficulty sleeping and racing thoughts are common in depression, especially when accompanied by fatigue and cognitive impairment. This is a clear indicator of depressive pathology. Choice D reason: Increased alertness and improved focus are not consistent with depression. They may suggest recovery or even hypomania, depending on context.