A nurse is contributing to the plan of care for a client who has a major depressive disorder. Which of the following recommendations should the nurse include in the plan of care?

A. Social isolation can exacerbate depressive symptoms, so it's not recommended for the client to spend time alone in his room. B. Exercise is generally beneficial for individuals with depression, but exercising before bedtime might interfere with sleep. C. There's no evidence to support the direct relationship between low-protein snacks and managing major depressive disorder. D. Correct. Encouraging the client to use positive self-talk can help counteract negative thought patterns that are often present in depression.