A nurse is evaluating a client who has major depressive disorder and their ability to adhere to the treatment plan. Which of the following findings is a positive indicator of adherence?

Choice A reason: Verbalizing difficulty coping reflects ongoing distress rather than adherence. While expressing feelings is important, it does not demonstrate improvement or engagement with treatment goals. Choice B reason: Frequently seeking reassurance indicates dependence and persistent insecurity. This behavior suggests limited progress in self-efficacy and coping skills, which are essential for adherence. Choice C reason: Hygiene deficiencies are a hallmark of depressive symptoms and indicate poor functioning. This finding suggests the client is not adhering to treatment or is still severely impaired. Choice D reason: Increased social engagement is a strong positive indicator of adherence. Clients with major depressive disorder often isolate themselves. Re-engaging socially demonstrates improved mood, motivation, and participation in therapeutic activities, all of which reflect adherence to the treatment plan.