A nurse is planning care for a client newly admitted with major depressive disorder. After ensuring safety, which of the following actions should the nurse plan to take?

Choice A Reason:Assessing the client's need for assistance with Activities of Daily Living (ADLs) is crucial in the care of patients with major depressive disorder (MDD). Depression can significantly impair a person's motivation and energy, leading to neglect of personal care and hygiene. By evaluating the client's ability to perform ADLs, the nurse can identify specific needs and provide appropriate support, such as helping with bathing, dressing, or eating. This intervention is aimed at promoting self-care and preventing complications associated with poor hygiene.Choice B Reason:Teaching the client to use passive communication is not recommended. Passive communication can lead to misunderstandings and may prevent the client from expressing their needs effectively. Instead, therapeutic communication techniques that encourage open, assertive communication should be used to help the client express their feelings and needs in a healthy way.Choice C Reason:Asking the client to create her own schedule of daily activities may be overwhelming for someone with MDD, especially in the acute phase of treatment. The client may lack the energy or motivation to plan and adhere to a schedule. Instead, the nurse can assist the client by establishing a structured routine that includes participation in therapy and other therapeutic activities.Choice D Reason:Limiting the client's involvement in unit activities is not advisable as it may increase feelings of isolation and worsen depressive symptoms. Participation in unit activities should be encouraged to the extent that the client is comfortable, as it promotes social interaction and can improve mood.