Priority interventions for a patient diagnosed with major depression and feelings of worthlessness should include which of the following?

Choice A reason: Allowing a depressed patient to remain isolated increases the risk of rumination and self-harm. Loneliness exacerbates feelings of worthlessness and hopelessness, which are core symptoms of major depressive disorder. Therapeutic engagement and social interaction are preferred over prolonged periods of solitary meditation in an acute clinical setting. Choice B reason: While reducing self-absorption is a goal, it is not the highest clinical priority. Distraction techniques may provide temporary relief from depressive cognitions, but they do not address the underlying safety concerns or the neurochemical imbalances associated with severe depression and potential suicidal ideation in the patient. Choice C reason: Assigning a leadership role to a patient feeling worthless can be counterproductive and overwhelming. The patient may lack the cognitive energy or executive function to manage responsibilities, and a perceived failure in this role could significantly deepen their existing sense of inadequacy and psychological distress. Choice D reason: Patient safety is the absolute priority when feelings of worthlessness are present, as these are high-risk indicators for suicide. Constant, unobtrusive observation ensures the nurse can intervene immediately if the patient attempts self-harm while maintaining a therapeutic environment that respects the patient's privacy and dignity.