A nurse is caring for a client who has depression. When the nurse encourages the client to join an activity the client states, "What's the use?" Which of the following is an appropriate nursing intervention?

A. Severe, prolonged depression has been shown to increase a person's risk for physical illness. Chronic depression can lead to or exacerbate a range of health issues, including cardiovascular disease, weakened immune function, and gastrointestinal problems. The stress and physiological changes associated with depression can contribute to poorer health outcomes and a higher incidence of physical illnesses.
B. Severe, prolonged depression does have an effect on physical health, and the impact is generally detrimental rather than neutral. Ignoring the link between mental health and physical health overlooks the extensive evidence showing how chronic depression can affect physical well-being.
C. Severe, prolonged depression does not typically decrease the risk of physical illness. Instead, it generally increases the risk due to the negative effects on the body’s systems and overall health.
D. Severe, prolonged depression has more than just a little effect on physical health. Its impact is significant and can lead to a range of physical health problems, including increased susceptibility to infections, chronic diseases, and other health complications.

A. This response is dismissive and invalidating. It may come across as minimizing the client's feelings or suggesting that their experience is abnormal, which can increase feelings of isolation or inadequacy. It’s important to acknowledge the client’s feelings rather than suggesting that their experiences are atypical.
B. This response reflects back the client's feelings in a validating manner. It shows empathy and understanding by acknowledging the depth of their emotional experience. Reflective listening helps the client feel heard and can facilitate further discussion about their feelings and needs.

C. While this statement may be intended to provide hope, it can come across as dismissive of the client's current emotional state. Telling a person they have a lot to live for without addressing their immediate feelings may not resonate with their current perspective and might not be helpful at that moment.
D. This question might come across as interrogative and could potentially make the client feel defensive or pressured. It’s important to approach such sensitive topics with empathy rather than probing questions, which could make the client feel worse or less understood.