Which approach by the nurse is most therapeutic for a client with major depression who spends most of the day lying in bed?

Initiating contact with the client frequently is the most therapeutic approach for someone with major depression who is withdrawn and spending most of their time in bed. This strategy demonstrates care, support, and presence without pushing the client too hard. It is vital for a nurse to establish rapport and create a safe space, which can help the client feel less isolated and encourage them to open up. Regular contact can also help in breaking the cycle of inactivity and can serve as a prompt for the client to engage more actively in their treatment and daily activities.

In the context of major depression, clients often experience significant difficulty in motivation and may feel overwhelmed by the prospect of initiating interaction themselves. The therapeutic environment can be fostered by consistent, gentle encouragement from the nurse, which can help the client gradually regain a sense of connection and support.