Which finding in a client with major depressive disorder is most concerning?

In the context of major depressive disorder, the finding that is most concerning is when a client reports giving away personal items. This behavior can indicate hopelessness and a potential intention to prepare for suicide, as it may reflect the client’s belief that they no longer need or want those items because they are contemplating leaving this world. Additionally, it suggests a significant level of distress and detachment from their possessions, which can be a warning sign that the individual is in a critical mental state.

The other options, such as improved mood, expressing interest in future plans, and engaging in social activities, can generally be seen as positive indicators of recovery and engagement with life. Improved mood may suggest that treatment is effective and the client is beginning to cope better with their depressive symptoms. Interest in future plans and social activities reflect an increased engagement with life and a potential shift towards a more positive outlook. While it is necessary to monitor all behaviors closely, the act of giving away personal items is particularly alarming because it directly ties to the risk of self-harm or suicidal ideation.