Which assessment finding indicates the presence of depression in a client?

The presence of islands of intact memory can indicate depression in a client because it suggests that while some cognitive functions are intact, there is an overall impairment in emotional processing or motivation associated with depression. Unlike more severe cognitive impairments, which usually show widespread memory issues, the preservation of certain memories indicates that the individual may still have the capability to function in some areas, but is hindered by their depressive state.

This contrasts with the other findings. Impaired recent and remote memory, as well as impaired recent and immediate memory, points more towards possible neurocognitive disorders rather than solely depression. Similarly, needing step-by-step instructions for simple tasks can indicate cognitive deficits or other mental health issues, which may not be specific to depression and could suggest a variety of underlying problems. Hence, the presence of islands of intact memory is a more indicative sign of depression, as it reflects the cognitive phenomena that can accompany the emotional and motivational disruptions seen in depressive states.