During an interaction with the nurse, a client states, 'My husband has supported me every time I've been hospitalized for depression. He'll leave me this time. I'm an awful wife and mother. I'm no good. Nothing I do is right.' Based on this information, which of the following nursing diagnoses should the nurse identify when developing the client's plan of care?

B Chronic low self-esteem related to lack of self-worth as evidenced by negative self-statements. D Ineffective coping related to hospitalizations as evidenced by impaired judgment. C Risk for self-directed violence related to feelings of guilt as evidenced by statements of suicidal ideation. A Impaired social interaction related to unsatisfactory relationships as evidenced by withdrawal.