A Patient Tells the Nurse, "I'm Ashamed of Being Bipolar

A patient tells the nurse, "I'm ashamed of being bipolar. When I'm manic, my behaviour embarrasses everyone. Even if I take my medication, there are no guarantees. I'm a burden to my family." These statements support which nursing diagnoses?

A) Powerlessness
B) Defensive coping
C) Chronic low self-esteem
D) Impaired social interaction
E) Risk-prone health behaviour