A Patient Tells the Nurse, "I Was Raped a Month

A patient tells the nurse, "I was raped a month ago.Since then I've felt anxious and have been unable to talk normally to my husband.I've had frequent thoughts about cutting my wrists." What is the priority nursing concern regarding this patient?

A) The risk for self-directed violence
B) The development of rape traumatic syndrome
C) The damage that could result in poor self-esteem
D) The demonstration of signs and symptoms of acute anxiety