A Patient Tells the Nurse,"I Am Ashamed of Having Bipolar

A patient tells the nurse,"I am ashamed of having bipolar disorder.When I am manic,my behavior embarrasses my family.Even though I take my medication every day,there is no guarantee that I will not have a relapse.I am a burden to my family." These statements support which nursing diagnoses? (Select all that apply. )

A) Impaired social interaction
B) Chronic low self-esteem
C) Impaired adjustment
D) Defensive coping
E) Powerlessness