The Nurse Is Formulating a Nursing Diagnosis for a Client

The nurse is formulating a nursing diagnosis for a client with a long,extensive history of psychiatric problems,beginning in childhood,who is being placed in a long-term,structured institutional environment.Which diagnosis indicates the client's problem is adequately described?

A) Chronic low self-esteem,related to factors too numerous to mention
B) Risk for self-harm,related to many psychiatric problems
C) Impaired social interaction,due to long history of institutionalization
D) Alteration in thought processes,related to complex factors