A Client Has Continual Problematic Relationships and Rejects Others Before

A client has continual problematic relationships and rejects others before possibly being rejected. Client states, "I am afraid of failing in my job responsibilities." Which correctly written nursing diagnosis should be prioritized for this client?

A) Poor self-esteem R/T negative self-image AEB fear of failure
B) Altered thought processes R/T anxiety AEB delusions
C) Role confusion R/T rejection and poor job productivity
D) High risk for violence: self-directed R/T rejection of others