Emma, age 16, has recently been diagnosed with diabetes mellitus. She must watch her diet and take an oral hypoglycemic medication daily. She has become very depressed, and her mother reports that

Emma refuses to change her diet and often skips her medication. Emma has been hospitalized for stabilization of her blood sugar. The psychiatric nurse practitioner has been called in as a consult. Which of the following nursing diagnoses by the psychiatric nurse would be a priority for Emma at this time?

a. Anxiety related to hospitalization evidenced by noncompliance

b. Low self-esteem related to feeling different from her peers evidenced by social isolation

c. Risk for suicide related to new diagnosis of diabetes mellitus

d. Risk-prone health behavior related to denial of seriousness of her illness evidenced by refusal to follow diet and take medication