A nurse is caring for a 42-year-old unmarried client with a history of depression and obsessive-compulsive disorder who presents to the clinic for a rash on his hands from excessive and ritualistic hand washing. The client recently lost his job because he “didn’t fit in.” He is considering moving in with his mother and does not participate in outside activities or engage in exercise. Based on the information provided, which nursing diagnosis is the client at highest risk for? A. Social isolation B. Risk-prone behavior C. Disturbed personal identity D. Ineffective tissue perfusion