The nurse formulates the following nursing diagnosis: Disturbed Body Image related to decreased ability to cope with surgical removal of right breast. The client refuses to look at surgical site and states, ""I'm ugly. My husband will no longer find me desirable."" What is the etiology?

a. ""I'm ugly. My husband will no longer find me desirable.""
b. Decreased ability to cope with surgical removal of right breast
c. Disturbed body image
d. Refusal of client to look at surgical site"