A widower reports a fear of intimacy because of an inability to achieve and sustain an erection. He ...

A widower reports a fear of intimacy because of an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has lost weight over the past year.
 
  Which nursing diagnosis should be a priority for this client? 1. Risk for situational low self-esteem AEB inability to achieve an erection
  2. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm
  3. Social isolation R/T low self-esteem AEB refusing to engage in dating activities
  4. Disturbed body image R/T penile flaccidity AEB client statements