A woman tells the practical nurse (PN) that for the past 6 months she has been terrified of leaving home. Whenever she thinks about going outdoors her heart pounds, she shakes and cries, and feels dizzy. Based on these findings, which nursing diagnosis should the practical nurse (PN) consider when caring for this client?

Fear related to physiologic responses to leaving the home.

Self-esteem disturbance related to inability to leave home.

Social isolation related to avoidance behavior as evidenced by inability to go out of doors.

Altered thought processes related to panic attacks when she thinks of leaving the house.