Final answer:
The most appropriate nursing diagnosis for a patient who feels 'ugly' after surgery to repair a facial wound is 'Disturbed Body Image' because it relates to the patient's negative perception of her altered appearance.
Step-by-step explanation:
Based on the patient's statement "I am so ugly now," after surgery to repair a wound from an automobile accident, the nursing diagnosis that would be most appropriate is c. Disturbed Body Image. This diagnosis pertains to the mental picture the patient has of herself and her belief about her personal appearance, which appears to be negatively affected by the injury and subsequent surgery. The patient's expression of feeling "ugly" indicates a concern with her appearance rather than pain or integrity of the skin directly, suggesting an emotional or psychological response to the physical changes she has experienced.