Question 34  <br/>The PMHNP is evaluating the data he has collected

in the assessment of Anna, a 9-yearold girl who presented for evaluation because her teacher strongly encouraged Anna’s mother to seek care. According to the teacher, Anna has been consistently disruptive in the classroom since the beginning of the school year, 2 months ago. The assessment includes unstructured interviews with Anna, her mother, and grandmother, and Connors Parent or Teacher Rating Scale for ADHD completed by her primary school teacher and mother. The PMNHP notes a marked disparity among reports—they all seem to contradict each other. The PMHNP considers that this apparent contradiction:

A. Likely indicates a subjective bias from the mother or teacher
B. May accurately reflect Anna’s behavior in different settings
C. Requires that other adults exposed to Anna’s behavior provide input
D. Indicates that a different approach to Anna’s assessment is necessary