Which Behavior Verbalized by a School-Age Child Should Alert the School

Which behavior verbalized by a school-age child should alert the school nurse to a problem of possible obsessive-compulsive disorder (OCD) ?

A) States feelings of worthlessness and sadness everyday
B) Feels need to ride a bike around the tree in front of the house seven times every day before entering the house
C) Recurrent episodes of chest pain, heart palpations, and shortness of breath when entering the computer classroom
D) Deterioration of relationships with family members