A Patient Who Is a College Student Tells the Nurse,"I

A patient who is a college student tells the nurse,"I have difficulty studying.I can't seem to get organized.I get distracted and often need to smoke to calm my nerves.Noise irritates me." The nurse concludes that the patient

A) has below normal intelligence.
B) has lack of interest in the study topics.
C) is illiterate of course content.
D) has symptoms of attention deficit disorder.