Kim, Who Is 10 Years Old, Lives with Her Mother

Kim, who is 10 years old, lives with her mother in a small two-bedroom house. The rooms are cluttered with boxes and toys. Kim has no chores or duties at home, mealtimes change every day, and Kim goes to bed whenever she wants. Kim experiences difficulty with social boundaries and continues to throw tantrums when she does not get her way. She has difficulty at school. Which statement most closely describes Kim's behavior?

A) Kim is experiencing physical pain and cannot express herself.
B) Kim will outgrow this behavior if left alone.
C) Kim's mother is to blame; the house is a mess.
D) Kim would benefit from a consistent and predictable schedule.