Victoria and Rachel are two 18-year-old girls from the same…

Victoria and Rachel are two 18-year-old girls from the same neighborhood. Victoria dropped out of high school in the 9th grade while Rachel finished high school and was accepted to a local university. Even though Rachel has had more formal education than Victoria, both women most likely have similar IQs.

Debbie usually sits quietly and works on crossword puzzles….

Debbie usually sits quietly and works on crossword puzzles. However, a few times each hour, she begins grimacing and then shouts profanities at the hospital staff. This behavior is especially problematic because it is preventing Debbie from reaching her goal of being discharged from the hospital. Debbie is exhibiting (a) ___________.