Rose is a 12-year-old female who is being evaluated for declining school performance and an increasing tendency to try to avoid going to school. Historically she has been an average student, although she has particularly struggled with writing exercises and has actually failed assignments this year. She consistently ignores rules of grammar, and her teacher says that her writing submissions look as if they were written by a much younger child. The PMHNP knows that the initial evaluation of Rose must include all the following except:
1) Assessing her academic performance in other subjects
2) Evaluating her writing skills
3) Identifying any underlying learning disabilities
4) Assessing her mental health and emotional well-being
5) None of the above
