Naima washes her hands about 50 times a day because she is afraid of the germs that seem to be everywhere. Then again, Rana washes her hands about 50 times a day because she is a nurse practitioner and knows that it is an important part of her job. Which reason does NOT explain why only Naima's hand washing is considered part of a psychological disorder?
a. The behavior has been part of Naima's upbringing.
b. Rana's behavior is based on professional responsibility.
c. Naima experiences distress or impairment due to her hand washing.
d. Naima's behavior is not culturally normative.