This child often exhibits inappropriate behaviors such as not staying in her chair, lying on the floor and is rebellious when asked to do something. She reads fairly well when she feels like it, but when she doesn't she just makes up words and doesn't exert any effort. She will often claim not to feel well and want to go to the nurse. Teacher has talked to the mother because she wondered about health concerns. (This teacher sees the child only once a week so does not know child well.) The mother says there are no health concerns and to be firm with the child. Because this is a tutoring situation, the teacher is working on self-esteem and it bothers her to be too firm and harsh because of not having a strong relationship with the child and she wants the child to feel O.K. about coming to see her.