John frequently argues with his parents and teachers, often refuses to comply with requests, and is quick to lose his temper. His parents are concerned because these behaviors are starting to affect his relationships with family members and peers. 

John's teacher describes him as a bright student, but notes that he often disrupts the classroom by talking back, refusing to follow rules, and deliberately annoying other students. During recess, John tends to isolate himself or engage in conflicts with peers. When confronted about his behavior, he often blames others and rarely shows remorse. 

At home, John's parents have noticed similar patterns. He frequently argues with his siblings and resists chores or any form of authority. His defiance is not limited to verbal outbursts; he sometimes throws objects or slams doors when frustrated. Despite these challenges, John can be very loving and affectionate, especially when he feels understood and supported.

Questions:

1. What is the primary behavior issue John is exhibiting?

A) Shyness

B) Defiance

C) Hyperactivity

D) Anxiety

2. Which behavior is a red flag indicating John's issues go beyond normal developmental defiance?

A) Following rules when reminded by adults

B) Occasionally talking back to parents

C) Routinely defying authority figures and provoking others deliberately

D) Preferring solitary play

3. How does John's behavior at home compare to his behavior at school, indicating a broader issue?

A) Better behavior at home due to familiarity

B) Equally problematic behavior in both settings

C) Worse behavior at school due to lack of discipline

D) More cooperative at home but defiant at school

Answers:

1. B) Defiance

2. C) Routinely defying authority figures and provoking others deliberately

3. B) Equally problematic behavior in both settings