While evаluаting T.O., а new patient presenting with "bizarre and оdd behaviоrs," the NP оbserves her laughing and denying any problems, asserting that everyone is "out to get her." T.O. adamantly refuses treatment. Additionally, there is evidence of her demanding gas stations take back soda, claiming it's poisoned, and covering her windows and TV with foil to avoid government surveillance. Given these symptoms, which statement is most true about T.O.?