Which warning sign would the nurse recognize as indicating a child may be a victim of abuse?

Which warning sign would the nurse recognize as indicating a child may be a victim of abuse?

• A. The child doesn't want to be touched by anyone
• B. The child frequently visits the emergency department
• C. The child looks at the caregiver before answering any question
• D. The child has a supportive home environment

Answer: (A)

A child who does not want to be touched by anyone is signaling a distressing reaction to physical contact that can stem from past abuse. When a child has experienced abuse, touch can be associated with fear or pain, so flinching, pulling away, or avoiding touch becomes a typical protective response. This behavior stands out because it reflects an internal fear linked to interactions with others, especially authority figures or caregivers, and it requires careful, sensitive assessment and safety considerations. Frequent emergency department visits can raise concern for various factors, including chronic medical issues or accidents, and aren’t as specific to abuse. Looking at the caregiver before answering questions might reflect fear or deference but isn’t a definitive indicator on its own. Having a supportive home environment is protective, not a sign of abuse.

A child who does not want to be touched by anyone is signaling a distressing reaction to physical contact that can stem from past abuse. When a child has experienced abuse, touch can be associated with fear or pain, so flinching, pulling away, or avoiding touch becomes a typical protective response. This behavior stands out because it reflects an internal fear linked to interactions with others, especially authority figures or caregivers, and it requires careful, sensitive assessment and safety considerations.

Frequent emergency department visits can raise concern for various factors, including chronic medical issues or accidents, and aren’t as specific to abuse. Looking at the caregiver before answering questions might reflect fear or deference but isn’t a definitive indicator on its own. Having a supportive home environment is protective, not a sign of abuse.