69  <br/>Jenny is a 5-year-old female who has been referred for consultation

because the emergency room physician suspects that she might be subject to physical abuse in the home. On evaluation, the PMHNP finds Jenny to be fearful, docile, and guarded. Although clearly in pain, Jenny seems surprised when the PMHNP attempts to provide some comfort. The PMHNP notes that:

A. If Jenny demonstrates abnormal attachment with her mother, this will complete textbook criteria for symptoms of physical abuse
B. There must be a consistent pattern of atypical physical injury to support the diagnosis of physical abuse
C. Jenny’s behaviors are more consistent with sexual abuse than physical abuse
D. These same symptoms may occur in the absence of any abuse and are neither specific or pathognomic for abuse