A nurse is providing care to a child during a routine wellness check-up. Which of the following client statements should indicate to the nurse that the client is at a higher risk for experiencing abuse and violence?

Choice A reason: Struggling with a test or academic performance is common among children and does not directly indicate risk for abuse or violence. Academic difficulties can result from many factors such as learning challenges, stress, or lack of study time, but they are not a strong predictor of abuse. Choice B reason: A parent starting a new job is not inherently linked to abuse risk. While changes in family dynamics or stressors can affect children, this statement does not suggest neglect or violence. Employment changes are normal life events and do not directly indicate abuse. Choice C reason: Lacking role models can be a red flag for abuse or neglect. Children who do not identify supportive adults in their lives may be experiencing isolation, lack of guidance, or dysfunctional family environments. This absence of positive figures can increase vulnerability to abuse, as children without trusted adults may not have safe outlets to disclose mistreatment or seek help. Choice D reason: Not feeling hungry in the morning is a common occurrence and does not necessarily indicate abuse. Appetite variations can be normal in children and are not a reliable marker of violence or neglect. Unless paired with other concerning signs such as malnutrition or food insecurity, this statement alone does not suggest abuse.