Which of the following leads the nurse to suspect a parent may be emotionally abusing their child?

Choice A reason: Arriving at school without lunch may indicate neglect, but it is not specific to emotional abuse. It could also result from poverty or logistical issues. Choice B reason: Bite marks are physical signs of abuse, not emotional abuse. They suggest physical harm rather than psychological maltreatment. Choice C reason: Lack of appropriate clothing in cold weather is a sign of neglect, not emotional abuse. It reflects failure to meet basic physical needs. Choice D reason: Blaming the child for everything is a hallmark of emotional abuse. It undermines the child’s self-esteem, fosters guilt and shame, and can lead to long-term psychological harm. This behavior is emotionally manipulative and damaging.