Which of the following are signs or symptoms of abuse?

• A. Bruising
• B. Fearful behavior
• C. Unexplained injuries
• D. All of the above

Answer: (D)

Abuse often shows through both physical injuries and emotional or behavioral changes. Bruising can be a sign, especially when it appears in unusual locations, has odd patterns, or there are multiple bruises in different stages of healing. Unexplained injuries raise concern when the person cannot provide a plausible or consistent explanation. Fearful behavior—such as flinching, withdrawal, anxiety, or avoidance of a specific person—also signals possible abuse. Because abuse can manifest in more than one way, recognizing all of these signs together makes it clear why the best answer is “all of the above.” If you suspect abuse, follow your facility’s reporting procedures and ensure the person’s safety.