Physical abuse occurs when a parent or caregiver commits an act that results in physical injury to a child or adolescent.

• A. Inflammation of the vulva and vagina
• B. Refusing to believe painful realities
• C. Involves the exchange of value for a sex act with someone under 18
• D. A parent or caregiver commits an act that results in physical injury to a child or adolescent

Answer: (D)

Physical abuse means a parent or caregiver intentionally causes physical harm to a child or adolescent, leading to injury. The statement describes someone in a caregiving role who commits an act that results in physical injury, which is exactly what physical abuse is. The other options describe: a medical condition unrelated to abuse; a coping mechanism or denial of painful realities; and sexual exploitation of a minor, which is a different type of abuse altogether.