A nurse is conducting a health education session for a group of parents on how to prevent child abuse and neglect. The nurse explains that one of the risk factors for maltreatment is parental stress. Which of the following statements by one of the parents indicates a need for further teaching?

Choice A Reason: This is an example of secondary prevention, not primary prevention.
Choice B Reason: This is an example of tertiary prevention, not primary prevention.
Choice C Reason: This is the correct answer. This is an example of primary prevention, which aims to prevent child abuse and neglect from occurring in the first place.
Choice D Reason: This is a legal obligation for nurses and other mandated reporters, but it is not a prevention strategy.The correct answer is C. Educating parents and caregivers about child development and positive parenting skills is an example of primary prevention, which aims to prevent child abuse and neglect from occurring in the first place by addressing the risk factors and enhancing the protective factors at individual, family, community, and societal levels. Choice A is an example of secondary prevention, which aims to identify and intervene with children and families who are at risk of or have experienced maltreatment by providing early detection, screening, assessment, referral, treatment, and follow-up services. Choice B is an example of tertiary prevention, which aims to reduce the negative consequences of maltreatment and prevent its recurrence by providing specialized treatment and support services for children and families who have been affected by abuse or neglect. Choice D is a legal obligation for nurses and other mandated reporters, but it is not a prevention strategy.

Choice A Reason: This is an example of secondary prevention, not primary prevention.
Choice B Reason: This is an example of tertiary prevention, not primary prevention.
Choice C Reason: This is the correct answer. This is an example of primary prevention, which aims to prevent child abuse and neglect from occurring in the first place.
Choice D Reason: This is a legal obligation for nurses and other mandated reporters, but it is not a prevention strategy.

The correct answer is D. The number of children and families who did not experience any recurrence of maltreatment after completing the program is an outcome that directly reflects the goal of tertiary prevention, which is to reduce the negative consequences of maltreatment and prevent its recurrence by providing specialized treatment and support services for children and families who have been affected by abuse or neglect. Choice A is an output indicator that measures how many people were reached by the program, but not how effective it was. Choice B is a process indicator that measures how satisfied people were with the program, but not how beneficial it was. Choice C is an outcome indicator that measures how much people improved in their well-being after completing the program, but not how much they reduced their risk of maltreatment.

Choice A Reason: This is an incorrect answer. This is an output indicator that measures how many people were reached by the program, but not how effective it was.

Choice B Reason: This is an incorrect answer. This is a process indicator that measures how satisfied people were with the program, but not how beneficial it was.

Choice C Reason: This is an incorrect answer. This is an outcome indicator that measures how much people improved in their well-being after completing the program, but not how much they reduced their risk of maltreatment.

Choice D Reason: This is the correct answer. This is an outcome indicator that directly reflects the goal of tertiary prevention, which is to reduce the negative consequences of maltreatment and prevent its recurrence by providing specialized treatment and support services for children and families who have been affected by abuse or neglect.