The public health nurse is providing education to farmworkers on primary prevention strategies. Which of the following is an example of primary prevention?

Choice A reason: Denying rest needs dismisses cultural postpartum practices, like extended recovery common in many societies. It imposes Western norms, ignoring how rest aids hormonal stabilization and healing, risking maternal stress and undermining culturally sensitive care that respects diverse recovery traditions fully.

Choice B reason: Emphasizing bonding as a universal duty overlooks cultural variation where family support enhances maternal recovery and infant care indirectly. It risks shaming the mother, ignoring how oxytocin-driven bonding can occur without direct tasks, clashing with culturally competent, patient-centered approaches entirely.

Choice C reason: Allowing family care respects cultural norms where postpartum rest is prioritized, common globally. Assessing knowledge via discussion ensures competency without forcing action, aligning with cultural competence by valuing traditions while meeting care standards, supporting maternal recovery and family dynamics effectively.

Choice D reason: Enforcing policy over cultural preference prioritizes institutional rules over patient-centered care. It dismisses rest’s role in postpartum healing, like uterine involution, risking maternal health and trust, conflicting with ethical principles of respect for diverse cultural practices in healthcare delivery comprehensively.

Choice A reason: Competence isn’t distress; inability to act is. This errors per nursing ethics. It’s universally distinct, lacks conflict element.

Choice B reason: Moral distress occurs when knowing right but unable to act. This fits nursing ethics standards. It’s universally recognized, distinctly accurate.

Choice C reason: Overriding orders isn’t distress; it’s authority use. This misaligns with nursing definitions. It’s universally distinct, not a moral conflict.

Choice D reason: Harm realization is regret, not distress from inaction. This errors per ethics standards. It’s universally distinct, different issue.