Child sexual abuse:
• a. is most common when the first signs of puberty occur.
• b. most often is instigated by strangers.
O c. includes only activities that involve genital contact.
• d. is quite rare in all cultures and countries.
None of the options provided accurately describe child sexual abuse. Child sexual abuse can occur at any age, not just when the first signs of puberty occur (option a is incorrect). It is not most often instigated by strangers; in fact, the majority of cases involve someone known to the child, such as a family member or acquaintance (option b is incorrect).
Option c is also incorrect. Child sexual abuse includes a wide range of activities that involve sexual exploitation or violation of a child, which may or may not involve genital contact. It can include inappropriate touching, fondling, exposure to ography, sexual exploitation through the internet, and many other forms of abuse.
Lastly, child sexual abuse is unfortunately not rare. It is a significant global problem that occurs in various cultures and countries (option d is incorrect).