The correct option is D all of the above
The line: "Violations of etiquette can cause public disgrace, and in private
hurt individual feelings, create misunderstandings or real grief and
pain." includes all three options: It may cause public disgrace (option A), it may create misunderstandings (option B) and it may hurt feelings, or create real grief and pain (option C).
Hence option D is correct: all of the above.
Options A, B and C are all individually, incorrect.