# A nurse working in a trauma-informed care (TIC) framework is caring for a patient with a history of childhood sexual trauma who is admitted for a routine pelvic procedure. Which actions reflect TIC principles? Select all that apply.

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> url: https://mymerci.kr/pages/nclex_q.php?qn_id=374923&lang=en  
> language: en  
> subject: Psychosocial Integrity  
> category: PSI

## Question

A nurse working in a trauma-informed care (TIC) framework is caring for a patient with a history of childhood sexual trauma who is admitted for a routine pelvic procedure. Which actions reflect TIC principles? Select all that apply.

1

Validate the patient's feelings of anxiety as normal and offer to take breaks during the procedure if the patient signals discomfort.

2

Explain each step of the procedure in advance using clear simple language and offer the patient choices about positioning, draping, and pacing.

3

Recognize that you may not know all the details of the patient's trauma history but treating every patient with TIC principles benefits everyone — universal precautions for psychological safety.

4

Encourage the patient to push through the procedure without breaks, explaining that this will help overcome anxiety and build coping skills for future medical encounters.

5

Ensure physical and emotional safety — adequate privacy, the option to have a support person present, and recognition that the patient may have trauma triggers.

## Explanation

Trauma-informed care (TIC) 6 principles: SAFETY (physical and emotional), TRUSTWORTHINESS/TRANSPARENCY (clear explanation, predictability), PEER SUPPORT (validation), COLLABORATION (offering choices, shared decision-making), EMPOWERMENT (control and pacing), CULTURAL HUMILITY (recognition of differences). Choice 4 violates TIC by re-traumatizing through coercion. The "universal TIC" principle is key — you do not need to know specific trauma to apply TIC; treat all patients with the framework.

## In-depth explanation

TIC is a paradigm shift from "what is wrong with you" to "what happened to you". Applies in EVERY healthcare setting — pediatric well visit, ED, OR, mental health. Re-traumatization (forced positioning, lack of warning, unexplained touch) causes harm and is preventable. Memorize the 6 SAMHSA principles for NCLEX.

## Clinical scenario

Patient with **history of childhood sexual trauma** admitted for routine pelvic procedure. Unit follows **SAMHSA trauma-informed care (TIC) framework** with 6 core principles: safety, trustworthiness/transparency, peer support, collaboration, empowerment, cultural humility.

## Key concepts

- **Trauma-informed care (TIC)** — SAMHSA framework recognizing trauma prevalence and integrating that knowledge into practice; 6 core principles.
- **6 TIC principles** — Safety, trustworthiness/transparency, peer support, collaboration, empowerment/voice/choice, cultural/historical/gender humility.
- **Re-traumatization** — Triggering trauma response through care delivery; preventable through TIC principles; common in restrictive procedures without TIC.

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