# A nurse is implementing trauma-informed care for a client with a history of intimate partner violence presenting for routine pelvic examination. Which actions reflect trauma-informed principles? Select all that apply.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=374978&lang=en  
> language: en  
> subject: Basic Care and Comfort  
> category: BCC

## Question

A nurse is implementing trauma-informed care for a client with a history of intimate partner violence presenting for routine pelvic examination. Which actions reflect trauma-informed principles? Select all that apply.

1

Allow the client to control pacing including pauses or stopping

2

Require the client to disclose details of past abuse for the chart

3

Position the client so the door and exit path are visible

4

Offer choice of provider gender and presence of a support person

5

Explain each step of the exam before performing it and check for consent

## Explanation

Trauma-informed care rests on six principles: safety, trustworthiness, peer support, collaboration, empowerment, and cultural responsiveness. Practical applications include explaining each procedure step and obtaining ongoing consent, letting the survivor control pacing, offering choice of provider gender and a support person, and arranging the room so exits are visible. REQUIRING disclosure of past abuse re-traumatizes and removes choice — disclosure is invited, never forced. Documentation should be limited to clinically necessary information.

## In-depth explanation

Core shift: ask what happened TO you, not what is wrong WITH you. Universal precautions — assume any client may have a trauma history.

## Clinical scenario

Client appears anxious, avoids eye contact, asks if the door can stay open. Past chart notes domestic violence shelter stay 6 months ago.

## Key concepts

- **trauma-informed care** — Care framework recognizing prevalence of trauma and minimizing re-traumatization.
- **re-traumatization** — Triggering of past trauma response by current care interactions.
- **intimate partner violence** — Physical, sexual, or psychological harm by a current or former partner.

## Related questions

- [A patient with cirrhosis and grade 2 hepatic encephalopathy has been started on lactulose.…](https://mymerci.kr/pages/nclex_q.php?qn_id=372852&lang=en)
- [A 78-year-old with end-stage pancreatic cancer is admitted to the medical ward. After revi…](https://mymerci.kr/pages/nclex_q.php?qn_id=372916&lang=en)
- [A patient is in the active dying phase from end-stage heart failure. Family members are at…](https://mymerci.kr/pages/nclex_q.php?qn_id=373259&lang=en)
- [A nurse is caring for an immobile, malnourished older adult at high risk for pressure inju…](https://mymerci.kr/pages/nclex_q.php?qn_id=373515&lang=en)
- [A patient is post-op day 0 from a transurethral resection of the prostate (TURP) with a th…](https://mymerci.kr/pages/nclex_q.php?qn_id=374201&lang=en)
- [A 6-year-old is admitted with newly diagnosed nephrotic syndrome: proteinuria 4+, serum al…](https://mymerci.kr/pages/nclex_q.php?qn_id=374922&lang=en)
- [A nurse is caring for a postpartum patient who has saturated 2 perineal pads in 30 minutes…](https://mymerci.kr/pages/nclex_q.php?qn_id=374930&lang=en)
- [A nurse is supporting a family meeting where the medical team is discussing transition to …](https://mymerci.kr/pages/nclex_q.php?qn_id=374987&lang=en)

## Read in another language

- [en](https://mymerci.kr/pages/nclex_q.php?qn_id=374978&lang=en)
- [ko](https://mymerci.kr/pages/nclex_q.php?qn_id=374978&lang=ko)
- [ja](https://mymerci.kr/pages/nclex_q.php?qn_id=374978&lang=ja)
- [zh-TW](https://mymerci.kr/pages/nclex_q.php?qn_id=374978&lang=zh-tw)
- [vi](https://mymerci.kr/pages/nclex_q.php?qn_id=374978&lang=vi)

---

More free questions: [NCLEX-RN Practice](https://mymerci.kr/pages/nclex_bank.php?lang=en)

_For study reference only. Always follow current clinical guidelines and your institution’s protocols._