A nurse is reviewing the case of a patient with a history of sexual violence trauma. Which nursing interventions should be included in the care plan? (Select all that apply)

Choice A reason: Focusing solely on physical health neglects psychological trauma from sexual violence. Scientifically, trauma elevates cortisol and amygdala activity, risking PTSD or depression. Addressing only physical needs fails to mitigate neurobiological stress responses, delaying recovery by ignoring critical mental health interventions needed for holistic care. Choice B reason: Relaxation techniques, like deep breathing, reduce anxiety by calming amygdala-driven stress responses. Scientifically, they lower cortisol and activate the parasympathetic nervous system, stabilizing emotional regulation. This supports recovery from sexual violence trauma, mitigating hyperarousal and fostering resilience through targeted physiological calming strategies. Choice C reason: A trusting nurse-patient relationship fosters safety, encouraging disclosure. Scientifically, trust reduces cortisol and stabilizes amygdala activity, supporting emotional regulation in trauma survivors. This facilitates engagement with therapy, addressing sexual violence’s psychological impact and promoting recovery through a secure therapeutic alliance. Choice D reason: Avoiding trauma discussion unless patient-initiated prevents re-traumatization. Scientifically, forcing disclosure heightens amygdala activity and cortisol, worsening PTSD or anxiety. Respecting patient readiness ensures emotional safety, supporting recovery by allowing controlled processing of trauma’s neurobiological impact in a therapeutic setting.