In the ED, what is an appropriate response to a patient who says they do not want to be alone during the examination?

• A. Certainly; whatever makes you feel safe.
• B. We can’t accommodate visitors.
• C. I can’t guarantee that.
• D. You can’t have anyone in the room.

Answer: (A)

Respecting patient autonomy and safety is essential in the ED. When a patient says they don’t want to be alone during an examination, the best approach is to validate their concern and offer to accommodate a support person or advocate. Responding with “Certainly; whatever makes you feel safe” communicates that their safety is the priority, honors their preference, and invites them to specify who they want with them. This aligns with trauma-informed care principles—emphasizing safety, choice, and empowerment—which helps reduce fear, builds trust, and can improve communication during the exam. Other options either dismiss the patient’s preference, imply uncertainty, or rigidly deny accompaniment, which can heighten distress and undermine the therapeutic relationship.