NBME tends to focus on these rules for ethics questions: 1) ALWAYS acknowledge the pt's problem, distress, situation, etc. 2) NEVER ask the pt to lie 3) NEVER be a dick. The answer may sound robotic, but should never be mean. In this case, there's nothing more robotic than going directly from "I'm concerned" to "Have you considered suicide?" 4) NEVER refer the patient to another resource (in this case, the nurse, but could also be risk management, therapist, etc.) 5) COMMUNICATE with other clinicians/experts, etc. to resolve issues. Basically instead of referring the patient, you go to the resource yourself.
what I tog rmof isht tquneois: VENRE 9%9( of eht )emit frere a piatetn to ese eoynan
hiTs is a uprttaspmo doom cisnrd,bueat a teprty mnocom oserrddi that sah ot haev na tosen wthini 4 ekesw of ievelrdy to be dertme sa hucs. Prtsupoamt blseu si eht osmt i,dlm htwi a %508-5 ncedicnei aert (per FA 80,)21 uuallsy vlseoser tiiwnh 10 ydas nad taetternm si only ieropvpstu but eedn ot foup-lwlo ot esasss fro lpiesosb tpaumopstr n.odssrepei utPrptosam rdensseoip = -1105% atre, eitrcheacadzr yb deseprsed cfft,ae ntai,exy opro eotncrtncinao fro rergeat ahnt 2 ewkes nad esdne ot eb ettadre /w TCB + SRI.S I hktni het ieonqust si teggint ta enensrcig fro hsti and a tpoyiltnlea ermo coblmeiarpt oomlcpiia,nct posmuraptt iysopcs.hs
SCPSEIGA iearicr:t )(1 liegfen eoepwer,elv/dmhewy 2)( iuteitl,aii/rbtyagifr 3)( haieoan,dn (4) ffdtilcyiu ,eelsgnip ()5 "I efel l..tuyi,."g ofr a oeprdi fo 6 kswee = smtee teh critiaer rof a predsiseve sip,oeed nda ecsni stih swa ni het ospt tpumra o,derpi yma eb psto uamtrp dr.isopesen
Next setb step si ot srecen fro lasucidi /odoiugtethhaitsn fo rmiangh het l.cdhi
asH" ti cemo sa a srpeusri ot uoy how ahrd atinrgnpe ?si nayM ppeoel efle ttha wa y"I. tod'n khtni sthi lavtsdaei rieht ei,fgsnle adn ti wduol amek mooense fele blady fi oyu isda hye" yonveere lades tihw siht .t"ihs Aols tshi wnaers ofsudec no a,epintgrn trrhea ntah eht ciraitcshyp nneorcc tpouspmta(r rsnsidpe.)oe
m"i conerendc atbou hwo bad 'oeuvy eebn egliefn ltey.a"l I kthni shit dseo ognweklaced thire gnelsfi,e adn eosd shwo atth eht ihcyisapn si aed.engg ,seY its b.untl tuB at its t,wsro tis llsit omer peotlecm ntha eht ohetr oens.
hTogu itoeqnus besad on r'uoye raiengd yles.t
I tllaoyt teg owh ignsak tuaob e,idscui adn ikgnsa aotbu ti iyrdlcet si rotiamp.nt But ym noofncius si hwo hist waresn sdeo'tn eodrpvi any doog eug.es I tnwe htiw h"as ti mcoe sa a ep.ur.ir.s"s cbeusae i ieugfrd htta luodw deln fseilt ncliye to the npieatt noengip p.u hnWe i eefl it is tarppai,pier i wdulo neth irgbn up teh eoircvtsoann abuot rahse,f-ml ganhirm teh ba,by dna c.siduei tuB sa sit ettinrw, hte intetpa lselt ouy ythe feel h,tytsi nda eht icyaisphn reyv lyidtcre says wo"w ouy lefe ertpyt tth.ys"i msSee yrve ietnssniiev and not toalmpi rof enhost tiimmoo.cnunac
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