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.
atwh I tgo mfro hsit tq:noeusi RVENE 9(9% of the me)ti feerr a eatptin ot ese onaeyn
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SCGEAPSI ra:teicir 1)( gnilfee pvmrd/ywwehele,eeo )(2 ltt,iuayiti/rrfiiegba )3( dhoaane,ni )(4 ltuifiyfdc ignples,e 5)( I" eefl y...ut,gi"l rof a irpeod fo 6 wkees = semte eht cirtarei orf a evdeeiprss doeesip, nda since isth swa in eht tpos raputm di,orep may eb spto atrmup sensodr.pei
extN sebt pets si ot ersenc ofr icausdil thedgtunits/hiooa fo ginramh teh cl.idh
H"sa it ceom sa a rirupess ot you woh ahdr pnrgteian is? ynMa poeepl feel atht "aw. Iy d'otn kniht tsih lvaisetda ehtir ,iegnlsef and it odlwu keam enoeosm elfe dably if ouy said hy"e yeoenrve eslda wthi hsit hti".s lAso shti nwraes udofsce no eangnit,pr rhaert atnh hte shiaccrityp coencrn (ptsmpuorat sseopdre.i)n
i"m eocrcnnde atbou who bad 'ovyue bnee elinegf l".alety I hnkti hist deso kcledaeongw hrite egf,nseil adn esod hwso tath the anciyship is neaged.g Ys,e sti blut.n tBu at sti s,rwto ist litls mreo emlctpoe ntha het ohret o.nes
oghuT tnqeousi saedb on uyero' irdneag eytls.
I ltytaol etg hwo iagsnk aoutb e,iiudsc nda gnikas atbuo it eilytrdc si tat.niorpm tBu my fuoionnsc is ohw stih wrenas ost'ned oedipvr nay ogod u.eges I tnwe ithw s"ah it eocm sa a u.ir.."eprss acsbuee i rufedgi htta udlwo deln ilfste lnyeci ot teh tpeanit peognin pu. eWnh i lfee ti is ,trippapiare i oluwd ehnt igrbn up hte iovoaentrcns tbuao ,flahsrm-e mhangir the ab,yb dna ieisud.c But sa sit ,ttwenri the tientpa llets uoy ythe leef tyths,i nda the hcapnyisi vyer ycdltire ayss "oww uyo eefl eytptr t.tiy"sh seSme very ensenivisit dna ont oplitma rfo htnoes ncminit.coumao
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