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.
twha I gto rfmo ihst qoes:iunt NREVE 99%( of het i)tem refer a etipnat to ese anoyen
Thsi is a umporattsp odmo tsrdbnie,auc a tepyrt cmmoon esrroidd htat sah to aehv an seton itiwhn 4 ekews of yeidrevl ot eb deermt sa csu.h oupsrmPtat uelbs si eht sotm dli,m ihwt a 585-%0 cdicneien rate e(pr AF 28),01 uullyas sreesolv ihinwt 01 yads dan tremeatnt is nyol ietvursppo but dnee ot llpfwou-o to sesssa orf liespsbo omastptpur odsriepnse. suPmotptar epdesnrios = %15-01 ,rtea ezaireatdrhcc by prddeeses ceafft, ynx,atei orpo atroneonntcci rof rergate ahtn 2 kwese adn eedsn to be eeadtrt /w CTB + SR.IS I nkhit eth stoiequn si ntgiteg at gcnnerise for sthi and a pntyoetaill rmoe pbtrlicoaem ptoicnlcim,ao ptatpourms .syspihsoc
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exNt ebst etps si to eerncs ofr diilasuc /ahguonhttdieotsi of hrmnagi the d.lchi
"saH it emco sa a esprsuri ot uoy who adhr natipnreg i?s nyaM epeolp efle that .ay w"I 'tond tnhki this sialdtaev rheit geilfsne, and ti dowlu aemk menoose feel dblay if ouy said he"y voyerene easdl hwit htsi h."tis slAo shit nrawes esoducf on ri,entgapn etrhra nhat eht iaitrhyspcc ncorcne uorstpmpta( pe)idsrne.so
mi" dncneceor tobau owh bad 'veuoy bene fniegel a.lelyt" I tkhni isth odes noegcealdkw ehitr nfls,eegi dan sedo ohws htat eth hisapcniy si ee.ndagg eYs, sit btlnu. Btu at tsi two,sr sit sillt emor mepcotel tnah eht threo e.son
hgTou nsqeuito asbed no uroe'y rgeniad lsey.t
I loltyta teg who akgsin oubat iseiucd, nda nsagki tbaou it riecdylt si ima.troptn But my sonufcino si woh tish rwaesn tn'eods opidrve any dgoo se.geu I wtne ihtw a"hs it omec sa a .sie.sp"rr.u absuece i rdfugei thta dlwou dnle sfteli lnycei ot eth iatpten noepngi p.u hWne i lefe it si itpeparip,ar i oudwl etnh irgbn pu teh onaosnrvietc about h,ae-rmfsl nirgham het ,byab dna i.ceiusd tBu sa tis tnrweit, eht teaipnt llste yuo etyh eefl ittyh,s dna het scaypiinh vrye etlrcyid asys wo"w uyo feel ettypr i"thsty. Seesm evyr iiesensnivt dna ton limaopt rof hsonte ucamici.oonmnt
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