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 otg frmo ihst e:noquist RENEV (99% fo eth t)emi eerfr a ipeattn to ees nonaye
isTh si a atmsruptpo domo bds,aeiutnrc a yertpt omnmoc errisodd ttha ash ot vahe na sotne whniit 4 kseew fo ldvreyei to eb treedm sa u.csh rPtstaoupm lesbu si het tmso idlm, hiwt a %-5508 ndeinceci eart rpe( FA 02)81, luaulys veesosrl ihtwni 01 ayds nda eatnrtmet is ylon rotesuppiv tub dnee ot lopwfuol- to essass orf soisbpel tupotmraps neose.idsrp msPtutorap snrideesop = -1051% tra,e drczcaheeairt yb dssepdree fc,tfae an,teyix rpoo inonracotntec rof regerta ahtn 2 ewske nda nsede ot eb deterat /w TCB + SR.IS I nhtki eht tsuqnoei si ittgneg at ncnegeirs rfo siht adn a leittlaonyp orem rlpicmatoeb ,ompcitcolani tmuoatrspp yshiopss.c
EISPAGSC iratei:rc )1( gleiefn /rwpvwhe,domeeeley ()2 eit/itifarla,tiirgbyu )3( i,hnnaeaod )4( cylffiduit slneep,gi )5( "I feel ."i.u,lgyt. rfo a rpioed fo 6 sweke = tsmee hte rtaiceri rof a eevirdspes epse,dio nad nesci hits saw in teh ostp umrtap podri,e yma eb ptso atupmr edosnir.pse
xteN sbet epst si ot eresnc ofr suiialdc ghiuh/iasdootntte of hanmrig hte hdcil.
"Has ti cmeo sa a rirseups to oyu who hdar gnniptare ?si nayM olppee feel that a.yI"w dont' itnhk htis sedaatliv trhei esn,liefg nad it ldouw amek omeenos efle blyda fi yuo disa hy"e vyorneee deasl htiw hits t.ih"s Asol this sranwe ucofsde no npt,rniage rarhte hnta het icstyarpchi rneccon ao(tmstuppr ido)se.perns
m"i ceecnnodr uabto how adb yoeu'v nebe elngefi .llyeta" I khtin sith sdeo wlkoaecgend retih figls,ene dna sedo sowh atth teh saiihnycp is geg.nead ,sYe ist .nubtl tBu ta tsi ortsw, tis itlsl emor eocptmle tnha the hoetr .esno
guoTh uenotiqs sbaed no o'urey daeginr l.etys
I ltltayo egt woh sigakn ubtao esu,icid dna kinsag auotb ti eirdtcly is omttrpa.ni But my ncnufosio is ohw stih rswaen 'eontds ropived nya odog segeu. I etnw whit "ash it ecmo sa a s.rupse.i."r caeeubs i fgrdeiu taht oldwu lnde eflist celnyi ot het npteait egnnpoi up. hWne i flee it si paeppir,rtia i duwlo ethn gbrin up eht rsoienontavc uatob eflmrhsa,- nhgmria eth bby,a adn e.diisuc tBu sa sit eirwtt,n hte nptatei tlsel uyo yhet feel tisyth, dna hte iisnyacph ervy cdreiylt yssa wwo" uoy efle prttey t.si"yth esemS veyr setiiesinnv nda nto lmioapt orf oehsnt nmmi.canouiotc
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