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.
thaw I otg romf shit tesioun:q EVREN (99% fo teh t)eim eferr a tneptai ot see aynoen
hTis is a oatmuppstr domo naid,sucbert a ytprte onmmco deirdosr taht has to vhea na notes whinti 4 kwese of reyevlid ot eb detemr sa uh.sc mtourPptsa suleb si the mots d,mli ithw a %5-580 neidcinec arte (epr FA 281,0) lulsayu vsesorel inwith 01 sdya nda teentrmta is lnyo eopitpsvur but dene to flopwo-lu to sessas fro opeisbls tpotasrmup dnsoserepi. utomPstpar soepnerdsi = 5%-011 ,arte artcziearhedc yb dsreseped ,ffatec aixteny, proo roatetncinnco rof raerget nath 2 wseek nad sende ot be deratte w/ CTB + .SSIR I nkhti hte ietuqnso is tgntgie ta sirgecenn rof hits adn a lpoitnatyle orem aelpbcimtro omai,inotcpcl taurmotpsp yspoicssh.
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extN tebs tesp si to nescer ofr uialcisd o/attshghitdienou of amgrhin hte di.chl
Hs"a ti cmoe sa a srueispr to ouy owh rdha narntgpie i?s Myna eeolpp feel ttah a "w.yI ont'd nkiht this vsetdaial ihter ,ligefsen nad it udwlo eakm oosneme efle bdaly fi ouy iads eyh" yereveno eadls hwit ihts s.ht"i olsA isth newsar sfcudeo on gtaie,nprn hrtrea nhat eht ihyctcipasr onnrcec (autorptpms s.opreeind)s
i"m enocrdcne tobua ohw bad vyuoe' eneb ifegnle lte.y"al I nhkti thsi esdo nclgewadeok eitrh sgelnief, adn oeds sohw taht het hcypisnai si e.dnaegg es,Y its u.nbtl Btu ta sit ostwr, tsi iltls roem elmopcet hant eth heotr nsoe.
uogTh qenstoiu sdeba no oer'yu nrdiaeg tsy.el
I yllotat tge who gaiksn tuabo ,siidceu dan sikang ouabt ti cdlrytei si iotp.tmnar uBt ym oufsionnc si who isht rwnsea eons'td edvoirp nay dgoo .eusge I ewtn thwi sah" it moce sa a ire".r.ups.s asubeec i gfrueid htta uodlw dnel siftle eiycnl ot hte enpitta epniogn p.u When i leef it is iprptrapae,i i wdlou etnh ngbir up teh soiennravtco outba fmra,hs-el girmhan eth b,bya and is.uiecd utB as sit ,tirewnt eth ienptat etsll yuo hyte eefl ihs,tty adn teh hapyniics veyr tdlyrcie asys oww" yuo elef rpeytt t"thisy. meSse eyrv ivintnessei nad not itaplmo fro tesohn cmuno.aimitocn
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