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.
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exNt btes epst is to esecrn for adcusiil iigaustd/ethontho of rnigmha hte .lcihd
aH"s it oecm sa a rsusriep to yuo how dahr iegtnpnar si? nayM pelpeo elef thta I.wy a" ot'dn tnhik tsih sdvaileat hiert elesin,fg dan ti would aemk emonseo efle lbyda if ouy dias e"hy yvneereo esald thiw isth hti.s" oAls htsi wranse dcusfeo on gtaipe,rnn trehar ntha hte cyctpahisri rncnceo ttpspmr(oua de.sos)irnep
i"m ncorcndee atuob woh bad uevo'y eben nfleeig y"a.tlle I kthni sthi does delwaknceog etrhi l,gneefsi adn oeds owsh that hte niyiacphs is edg.nega Ye,s its t.lunb utB ta tis tr,wso ist tllsi omer mpceoelt hatn eth ohter o.sne
oghTu tequsnoi dsaeb no yoru'e ngdeira t.eysl
I alltoyt gte woh nigkas btoau e,isuicd nda sigkan baout it dtyiercl is pt.rontima Btu my cfnuooisn si ohw itsh sarenw e'notds iovprde yna oogd u.gees I wetn whti "ahs it eocm sa a i"usp..rser. saceebu i difeurg htat wdoul lden tlsife ycneil ot het eanptit pniogne up. hnWe i eelf it is app,atreirip i dlouw hent gnrbi pu eht insnvcaooter btoau sr-,hfmeal nrgmhai eth baby, dan cei.isud tuB as tsi witt,ren teh ptatein letls oyu yeth lfee h,ttiys adn het aysiciphn rvey icredlyt ssay wwo" uyo efle trepty ".hityst eemSs rvey esneviinsit and nto poiatml ofr ensoth n.ocumtoimanic
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