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 got form hits uesointq: REENV 9%(9 of the iemt) refer a iapettn ot ees enyaon
hsiT si a amprsttuop oomd ,rbtuaedcins a rtptye cnmmoo dirsorde ttah sha to vahe na noset hnwiit 4 wksee fo lidryeve ot eb deemrt as sc.uh mPsptuorat sbeul si teh somt d,lmi ihwt a 0-55%8 eindeicnc trae e(pr FA 08)2,1 lyualsu seeovrls nihtwi 01 days nda etenmatrt si ynlo siorpetpuv ubt ende ot lowlup-fo to essass rfo boeisslp truapotpms .osspdreeni turmasptPo onsseierpd = 115-%0 r,tea htericrdcezaa yb spersdeed e,ffatc ,nyaxeti poro ennrocnitctoa rfo reagter ahnt 2 wseke nda ednes ot eb taetrde /w TCB + SR.SI I itkhn eht sniuoqet is iggetnt ta eengncisr ofr stih dna a nelpyloatti mroe brotelcimap cotcplmiao,ni trtpmsoaup hcsos.ypsi
SEPGCSIA tearc:iri (1) efnlige em,erh/lpwywdveoee 2() yairiitl,futrbgt/aiie (3) odehnania, (4) iuldyfcfti pgen,leis 5() "I flee t..."iuygl, for a dpeiro fo 6 eswke = tseem hte itcairer rfo a ssveipedre piso,eed nad cseni iths saw in eth post mputra e,opird yma be tsop rupamt oe.drinesps
etNx ebts pset is to recnes rof lciusida od/tenutithsoiagh of amhgrin eht .hlcdi
s"aH ti oemc as a repuisrs to uoy woh hrda agetprinn ?si ynaM oelpep eefl taht w.yI"a o'ntd kihtn hsit alasidtve iehtr ef,elings nda ti uoldw aekm osmeeno lfee laybd if oyu disa yh"e yeroenve lsdea wthi thsi ith".s oAls htsi rweasn cusodef no nanrp,tige rrteah htan het ctihprysaic nrnocec (mutarpspot prse)n.oiesd
m"i cnrdncoee tobau ohw dba oy'euv been lngiefe l"yte.la I nitkh hsit sode eewdnckolga rthei eisge,fnl and sode hows htat eht cianyhpis is gdea.gne ,Yes sit nubt.l tBu ta ist wts,or its llsit orem pleoetcm naht teh thoer oe.ns
Thguo qnseutoi saebd no y'roue rdainge ey.stl
I atlytol tge ohw gasnki tbauo i,esciud adn gniksa ubato ti dcyrleit is rtmainopt. Btu my usnocfnio is owh isht werasn nsted'o eiprvod yna ogod .sugee I tewn twhi hsa" it mcoe sa a rs.up"eir.s. sbeuace i grdeufi taht olwud denl estfli icnyle ot eth peatnit eongpni up. hnWe i elef it is itrpieapp,ra i would hten gbnri pu het cnotoaienvsr uobat emhrfl,-sa hgimarn the ba,yb and .duceiis tuB sa tsi trwtine, teh taenpit llset yuo ehty efle siytt,h dan hte chaynpsii yevr cyldetri sasy ww"o uyo efel ryptte ithts"y. eemsS reyv snitenieisv dna ton molpati orf othnse ai.ucntommnoci
submitted by ∗yotsubato(1208)
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