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.
hawt I tog rmof isth tsoi:qune VEERN (9%9 of hte i)emt rfree a ntaepit to see enyoan
siTh is a psautmtpor doom dscnue,tarib a tptery conmmo oisdrerd atth ahs ot avhe an nseto wtihni 4 kswee fo edyervli to eb dteemr sa shu.c srPatupmto eubsl is the smto m,ldi hiwt a %8-505 icdicenne tera pr(e FA ,01)28 llusyau rsselove hwtnii 01 dsay and aeentttrm si ynlo sppiroutve but need ot op-olwluf to asesss fro lpesosbi tsouptramp .nesipdesor aruopsPmtt ospreendis = -51%10 ea,rt ezardhtcrcaie yb seersedpd tcf,eaf ayen,ixt rpoo ontetrincanco ofr eartgre hnta 2 wkees adn ensed ot be tertdae w/ TBC + S.SRI I inhtk eth enosquti is tigngte at snercngie for ihts dna a tteyinplola eorm betlopcmira io,cpcioltnam raoupstmpt pycsoshs.i
SEPGCIAS :ieritacr (1) fegenli /lvwwy,mreehepedeo )2( ey/bgtiut,iarfialiitr )(3 enioahnd,a 4)( fiftiudlyc egislen,p )(5 "I lefe .t"l.,iu.gy rof a predio fo 6 kewes = meste het tcieirra ofr a vepesdsier deesp,oi dan eicsn ihst was ni eht psot rtamup o,pderi yma be tpso pautrm eson.epirsd
txNe steb pets is ot neercs fro iuaiclsd dhotghtanoe/stiiu of hmgnrai teh h.idlc
saH" it oecm sa a spsrriue ot oyu owh adhr npetnriga s?i Mayn pepoel eelf hatt w.I"a y 'dton hkitn itsh vdsltaaie ithre lgfn,eeis dna ti dwolu ekma emsonoe fele ydbal fi yuo aids yeh" ynrvoeee edsal hwti thsi s".iht soAl hsti sweran oucfesd on tea,irngnp hrreta atnh the ircsicpytah eonnccr tumst(orpap s)iprenod.es
"im dnncoecre taubo owh dba 'eovuy eben enfeilg l"lyeta. I knhti isth odse leenkowgdac erhit eeginfsl, dan sedo sohw atth eth sicapyihn si neg.adeg eY,s tis tnu.bl utB ta its ,sowrt sit ltils roem ptelmoec than the heort eos.n
Thguo uoeisqnt absde on 'uroye gierdan tsely.
I tloylat etg ohw sginka atubo deci,ius nad kingsa bauto it lyecrtid si rmpioatnt. tBu my fonuncsio si how htsi raswen s'ndtoe odpeirv nya ogdo ge.use I ewnt wiht has" ti meco as a .uirsps"r..e esecuab i udfgier htta udowl ednl liftes ilyecn ot hte pittena pinngoe .pu enWh i flee it is itpapraiper, i owldu enht gbrni up teh niseoatvncro ubato e,alshfmr- gmirhna eth yb,ba adn iuc.esid But as its wttrne,i hte pteanit sllte uoy htey eelf ,ytsthi dan het ipaychisn yrev tdericly sasy oww" you fele tptyre thtsy."i sSeme yevr isnsvinteei dna ton tapmoli ofr noseht ccio.onnmmiaut
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