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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tNxe tbse teps si to nrcees fro asuidilc o/hgtodteiasnuhit fo hringma eth dl.hic
H"sa ti moec sa a uiespsrr to you who rahd nritgpane ?si naMy poeple elfe ttha ".aI wy n'tod khnit hsti eatlvasid tireh eelifn,gs nda it uwldo eakm eonomes elfe lbyad fi uoy dias ye"h evoreeny adels htwi siht t."ihs olsA tshi aerswn udscofe on atnprgen,i reahtr hant eth iyihtsapcrc cecnnor pupmsta(rto rpso)iseden.
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Thugo nsqiteuo sebda no oyeru' rieagdn .tsely
I oyllatt teg owh ikngas utaob siu,cdie dna ksgani aoutb ti ytedlicr si nt.pomtiar utB my osnoicfnu si how ihst rawsen one'tsd idrvpeo yna godo e.gues I netw thwi ah"s it mcoe sa a .psi"e.srur. csaeube i reufgdi htat lwudo ndel esflit eciyln ot het tpatine enonpgi .pu nWhe i eefl it si e,praptpraii i loduw nhte brgni pu the ainrnotcsveo abtuo mral,fse-h mghainr teh ba,by nda u.iedsic tuB as tsi iern,wtt eht etaipnt ltsel uoy ehty efle ythti,s dan eth hpnsiiyca vyer diylcert syas "wow uoy lfee eyptrt tthi.s"y eSems ryve iievsntneis adn tno imlopta orf nhsoet tnnmi.muiccaoo
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