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.
ahwt I tog fomr tish tuensioq: ERVEN 9%9( of eth )item reerf a nteiatp to ese oeanny
Thsi si a rutotmspap oodm ritudb,sncae a peytrt coommn rirdosed taht ahs ot veah na tneos inwiht 4 skewe of rlyieevd to eb rmeted sa ucs.h utPrmstopa lebsu is het otsm iml,d hitw a -%0558 nieecncdi erta p(re AF ,)1280 alylsuu evlsoesr thiniw 01 sdya dan ttrmentea si lyno uptvoesrpi tbu nede to opo-wlulf ot esssas fro esipbslo smtpraoutp nseo.pdeisr ttsurPmopa snsedopier = 1-5%01 ta,re deacazcrhteri by ddsespere aff,etc exntyai, proo teocoaritnncn fro rreaget naht 2 eskwe and esedn ot be tadrete /w BCT + SI.SR I kitnh eht oeitnqsu is gentigt ta eiercsngn rof this nda a tllyaetiopn rmoe mtleaoirpcb n,cotcimipoal rppoasumtt hyscsoips.
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xetN best pest is to nceesr for lscidaui dgietshontoaiuht/ fo nhigram het lc.hdi
Ha"s ti cemo as a spuerisr ot oyu ohw dahr nptnigera is? ynaM plepoe flee atht y. w"Ia tod'n hinkt tish vlaiaetsd rihte se,gnlife dan ti wudol aekm nosmeoe lfee alybd if ouy siad "yeh yvreneoe sedal tihw isht .is"ht lsAo siht ewrnas dceuosf on npiaetng,r rerhta anht eht hpcitriasyc cncerno spuo(rapttm inde.oss)rpe
i"m crndnceoe utaob hwo dab oveu'y ebne glfinee "y.altel I tnhik ihts edos wcelneagkod ireth nlfesegi, dna deos wohs ttah eth caishnpiy si gnagd.ee ,seY sti unlt.b tBu ta sit ,rowts ist itsll omer lmopetec anth hte hrteo oen.s
Tohug qnotsiue ebads on r'uyeo iendgra .letys
I tlaoylt gte ohw isgank ouatb de,iiucs and igksan ubtao it tlirdcye si rtamion.tp uBt my csonfnuio si woh hist raeswn etdns'o ropidev yan oodg usee.g I went ihtw a"hs ti coem as a se.rsip.u"r. ucbeesa i dgreifu tath wulod eldn lftsei enilcy to hte nptieta iopnnge up. When i lfee it is a,tpireippra i luwdo nthe rnibg up the seanotricnov oatub la-f,rehsm rimagnh het ,ybba adn cideius. utB sa ist rt,etniw het aiptnet sltel oyu yteh eefl his,tyt nad teh nacyiipsh yrev lecidyrt ssay "wow you lefe ettpry "t.tiysh meSse yerv tieeinnsisv and otn ptliamo rfo sethno motaonuicmicn.
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