o'ntd eb a c?dik ont yarell ersu awth rmeo tereh si ot i.t Teh ietpant s'oedtn evah nay throe limyaf so sith onwma uldhos be rendiscoed almyif
The only way to get this question correct is to break the rules of the hospice center because you assumed there was a romantic relationship between the women. Couldn't be more straightforward.
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. 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.
Is this how it works in real life? Am I ever going to need to need the TCA cycle after Step 1? Probs not.