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.
thaw I ogt ormf itsh iuqnet:os RVEEN %99( fo teh et)im reerf a tnpteia ot ese nyaoen
sTih si a uomtatrpsp mood atersndb,iuc a rteytp omocmn sdedrior atht ahs ot hvae na toens nthiwi 4 kewse of yieevrld to be meredt as sc.uh smrpttauPo ublse si eth tmos dm,li whit a 5%-508 cindneeic tear pe(r FA 0),821 laysuul relseosv hniitw 01 dasy nad reetnamtt si ylno spopvriteu utb edne to pollfouw- ot seasss orf pebsosli smauttoprp opesi.ensrd psmPtrtaou pesseriond = 5011%- reat, azaceircdhter yb sseepdred afce,ft xnye,ati rpoo cornnttineaco ofr eratreg anth 2 ewkes nda edens to eb etetrda w/ CBT + ISS.R I hknti the qitensuo is gtgtien at neeinrcsg rof this and a ttilolepany mero apetimorbcl omcacnoitp,il strppatuom o.hpsscyis
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m"i cennredoc aotub ohw bda you've eebn feglein yell".at I tnikh thsi edso gweleoakcnd etrhi neglisf,e nad sode swoh ttha the snyiahicp is egdge.na Yes, its tlbun. uBt at ist wtso,r tsi iltls oerm oemcetlp nath het eorth eos.n
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