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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Ntxe best spte is to esncer for udcaiisl itahntieosutdo/gh of ahnrmgi the cli.hd
"Has ti mcoe as a sresurip to yuo how rdah anitegnpr si? ynaM eppole fele ttha ."aw Iy dtno' ikhnt hits aaesltdvi rieht nle,fsgie nad it uodwl ekma meoesno leef lbady if oyu dsia ey"h eyneroev laesd tihw hsit ith.s" Asol tihs arwsen ocdsfue on t,gparinne tharre tnha het saritpichcy ecrnocn rpuos(apttm ep)s.iodsren
"im enodccren atbou woh abd 'yoevu nebe nefglie alt"y.le I kihnt htsi osde aleenogwcdk rhtie l,seiegnf dan oesd ohsw ttha teh icshyinpa is .gedange ,seY its .btnlu Btu at tis ,trswo tis tllis emor mltcpeeo htna eht trheo seon.
Thugo ituqosne sebda on u'yero renidga .lstey
I lylttao etg how kinsga botau sici,edu and isagnk aotub ti dtryciel si tit.rpaonm But my ncnfouois si hwo sith nearsw otnse'd dreovip nay ogod .ugees I tnwe htiw as"h it ocem sa a s.".p.urrsei escueab i ufegdri htat luwdo lden eltsfi yencil to eth netipta noegpin .pu hWen i lfee it si raipaetipp,r i wudlo ethn ingrb up hte aennosrtiovc ouabt ,la-efhsmr nahigmr hte byba, dna udcisie. uBt as ist i,tewntr het tnpatie llest yuo heyt efle tt,ihsy dan eth iscyanhip eryv citeldry asys "oww you fele tptrey yi"thts. Smese ryve tnssviieien dan ont iamotlp rfo ntesoh nocntmauciom.i
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