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.
athw I tog fmor hsit uenqs:toi REVEN 9%(9 fo the itme) rfeer a ittenpa to ese nnoyea
sTih is a morpstupta odmo etnbud,icrsa a perytt mcomon doisrder htta sah ot hvae na ntose hitinw 4 skeew of rvyldeie to be detemr sa usc.h mrutPspoat lubse is eth tsmo ,midl with a 8%055- cicdennei reta (epr AF )210,8 ullysua levssreo hiwitn 01 ysda nda trneaemtt is lnyo eprisutvpo ubt nede ot wploul-of ot sssaes rfo pboslesi utmprspaot sreen.dosip tusrPmapto dnseiespro = 01%51- tr,ea retzericaadhc yb sddrepsee tff,aec tenixa,y ropo otrcenannoitc fro regetar hnta 2 ewkes and eends ot eb taedrte /w CTB + R.SIS I ktnih het souitneq si negittg at ncsnrgeie fro sthi nda a ltoielypatn rmeo bacorpilemt icilpm,taonoc uoamtrtspp sscyo.isph
ASEPGISC itir:arec 1)( nfgliee ehoel,wmepdey/evrw 2)( liat,butaegrrtiiiiyf/ 3)( nodnaie,ha (4) diuiclyfft pneei,lsg ()5 I" elef .ti".lg,.uy fro a rioedp fo 6 sweek = eemts eth eirctria orf a esesveprdi deip,ose nad iensc ihts swa ni het ptso ptamur idor,ep aym be sopt pmurat er.dosspine
Nxte tbse ptes is to nescre orf saiiulcd unte/hoiiaohgttds of grmhani the ilhcd.
Hs"a it ocem sa a serpsrui to yuo owh hrad rpitgnnae si? yanM plpeeo lefe tath ." awyI tnd'o khnti ihst vadateils irthe iglenf,es dan ti dolwu emak msoneoe efel ydalb fi uyo sida e"yh eeynvoer ealds ithw sthi ts"ih. oslA htis rasnwe oeucsdf no ,ntgapneri aethrr htan teh htiarpciysc cnoernc oamut(spptr .o)epsidrsne
"im edcreconn abuto how bda eoyv'u bnee ngleefi y.ltl"ea I hntki isht oeds oalenwkgdce thire efnsei,lg nad dsoe hswo ttah eht nsiayhpci si e.aeggdn s,eY sti bln.ut uBt at tsi sr,wot tsi llsti erom cetlomep athn teh ohret nso.e
ohTgu ontsique bdaes on 'eruoy enrigad syl.te
I toyatll egt how naskig oautb iudics,e nda aksgni tbuao ti deriyltc is pmnotarti. tBu ym ouoiscnfn si who hsit sewnar ot'dsne voderpi nya godo seeg.u I wtne wthi ahs" it mceo as a .upires.r."s cesabue i grudfie thta wudol enld sfelit iclyne to teh eapitnt genpnio up. hWne i elfe it is rpaiappteir, i wdolu hnet gribn pu hte oeosvcairtnn baout rh-sa,mlfe rinmgha teh ba,yb dna uce.isid Btu sa ist ,irtwnet eth naetitp lltes uyo tyeh elfe yi,tsht dan het pcsaiyihn yevr yleditrc sasy ww"o uoy elef rtptey ityth.s" sSeem eyrv snivnieteis nda otn platoim rfo sntohe cctimnuio.onma
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