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.
hwat I otg from tihs nsqut:oei VNREE (9%9 of hte mite) erefr a itetnap to ese eoanny
hisT si a amtposrtpu domo dt,nrisacueb a tpteyr ncmoom rdsideor taht ahs to have an tosen iwnthi 4 sewek fo leyeridv ot eb mdreet sa huc.s rtasPomptu luebs si the tosm imld, iwht a 05-58% dnicnceie trae (rpe AF ),1082 luuysal oelesrsv nwiith 10 ydsa dan ntrtmeeat si ynol vsirptpoeu tbu eedn to -lfopluwo to sssesa rof peibsslo turtpmposa reipdseson. Poamputsrt eiosrnpsed = 5%-101 ae,tr atizcrehraedc by pesdreeds f,cfaet ani,ytex rpoo inrcconnteoat for targere hatn 2 eewks nda deens ot eb eadtert /w CBT + RS.IS I tknhi the qusotien si nggitet at esnngrcei for hsti nad a alenttypoli rmeo pimetcaobrl ilopmictacn,o uartmotpsp ssyohpsci.
ESACGSPI carrii:et (1) niefelg v,mor/pewheeyelewd (2) itgilr,fbirte/iytauai )(3 headia,nno )(4 tiifdyuflc igen,psel )(5 "I elfe ,.utlgiy.". ofr a edproi of 6 sewke = mseet teh rritacei for a sredpievse soe,pedi dan iscne siht aws in the tspo umrtpa poierd, yam eb ostp urtapm dsoee.isnrp
Netx stbe tpse is to nceers orf idlcasiu thde/stiiughatnoo of girhnma hte dl.ihc
a"sH it omce as a rseprius ot uoy owh arhd netgniapr ?si anyM eloppe fele thta w.I"a y dnto' inthk hist aiasdvlte tiehr ges,enlif adn ti dlowu mkae oeomesn fele bydla if uyo dsia h"ye oryveeen asedl ihtw ihst s"h.ti lsoA sthi awnsre usfoced on nan,rtepig hrerta tnha eth aysrtcichpi crncnoe ppotuasmrt( eidosrepn.s)
"mi cednrneoc tobua ohw bad evyou' bene elnigfe ly"ael.t I tkinh sith oeds ndoeweakglc etrhi liee,fgsn dan eosd ohws thta eth aicyhspni is dagegne. ,Yse its ntl.bu utB at tis tor,sw ist itlls oemr pcetmleo nhta hte eorht esn.o
oTguh toeisnqu esbda on eou'ry egaidrn .tleys
I latyotl teg ohw agiksn uoatb is,dcuie nad ngkias oabut it cyitlrde si mari.onptt But ym ifunnsooc si ohw sith wrensa o'tdnse irpdove ayn ogod ueeg.s I tnew hwit h"sa ti meoc sa a issu."e..prr uescbae i deigruf htta owudl ndle esltfi nlycei ot the npateit iongepn up. Wehn i efle ti si riaptpiea,pr i uodlw nhte birng pu hte ncviarntooes uatob ae-lfs,mrh arhingm het ,aybb adn icu.sedi uBt as its twein,rt eht ptnaeti lestl uyo ethy flee s,iytht dan eth phayscini eyvr drcltyei syas "wow you lefe teyprt hist"t.y Seems vrey snnsetiivei dna not oitlmpa rof shento iocnim.camntuo
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