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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ISEGPCSA treiri:ac ()1 ifgleen evylepeodhre,/mwwe (2) tryfbiati,eagiitu/ril 3)( andnh,oeia )4( tycdiluffi enlpsige, 5)( "I feel ..u.",gyitl fro a edorip fo 6 kwese = mtese hte ciatierr orf a edspevsrie edio,pes nad inesc sith aws in hte otps arpmtu por,edi yam be ptos mpruta orn.despise
extN tebs step si to reesnc for saudilci isaite/oguotdhthn fo gramnhi teh h.dlic
asH" it meco as a rpeisrsu to uoy how rdah geritnpna ?si nyMa ploepe efle atth .w"Iya ndt'o tikhn siht avstealid htier seinelf,g nad ti would emka onmeseo fele yldba fi you dias hy"e evornyee ledsa ithw hsit .h"sit oAsl hits newars fescduo on inn,apertg rhtera athn the hractpycisi cocnrne opt(ptmsuar s)nrdsipeeo.
"mi nnrceedoc tuabo woh bda uyeo'v bene giefnle .ta"lyle I khitn thsi deso dlkgecoanwe iehtr ln,segfie nad sode swoh ttha eth iiscyapnh is ngagede. es,Y sti bln.ut tuB at its rsw,to tsi ltsil more oleecptm tnha eth orteh soe.n
Tuhgo suqeiton bdsae on yuore' regnadi ly.tse
I tayotll tge ohw inksga utoba iiuscde, adn skgina aotbu it ltidrcey is anpmrtoti. tuB ym sciounofn is how isht neswra td'eons dvreiop yna oogd ue.ges I tenw htwi "sah it eocm as a .es.p.i"rurs eabcues i eiudfgr tath wdulo ednl tsilef ecnliy ot teh ipantte egonpin p.u nehW i eelf it si tpieprrpaia, i wdulo neth ibgrn up eth voortnseniac botua rhsalf-em, ianghmr eth yb,ba dna c.sueiid uBt as tsi ti,twern teh entaitp eltsl oyu ehyt leef ityths, adn hte shcyiaipn reyv leyrdtci ysas w"wo oyu lefe ptetyr hytt.is" smeeS eyrv inesitseinv dna not apotlim fro shtoen nctamiimncuo.o
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