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.
wtha I tog fomr itsh t:qioeusn EENRV (99% fo eht )temi rfeer a tpnaiet to see yanneo
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as"H ti ocme as a srsuipre to yuo ohw hrda gptanerin is? yMan peolep eelf thta . ywIa" ndo't khnti hsit evlsdiaat etrhi sgef,enil dan ti oldwu kame nooemes elef ydlab if oyu sida eyh" rneeevyo deals whit this si"th. Aosl hits enwras udosfec on tergina,pn rhtear tahn het hsrciypiact rccnneo apr(pmttsou )spedorensi.
m"i ecendnroc abuto ohw abd 'eovyu nebe geefiln at.ly"le I khtin stih sedo dlekgoenwca itehr ,ilesegnf and sode swoh ttah het hiscpniya si a.gngdee sY,e ist nlb.tu tuB at ist rtwos, tsi sitll more ocmtepel tnha the etroh nse.o
hTogu tusiqeno sabde no 'ureyo rdnigea .ylest
I laoltyt egt how kigasn baotu du,ciies nad sganik otabu it eilcyrdt is m.tropitna Btu my iuosfnnco is owh ihts nrwsea sd'etno ivpoedr nya ogod ese.ug I tewn whti "sah it moec as a r.rup.s."ise scaueeb i diurgef htta dwluo deln slefti cneily ot eth etniatp pninoeg p.u nehW i fele it is ipp,aeiratpr i odluw nthe ingbr up het icnaorvsteon tboau ,emlahfsr- mnahrig het b,yab and ecdiisu. But as its wrnt,eit hte eattipn esltl oyu hety flee si,thty dna teh iihncyasp vrye ledtrciy syas "oww yuo efel yttrep ishy.t"t Ssmee eyvr vtesniesnii dan not oltamip orf nestho mminnioo.ctuac
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