In which situation is a nurse required to breach patient confidentiality?

A nurse is required to breach patient confidentiality when a client expresses thoughts of self-harm because this information poses an immediate risk to the client's safety. The duty to protect the patient from harm outweighs the obligation to maintain confidentiality in situations where the individual may be at risk of injuring themselves. This principle is rooted in ethical guidelines and legal standards that prioritize patient safety and welfare.

In such instances, the nurse is not only justified but often legally obligated to report these concerns to appropriate mental health professionals or authorities to ensure the client receives the necessary support and intervention. This course of action reflects the nurse's role as an advocate for the patient's health and safety.