A nurse is caring for a client who has bipolar disorder and asks the nurse, "Who should get a copy of my advance directives?" Which of the following statements should the nurse make?

A. Sharing patient information with a family member without consent. This violates patient confidentiality unless the patient has given explicit consent or the family member is a legal guardian in the case of minors or incapacitated patients.

B. Talking about patient care in a public setting where others might overhear. This breaches confidentiality and violates HIPAA regulations. Discussions about patient care should occur in private settings.

C. Releasing information to authorities if the patient poses a threat to themselves or others. Healthcare professionals are legally and ethically obligated to breach confidentiality if a patient poses a risk of harm to themselves or others. This falls under the duty to warn and protect principle.

D. Discussing patient details with another healthcare provider who is not involved in the patient's care. Only healthcare providers directly involved in the patient’s care should have access to their medical information. Sharing details with unauthorized providers is a confidentiality breach.

A. Asks about more information related to community support groups. While seeking information is helpful, it does not necessarily indicate internal motivation for change.

B. Writes a list of people who are important in their life. This is a positive step but does not necessarily demonstrate motivation for behavior change.

C. Reports that having family support is the reason for their confidence in changing. Expressing confidence in change due to family support shows personal motivation and a commitment to recovery.

D. Requests to end the interview early. Ending the interview early may indicate resistance or disengagement rather than motivation for change.