A parent previously agreed that the psychiatric-mental health nurse practitioner (PMHNP) and her 17-year-old son could discuss his treatment in confidentiality. Now, the mother is calling the PMHNP asking about his most recent diagnosis of gender dysphoria. What should the PMHNP do?

Choice A reason: Sharing confidential information without the patient’s consent violates privacy and HIPAA guidelines. Choice B reason: While verifying identity is good practice, the main issue is maintaining confidentiality; the mother’s access is limited unless the patient consents. Choice C reason: Giving vague answers may still reveal sensitive information and is not consistent with ethical practice. Choice D reason: The PMHNP must respect the patient’s confidentiality because the 17-year-old consented to private discussions, so treatment details, including diagnoses, cannot be shared without consent.