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: Answering all questions would violate the adolescent’s right to confidentiality and could undermine trust in the therapeutic relationship. Choice B reason: Requiring in-person verification still may not address confidentiality concerns. The adolescent has the right to privacy about his health information at age 17, so even verified disclosure may be inappropriate without consent. Choice C reason: Providing vague information may still constitute a breach of confidentiality and is not the safest professional practice. Choice D reason: This is the correct answer. The PMHNP must respect the adolescent’s confidentiality regarding his diagnosis and treatment unless the patient provides consent to share information with his parent. This maintains trust and legal compliance with privacy laws.