When a client asks you to keep information confidential but indicates they want you to withhold it from others, the ethically appropriate response is to:

When a client asks you to keep information confidential but indicates they want you to withhold it from others, the ethically appropriate response is to:

• A. Agree not to tell others.
• B. Say nothing and let the client continue talking.
• C. Refuse to agree to the request.
• D. Explain that you cannot promise confidentiality and state reasons.

Answer: (D)

Confidentiality is foundational in client care, but it isn’t absolute. Clients should be informed about what stays private and when information must be shared, even if they prefer otherwise. The ethically appropriate response is to explain that you cannot promise confidentiality and to state the reasons for possible disclosure. This sets clear expectations, protects the client’s autonomy, and aligns with safety and legal obligations. Explain the limits up front: you’ll keep information private as much as possible, but you may share details with other members of the treatment team or with authorities when necessary. Common reasons to disclose include protecting someone from harm, addressing imminent danger, and complying with mandated reporting for abuse or other legal requirements. You would also discuss how disclosures will be limited to what is necessary and seek the client’s consent for sharing beyond the essential scope. This approach helps the client understand what confidentiality covers and when it must yield to other duties.

Confidentiality is foundational in client care, but it isn’t absolute. Clients should be informed about what stays private and when information must be shared, even if they prefer otherwise. The ethically appropriate response is to explain that you cannot promise confidentiality and to state the reasons for possible disclosure. This sets clear expectations, protects the client’s autonomy, and aligns with safety and legal obligations.

Explain the limits up front: you’ll keep information private as much as possible, but you may share details with other members of the treatment team or with authorities when necessary. Common reasons to disclose include protecting someone from harm, addressing imminent danger, and complying with mandated reporting for abuse or other legal requirements. You would also discuss how disclosures will be limited to what is necessary and seek the client’s consent for sharing beyond the essential scope. This approach helps the client understand what confidentiality covers and when it must yield to other duties.