A patient expresses suicidal ideation to a nurse, stating they have a plan and the means. The patient makes the nurse promise not to tell anyone, especially their family, as it would cause them distress. The nurse knows this violates confidentiality but is necessary for patient safety. Which ethical principle must override the patient’s right to confidentiality in this immediate situation?

  • Autonomy
  • Fidelity
  • Non-maleficence
  • Veracity
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