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Confidentiality and family — DGM MCQ

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ModerateEthics and lawConfidentiality and familyDGM

An 83-year-old woman with mild dementia attends alone and asks that her diagnosis is not shared with her son. She has capacity for this decision and there is no immediate risk to others. Her son later telephones asking for details. Current medicines include donepezil. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Respect confidentiality while encouraging her to involve support

A capacitous patient retains confidentiality rights, although clinicians can encourage support and provide general information where appropriate. Family relationship and dementia diagnosis do not automatically permit disclosure, while absolute refusal of general signposting may be unnecessarily unhelpful. Confidentiality and carer involvement need careful balancing.

Reference: GMC confidentiality guidance; NICE NG97