​The most important first step when given a scenario is to consider all options available, and talk them through, remembering to include their consequences. Another good point to mention in your answer would be the medical ethics principle of autonomy: patients have the right to decide their own treatment, and breaking confidentiality perhaps detracts from this. Another point to be aware about is the negative impact breaking confidentiality will have on the patient – doctor relationship: the patient may no longer trust the doctor and so may not confide in them. The judgement of whether this is a worthy price to pay is up to you to decide, and as with most scenarios, you must show that you are weighing up different arguments in order to come to a coherent decision. Do remember, however, that the law requires a doctor to break confidentiality if potential harm could come to others. This will show the interviewer that you are able to consider multiple points of view to make a decision.Do remember, however, that the law requires a doctor to break confidentiality if potential harm could come to others.