This case study presents a scenario involving a 15-year-old girl, Jessica Williams, admitted to the emergency department due to unconsciousness, with a potential pregnancy. The central ethical dilemma revolves around patient confidentiality, particularly whether to disclose Jessica's health status to her parents against her wishes. The analysis applies ethical principles, including the ICN Code of Ethics and relevant legal frameworks, such as the NSW Health policy on consent for minors and the Family Law Act. The student, playing the role of a nurse named Sam, considers establishing a therapeutic relationship with Jessica, respecting her autonomy, and advocating for her needs while adhering to the NMBA standards of practice. The case emphasizes the importance of balancing the rights of the adolescent patient with the responsibilities of healthcare professionals, highlighting the complexities of informed consent, privacy, and the nurse's role in patient advocacy.