During an office visit, Jordan, a 16-year-old patient, asks her nurse if she can share something in confidence. The nurse affirms, but adds that there were a few disclosures that would legally require breaking confidentiality. Which of the following are issues the nurse would be obligated to report? (Select all that apply.)

A) Sexual activity
B) Intent to self-harm
C) Evidence of abuse
D) Gender questioning
E) Religious doubts

B) Intent to self-harm and C) Evidence of abuse are both situations where a nurse (or any healthcare provider) is legally obligated to break confidentiality due to the risk of harm to the patient or others. Reporting these issues is necessary to ensure the safety and well-being of the patient. Sexual activity, gender questioning, and religious doubts do not legally require a breach of confidentiality unless they are directly related to harm or abuse.