To better specify the question, one would need to say if we want to solve
for $z$ in $\mathbb{Z}$, $\mathbb{Q}$, $\mathbb{R}$, $\mathbb{C}$, or other.
Here we examine how to solve over $\mathbb{C}$.
Define $z$ as a symbolic variable, and define the equation (as you did).
sage: z = SR.var('z')
sage: eq_a = sqrt(-4*z^2 + 2*sqrt(-4*z^2 + 1) - 1) == 0
sage: solve(eq_a, z)
[z == -1/2*sqrt(2*sqrt(-4*z^2 + 1) - 1), z == 1/2*sqrt(2*sqrt(-4*z^2 + 1) - 1)]
First notice that $\sqrt{\operatorname{expression}} = 0$ is equivalent to $\operatorname{expression} = 0$.
This gets you rid of one of the square roots.
sage: eq_b = eq_a^2
sage: eq_b
-4*z^2 + 2*sqrt(-4*z^2 + 1) - 1 == 0
Then isolate the other square root.
sage: eq_c = eq_b + 4*z^2 + 1
sage: eq_c
2*sqrt(-4*z^2 + 1) == 4*z^2 + 1
Remove it by squaring. Note that the new equation is implied by the initial one, but no longer equivalent to it.
sage: eq_d = eq_c^2
sage: eq_d
-16*z^2 + 4 == (4*z^2 + 1)^2
Solve the new equation.
sage: sols_d = solve(eq_d, z)
sage: sols_d
[z == -1/2*sqrt(2*sqrt(3) - 3), z == 1/2*sqrt(2*sqrt(3) - 3), z == -1/2*sqrt(-2*sqrt(3) - 3), z == 1/2*sqrt(-2*sqrt(3) - 3)]
Check which of the solutions are solutions of the initial equation.
sage: [bool(eq_a.subs(s)) for s in sols_d]
[True, True, False, False]
Define the solutions of the original equation:
sage: sols_a = [s for s in sols_d if bool(eq_a.subs(s))]
sage: sols_a
[z == -1/2*sqrt(2*sqrt(3) - 3), z == 1/2*sqrt(2*sqrt(3) - 3)]
To better specify the question, do you want to solve for $z$ in $\mathbb{Z}$, $\mathbb{Q}$, $\mathbb{R}$, $\mathbb{C}$, other?
One thing to notice is that $\sqrt{\operatorname{expression}} = 0$ is equivalent to $\operatorname{expression} = 0$. This gets you rid of one of the square roots.
This has two solutions in $\mathbb C$, $\pm \sqrt{2\sqrt{3}-3}/2$.
If an answer solves your question, please accept it by clicking the "accept" button (the one with a check mark, below the upvote button, score, and downvote button, at the top left of the answer).
This will mark the question as solved in the list of questions on the main page of Ask Sage, as well as in lists of questions related to a particular query.