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1. A nurse is caring for a patient who has terminal cancer
and is in severe pain. The patient requests a higher dose of
morphine to relieve his suffering, but the nurse knows that
this could hasten his death. What is the most ethical course
of action for the nurse?
a) Respect the patient's autonomy and give him the
requested dose of morphine.
b) Refuse to give the patient more morphine and explain
the risks of overdose.
c) Consult with the patient's family and the physician about
the best pain management plan.
d) Give the patient a placebo and tell him it is morphine to
ease his anxiety.*
Rationale: Giving the patient a placebo and telling him it is
morphine is an example of deception, which violates the
ethical principles of veracity and respect for persons. The
nurse should not lie to the patient or withhold information
that could affect his decision-making. The other options are
more ethically acceptable, depending on the context and
the patient's preferences.
2. A nurse is working in a clinic that provides reproductive
health services, including abortion. The nurse has a
personal belief that abortion is morally wrong and does not
want to participate in any procedures that involve
terminating a pregnancy. What is the most ethical course of
action for the nurse?
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