Management of CareQuestion 288 of 2368

A nurse hesitates to give morphine to a dying client with severe pain, fearing it will hasten death. Which principle supports giving it?

  1. Pain relief is justified only if the dose can never affect the client's breathing
  2. If the intent is pain relief, it is justified even when death is unintentionally hastened
  3. Opioids may be given to a dying client only after the family gives written consent
  4. Sedation must always be avoided in the final days of life, even when pain is severe
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Correct answer: If the intent is pain relief, it is justified even when death is unintentionally hastened

Under the rule of double effect, a good intent such as relieving suffering makes the act morally justifiable even if it hastens death.

Source: Nursing Fundamentals, 2nd edition (Open RN, Chippewa Valley Technical College, 2024), Grief and Loss: PRINCIPLE OF DOUBLE EFFECT. Licensed under CC BY 4.0.

Practice the topic "Management of Care"

Questions last reviewed: 18 October 2026