In healthcare environments, nurses are continually faced with various ethical problems and dilemmas. The ethical dilemma arises when equal moral obligations exist for or against two or more possible courses of action (College of Nurses of Ontario, 2008). Very often these are not just simple ethical problems, but rather complex issues involving many participants and multiple decisions. According to Wilson-Barnett (1986), nurses are more aware of their participation in decision-making processes involving ethical issues. In ethical decision making, the nurse must be able to have the knowledge and skills about a patient's entire scenario before making any possible interventions. Parker (2007) emphasized that patients and their families, along with others, use the relational ethics proposed by Bergum (1999) which includes the principles of engaged interaction, mutual respect, incorporation and positive environment in which freedom and choice, and considering the patient's vulnerability, a reasonable decision must be made. Engaged interaction occurs when all participants are encouraged to share their thoughts and questions about the upcoming decision. Mutual respect includes positive collaborative relationships, active listening and nonverbal behavior, confidentiality, timely feedback, and clear communication (Kaplan, Mestel & Feldman, 2010). Mutual respect is important not only for Adeline who can offer help in clarifying possible outcomes and providing emotional support, but also for family members. Marcellus (2005) states that the nurse must work to respect others by trying to understand their circumstances. Difficult questions often arise when faced with such a dilemma. How are Mr. Parma's rights reconciled with those of his children? Do the nurse's moral values ​​and beliefs allow her to suggest a course of action for this family? A reasonable decision cannot be reached if a key participant is not listened to. All the key participants here are vulnerable, especially when faced with a difficult decision, they will either stay put or simply go with the flow. At this point the most vulnerable is Mr. Parma, not only physically but also emotionally. Inviting the patient to express his doubts and concerns could help the nurse. In every ethical decision, everyone has a choice. This choice will help the patient or not. One possible option for the patient, nurse and family members is to meet in a common area