New nurses have the hardest time with life and death decisions. When my father-in-law was actively dying in the hospital, the young nurse was hesitant to increase his morphine drip. My husband’s family was having a difficult time because his breathing was so labored they were afraid he was suffering. Eventually, she did increase the morphine as ordered, but I could understand her dilemma, she did not want to be the cause of his death. Maturity brings wisdom, and the more knowledge, the more certitude. Ethics in nursing drive all decisions, good and bad.