This article aims to answer difficult ethical questions related to patient autonomy and the right to self-determination. What happens when a patient's healthcare decision goes against public opinion? Nurses trained to follow a principle of beneficence and non-maleficence when providing care. They also taught to respect the patient's right to self-determination and free will in medical decision-making. Which ethical principle takes priority when providing patient care and where do we draw the line between harm and respect for individual decisions. Autonomy and beneficence are the two fundamental ethical values ​​that often come into conflict and prevent the nurse from making a correct decision. Autonomy is the right and freedom to make one's own decisions without the influence of others. This is one of the fundamental ethical rights. It identifies each man as a unique person with his own set of values, beliefs and views on health. As nurses, we have an obligation to respect individuals' choices and rights to self-determination. It is also essential that patients make their own decisions based on accurate knowledge and sufficient understanding of the situation. Charity is an act that benefits others. This can include any action aimed at preventing harm to the patient as well as action aimed at eliminating harm and improving the health of others. How can we combine the two to provide the most effective care? What happens if the patient's independent choice conflicts with the healthcare provider's duty to care for the patient? Practitioners and nurses value any treatment that can prolong life. Patients, based on their personal beliefs, may decide to oppose treatment. From the healthcare provider's perspective, this is not in the best interest of the patient and middle of paper...... healthcare professionals. However, if nurses' support of patient autonomy results in harm, either to the patient or to others, nurses may be accused of negligence, whether by act or omission. Promoting patients' rights to autonomy, regardless of the consequences, can also create tension between these rights and nurses' duty of care. Nursing is not an exact science and it is not possible to provide a single answer to the infinite number of dilemmas that nurses will face during their nursing careers. An awareness of ethical, legal and professional obligations will at least help nurses to consider all aspects of a particular situation, in order to decide on the best course of action. Armed with this knowledge, they can confidently take their place within the health care team, advocating for patients' right to autonomy, if and when the need arises (Hyland, 2002 ,p.. 480)