In this case, I would not jeopardize my professional relationship with Marie by abusing her trust. The ethical approach to care does not undermine the patient's values ​​and preferences. It emphasizes the importance of the nurse-patient relationship. In healthcare, the paternalistic model recognizes that healthcare providers are the sole decision makers for their patients because they know what is best for them (Collier & Haliburton, 2015, p. 87). Patients are expected to adhere to and obey treatments implemented by healthcare providers (Collier and Haliburton, 2015, p. 87). However, patients must be involved in the decision-making process. They have the right to participate in their own care and make decisions free from coercion. Sometimes the patient's values, beliefs, and preferences may not match the preferences of health care providers and providers must respect these differences. In Mary's case, she has the right to be respected regarding her preferences and choices, especially since she has received all the information regarding her condition and treatment and has been sufficiently competent to make these decisions. Using the ethical approach to care, I can first consult with Mary and determine why she does not want to receive the treatment that could potentially save her life. Mary might have her own preferences, for example another surgeon capable of