The document discusses two situations that presented ethical dilemmas for the author as a nurse: 1) The author worked at a rescue center for abused boys that was run by an abusive director. The author resigned to report the director's abuse, sacrificing their job to protect the boys in line with utilitarian ethics. 2) As an intern, the author treated a criminal who had injured others in a shootout, causing moral suffering but upholding their duty as a medical professional to treat all patients.