Nurses encounter situations in their practice involving planned deception. A decision has been made that the deception will enhance the patient's welfare. For the deception to work, all who care for the patient must participate. To determine if planned deception is ethical, there is a need to consider ethical concerns related to promoting patient well-being, deception, respect for persons, and truthtelling. Before deciding what they ought to do nurses need to examine the various alternatives that are available.