MMI station

Dying man's secret letter to his daughter

Kind
Ethical dilemma

Prompt

You volunteer at a hospice, where you sit with residents who are near the end of their lives. Over six weeks, you have grown close to Walter, a 78-year-old retired carpenter. He hands you a sealed letter and asks you to mail it to his daughter after he dies. He tells you that the two of them have not spoken in 20 years, that the letter explains why he left the family, and that his wife, who visits every day, does not know the letter exists and would be devastated by what it says. Hospice policy says volunteers may not accept items from residents or run personal errands for them. What would you do?

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How to approach this question

What this question tests

  • Professionalism and integrity
  • Ethical reasoning
  • Empathy and compassion

How to approach it

This MMI station tests whether you can honor a dying man's wish while following hospice rules and thinking about everyone his letter might affect. Name the people involved: Walter, his estranged daughter, his wife, the hospice, and you as a volunteer. Weigh your relationship with him against the policy, and consider involving staff or helping Walter find another way, such as asking a lawyer or someone outside the hospice to send it. Make a clear choice, and explain how you'd tell Walter about it with kindness. When a follow-up brings in another family member's claim, think carefully about whose wishes should govern a person's private words after death.

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