Which Statements Made by Nurses Who Care for Terminally Ill

Which statements made by nurses who care for terminally ill patients demonstrate their understanding of the principle of double effect of pain management? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

A) "Since my patient's liver is damaged I must double the amount of pain medication administered."
B) "The medication I just gave my patient for pain could hasten his death."
C) "I must be careful that I don't administer enough pain medication to affect my patient's breathing."
D) "Using two classes of pain medications is more effective than using only one class."
E) "Pain medications can have both positive and negative effects."