I was caring for a patient in which the family was considering withdrawal of care. The family had finally come to a consensus to "take the tube out" and withdraw care. The resident I acknowledged their request. We left the room for a minute and then I heard the ventilator alarming when I went back in the room the daughter had pulled the patient off the ventilator and had unplugged the vent as well. It was all I could do to keep a straight face.