The nurse assesses an increased heart rate and rapid shallow respirations in a client. The nurse documents these findings and begins to provide care to another client. This nurse's behavior would indicate:
1. A lack of moral agency.
2. The client is anxious.
3. The client's symptoms have not changed.
4. The nurse is not concerned about the client's status.
A lack of moral agency.
Rationale: Moral agency is the ability to discern a client's clinical picture and provide interventions accordingly. The nurse did not question the vital sign change, which indicates a lack of moral agency in the nurse. There is no evidence to suggest that the client was anxious, but there is evidence that the client's symptoms have changed. The nurse should have been concerned with the client's status but was not experienced enough to recognize the changes as significant.
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