Ethical reasoning discovering what is real , the seeking of truth to ensure ethical nursing practice. Moral reckoning reflecting upon ones" motivation, choices, actions, decisions and consequences in an ethical situations or dilemma. Ethical sensitivity recognition of the concerns of others , especially patients, and a subsequent interpretation and response to those concerns. You are the driver of a train, whose brakes have just failed, on the tracks ahead, are 5 people. The banks are steep and you know that the 5 people will not be able to get off the track. There is another track leading to the right, and by pulling a switch, you can turn the train onto that other track and avoid hitting the 5 people. Unfortunately, there is someone on the tracks to the right, who also surely cannot get off the tracks in time, and you will kill that one person.