Pearson (2013) clarifies that “clinical decision making is essential to every aspect of care provided to a patient” (p. 214). It is the ability to merge information and make decisions that will later be implemented in the situation. Evidence-based decision making involves choosing between a variety of possibilities and combining knowledge through research and scientific evaluation of your practice. The purpose of this article is to analyze my decision to administer Ativan by supporting the patient and anticipating her change before confirming the signs; which provided a therapeutic response. Clinical Decision During my community stay in the cataract clinic at St. Joseph's Hospital, a patient I observed seemed extremely anxious and when I took a further look and observed her behavior more closely, I recognized the concepts of stress and vulnerability were playing a key role in how he perceived the upcoming operation. I took the opportunity to speak calmly with her and she explained that she had not received adequate rest the night before and that the journey down had been exhausting. He also expressed concern about the fear of going into the operating room. Earlier I overheard a nurse ask the group as a whole if anyone wanted an ativan to relieve anxiety and the consensus of the group was negative. I felt that since it was unanimous, she might have felt embarrassed if it was just her requesting it. My concern for this patient was that she remain comfortable and provide any healing initiatives that reassured her that she was safe. I took it upon myself to defend her and asked her if she would like an ativan, explaining that it would have a calming effect. She agreed and I asked one of the nurses if I could read… half of the document… Ward Nurses Make Effective Clinical Decisions: The Situated Clinical Decision Framework. Perspectives on Nursing Education, 30 (3), 164-170.Pearson, H. (2013). Science and intuition: Do they both have a place in clinical decision making? British Journal Of Nursing, 22(4), 212-215.Peto, R. (2008). Why did you do it like that? Review clinical decisions. Pediatric Nursing,20(5), 26-28.Pritchard, M. (2006). Making effective clinical decisions: A framework for nurses. British Journal Of Nursing, 15(3), 128-130. Scanlon, A., & Lee, G. (2007). The use of the term vulnerability in intensive care: why does it differ and what does it mean? Australian Journal Of Advanced Nursing, 24(3), 54-59. Sellman, D. (2005). Toward an understanding of nursing as a response to human vulnerability. Nursing Philosophy, 6 (1), 2-10. doi:10.1111/j.1466-769X.2004.00202.x