What step should a nurse take when noticing implicit bias in their own behavior towards a patient with a mental health diagnosis?

Choice A reason: Discussing bias openly in front of the patient is inappropriate because it places the emotional burden on the patient and may damage trust. Patients may feel stigmatized or unsafe if the nurse verbalizes bias in the moment without first processing it privately. Professional practice requires self-reflection before engaging the patient in sensitive discussions. Choice B reason: Defending actions by citing protocols is a deflection strategy that prevents growth. Protocols do not eliminate bias; they only provide standardized procedures. A nurse who defends bias instead of acknowledging it risks perpetuating discriminatory behavior and undermining therapeutic relationships. Choice C reason: Avoiding interaction with the patient is harmful because it denies the patient necessary care and reinforces stigma. Withdrawal is not a solution to bias; instead, it worsens inequities and violates the nurse’s ethical duty to provide equitable care. Choice D reason: Reflecting on behavior and identifying possible biases is the correct step. Self-reflection allows the nurse to recognize unconscious attitudes, evaluate their impact on patient care, and implement corrective strategies. This promotes professional growth, enhances cultural competence, and ensures patients receive respectful, unbiased care.