12/26/23, 9:29 PM NR 509 take 2 Week 4 discussion
Client who displays racist or discriminatory behavior
I. Create a sample scenario based on your assigned topic. Describe potential client behaviors
consistent with the concern listed.
a. Mrs. Jones a 75 year old white female who came to the clinic for swelling to her legs and
a cough with history of CHF. Mrs. Jones normally sees Dr. Youngblood, but she is out on
family leave. The nurse practitioner Gloria Hernandez will be seeing Mrs. Jones today.
When Gloria entered the room, she identified herself and immediately Mrs. Jones asked
where her doctor was and why Gloria was in the room. Gloria explained that her regular
doctor is out for family leave and that she would be seeing her today for her complaints.
Mrs. Jones then became loud stating “no you’re not, is there not a doctor from the United
States in this office.” Mrs. Jones went on to say, “I’m tired of you Mexicans swimming
across the border and taking all the good jobs, get me an American doctor that knows
what they are doing.” Gloria was so upset that she left the room immediately. The
supervising nurse entered the room and politely asked Mrs. Jones what her concerns
were. Mrs. Jones stated, “I have been coming to this clinic for years without any issues
but now that I know you are letting wetbacks take care of people, I may need to find
another doctor.
II. Describe the client’s challenging behaviors related to the topic assigned
a. Racial bias can be described as the unfavorable appraisal of group and its supporters
compared to another. Implicit bias is subconscious and Explicit bias is more direct and
vocal (Abou-Arab, & Mendonca. 2021). Mrs. Jones comments were an example of
explicit bias as she was vocal and conscious of what she was saying.
III. Examine the potential impact of the client’s behavior on the client-provider relationship.
a. Racism is tow fold as it jeopardizes patients' and providers wellbeing in the healthcare .
arena. It impedes efforts to address patient and family healthcare issues which can
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, 12/26/23, 9:29 PM NR 509 take 2 Week 4 discussion
produce patient unhappiness and distrust in the care that the patient is being provided
leading to poor patient outcomes. Racism towards providers will lead to clinician
burnout, and increase stress related to job. This which turn
IV. Analyze techniques to enhance communication with the client and address the client’s behavior.
a. Healthcare staff should not tolerate racism of any kind. Unfortunately, the evidence
indicates ethnic minority doctors and practice staff continue to experience racism in the
workplace from patients they take care of, and this racism can have negative effects on
clinicians (Ahlburg et al., 2021). Clinicians must respond when they experience racism
from patients and support fellow workers impacted by this type of behavior.
V. Discuss an appropriate and professional approach to address the behavior and communicate with
the client.
a. The nurse practitioner was unable to examine the patient and was visibly upset by the
patients comment. The acuity of the patient’s illness needs to be determined so a course
of action can be made. Another member of the team such as a supervisor should come
and discuss the patient’s behavior with her. Racism in the workplace of health care
professionals should be addressed immediately ensuring that the patient understands this
behavior will not be tolerated and can lead to termination of her care at this office. This
situation provided conflict about the course of action due to duty to patients to provide ,
the responsibility as a clinician to the clinic, and the obligation to take care of oneself
(Bickley et al., 2021). After consultation with the providers in the clinic it was
determined that Mrs. Jones would be seen today by another provider due to her acute
swelling.
VI. Create sample documentation for the encounter.
a. I would ensure that the encounter was straight forward, clear, and precise and that all
aspects of the encounter were documented. I would document that Mrs. Jones is a patient
of Dr. Youngbloods who presented to the clinic for swelling to her legs and a cough. Her
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Client who displays racist or discriminatory behavior
I. Create a sample scenario based on your assigned topic. Describe potential client behaviors
consistent with the concern listed.
a. Mrs. Jones a 75 year old white female who came to the clinic for swelling to her legs and
a cough with history of CHF. Mrs. Jones normally sees Dr. Youngblood, but she is out on
family leave. The nurse practitioner Gloria Hernandez will be seeing Mrs. Jones today.
When Gloria entered the room, she identified herself and immediately Mrs. Jones asked
where her doctor was and why Gloria was in the room. Gloria explained that her regular
doctor is out for family leave and that she would be seeing her today for her complaints.
Mrs. Jones then became loud stating “no you’re not, is there not a doctor from the United
States in this office.” Mrs. Jones went on to say, “I’m tired of you Mexicans swimming
across the border and taking all the good jobs, get me an American doctor that knows
what they are doing.” Gloria was so upset that she left the room immediately. The
supervising nurse entered the room and politely asked Mrs. Jones what her concerns
were. Mrs. Jones stated, “I have been coming to this clinic for years without any issues
but now that I know you are letting wetbacks take care of people, I may need to find
another doctor.
II. Describe the client’s challenging behaviors related to the topic assigned
a. Racial bias can be described as the unfavorable appraisal of group and its supporters
compared to another. Implicit bias is subconscious and Explicit bias is more direct and
vocal (Abou-Arab, & Mendonca. 2021). Mrs. Jones comments were an example of
explicit bias as she was vocal and conscious of what she was saying.
III. Examine the potential impact of the client’s behavior on the client-provider relationship.
a. Racism is tow fold as it jeopardizes patients' and providers wellbeing in the healthcare .
arena. It impedes efforts to address patient and family healthcare issues which can
about:blank 1/8
, 12/26/23, 9:29 PM NR 509 take 2 Week 4 discussion
produce patient unhappiness and distrust in the care that the patient is being provided
leading to poor patient outcomes. Racism towards providers will lead to clinician
burnout, and increase stress related to job. This which turn
IV. Analyze techniques to enhance communication with the client and address the client’s behavior.
a. Healthcare staff should not tolerate racism of any kind. Unfortunately, the evidence
indicates ethnic minority doctors and practice staff continue to experience racism in the
workplace from patients they take care of, and this racism can have negative effects on
clinicians (Ahlburg et al., 2021). Clinicians must respond when they experience racism
from patients and support fellow workers impacted by this type of behavior.
V. Discuss an appropriate and professional approach to address the behavior and communicate with
the client.
a. The nurse practitioner was unable to examine the patient and was visibly upset by the
patients comment. The acuity of the patient’s illness needs to be determined so a course
of action can be made. Another member of the team such as a supervisor should come
and discuss the patient’s behavior with her. Racism in the workplace of health care
professionals should be addressed immediately ensuring that the patient understands this
behavior will not be tolerated and can lead to termination of her care at this office. This
situation provided conflict about the course of action due to duty to patients to provide ,
the responsibility as a clinician to the clinic, and the obligation to take care of oneself
(Bickley et al., 2021). After consultation with the providers in the clinic it was
determined that Mrs. Jones would be seen today by another provider due to her acute
swelling.
VI. Create sample documentation for the encounter.
a. I would ensure that the encounter was straight forward, clear, and precise and that all
aspects of the encounter were documented. I would document that Mrs. Jones is a patient
of Dr. Youngbloods who presented to the clinic for swelling to her legs and a cough. Her
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