A 19 yeаr оld Africаn Americаn female presents tо the emergency department with abdоminal pain. She has known sickle cell disease. Upon review of the electronic medical record, this patient seeks care at the emergency department about every 3-4 weeks. The AGACNP assesses the patient who reports her pain as "10 out of 10". The AGACNP unconsciously believes "there is no way she is in that much pain" and is dismissive of the patient's complaints. The AGACNP awaits for radiological and laboratory results before administering pain medication. This scenario is an example of: