Predict the most likely mechanism for the reaction shown below. 
Definitions:
Expectations
Beliefs or anticipations about the way events, processes, or actions should unfold, often playing a significant role in healthcare provider-patient relationships.
Evidence-based Practice
The conscientious use of current best evidence in making decisions about patient care.
Continuing Education
Ongoing learning pursued after formal education, usually to maintain or enhance professional competency.
Patient-centered Care
A healthcare approach focusing on providing care that is respectful of, and responsive to, individual patient preferences, needs, and values.
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