In summary, cultural competence is important for advanced nurses to perfect, and when unsure to ask the patient rather than assume or stereotype populations. Some patients can be of another race, but have been born and raised in America without cultural influence, and assuming they follow the cultural norms can cause distrust and anger at excluding them from the American culture. When building a relationship with the patient it is important to address concerns of religion, socioeconomic status, religion, health risks, and preventions the patient may or may not participate in. Setting goals with the patient for his health promotion will help the patient buy into their care and help increase responsibility for their healthcare. Through the assessment of patients healthcare providers will have a better picture of health inequalities that can lead to addressing barriers to care.”