One of the most important ways community health nurses can provide care that is culturally competent is through education and finding ways to stay up-to-date so that the patient’s culture and values are thoroughly understood.  Establishing rapport is the fundamental first step with any patient to help in understanding what a patient believes about health and how they value their own health.  Due to the vast amount of cultures and subcultures, it is difficult to know everything about each practice.  But, according to Maurer