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Culture refers to integrated patterns of human behavior

Culture refers to integrated patterns of human behavior that include language, thoughts, communications, actions, customs, beliefs, values, and institutions of racial, ethnic, religious, or social groups (Centers for Disease Control and Prevention, n.d.).As providers, we must know other people’s cultures and work with them by offering unbiased services. To avoid misunderstandings, being culturally competent is the only way we can see clients through their eyes. Culturally competent care requires the healthcare provider to be aware of and responsive to patients’ backgrounds and cultural experiences, including their preferences, values, language, and traditions (Balls et al., 2019).

TJ is a lesbian, which places her in a vulnerable population. Caring for this patient includes giving care that targets specific people, social and structural equality of care, and avoiding discrimination and stigmatization (Bass & Nagy, 2021). When assessing this patient, use the RESPECT model (Rapport, Empathy, Support, Partnership, Explanations, Cultural Competence, and Trust). See the patient’s point of view and do not allow ethnocentrism to make your judgment. Ethnocentrism happens when we implicitly believe our way of doing things and seeing things is the right and only way. As a result, we negatively judge behaviors that do not conform with ours (Compoint, 2017).

Connect with the patient, do not judge, and remember that she has come to you. Be aware of your cultural biases and back off when you suspect them. TJ belongs to a community that have unfortunately experienced a challenging history, but health professionals can learn to provide compassionate, comprehensive, and high-quality care with education (Bass & Nagy, 2021). The targeted questions that I will ask are

Tell me more about your significant other
During your free time, what activities do you do?
Do you have practices performed during pregnancies that you’d like to share?
When you feel troubled and anxious, what do you do?
Tell me more about your family and work if you have any.
Provide patient education and mention the possibility of gestational diabetes since she has a strong family history of diabetes. The case study does not say how far she is in her pregnancy and if the discharge has an odor. It is very typical for pregnant women to have vaginal discharge, especially towards the end of their pregnancy, for it helps prevent infections from traveling up to the womb from the vagina. Prevalence of anxiety, depression, and suicide is higher in LGBTQ people than for the general population, so be vigilant in watching for symptoms of these conditions with TJ. Encourage pap smears and regular screening because the majority may think that because they have same-sex significant other, it is unnecessary to have those check-ups.


Communicating with someone from a different culture needs one to be competent to avoid bias, which is more problematic when it is a sensitive client. Pregnant women develop mood swings and feel tearful or easily irritated. TJ, a lesbian, may be uncomfortable talking about their sexual behaviors and hormone use, which will be a barrier when trying to get a complete sexual history. Instead of ethnocentrism, providers should embrace cultural humility, which involves the ability to recognize one’s limitations in knowledge and cultural perspective and be open to new perspectives (Ball et al., 2019).

Sample Solution

been hinged on their compliance to technological inclusion in their performance processes. However, Trader Joe’s has recorded lack of enthusiasm for the implementation of increasing information and communication technology in its operational culture (Ager and Roberto, 2014). The United States through policy formation is known to be one of the nations with strong drive in fusing technology as a powerful driver of business. Global movement towards environmental and legal compliance in the US has been exemplary, in that the laws and regulations of the country is consistent adherence to aspects such as tax laws; and customers are starting to show more interest in organic foods and methods of packaging as consistent with gradual compliance to environmentally friendly business operations (Schmitz, 2012; Ristovska and Ristovska, 2014). Five Forces analysis Trader Joe’s position in the retail industry (Foods), may be found at the bottom of the pack according to Progressive Grocer (2012).the reason for this is not far-fetched. The industry in the United States is highly competitive with leaders like Wall-Mart. The ease of entry becomes very challenging with other strong competitor ahead with many store locations and different formats in operations in the US. Trader Joe’s target market for the educated, keeps it in form and control without the need to spread out in competition as others do. As explained in the case Trader Joe’s operate the low cost strategy. This is enabled by its understanding with suppliers that are not easily known by competitors. The supplier pressure is low on Trader Joe’s. So, they are able to deliver low cost and still make profits that keeps them going. Buyers’ power in the context of Trader Joe’s and according to Dalken (2014) has been neutralized by the low cost strategy of the retailer and the relationship they maintain with their educated customer target. The essence buyer power is to push price downwards. However, the relationship that Trader Joe’s keeps with its suppliers, enables them to neutralize the negative effects buyer power would have had. Threat of substitutes in the retail industry in the US is very high speaking from the list delivered by Ager and Roberto (2014). However, Trade Joe’s has been able to overcome this by remaining true to its vision of providing for the educated target market around education centers. The customers of Trader Joe’s know and understand the company. This has been able to reduce the impacts of threat of substitutes. Trader Joe’s also has chosen a path for itself in the industry in the US. The retail has shun what they call ‘unnecessary competition. They have kept to their traditional and functional processes and methods which brings their customers closer to them. For instance, in the aspect of marketing communication

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