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MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking "pot" and says he drinksto help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.Functional Assessments and Cultural and Diversity Awareness in Health AssessmentCultural competence and patient centeredness have been one of the main approaches to improving healthcare quality. Cultural competence is the ability of healthcare providers and organizations to meet the cultural, social, and linguistic needs of their patients. The primary aim of the cultural competence movement has been to balance quality, to improve equity and reduce disparities by specifically improving care for people of color and other disadvantaged populations (Saha, Beach, & Cooper, 2008). When patients feel heard and understood by their healthcare providers, they are more likely to keep health appointments and adhere to treatment plans.MR, a 23-year-old Native American maleNative Americans have the highest rates of alcohol use in comparison to other ethnic groups, placing them at risk for experiencing alcohol-related problems (Fish, Osberg, & Syed, 2017). Mail (1995) reports, nearly one third of Native Americans have tried alcohol by age 11 and half report use of illicit drugs by age 17. Alcohol was largely introduced to Native Americans during colonization, and it has been theorized that its intolerance is a result of changes in cultural beliefs from contact with European settlers (Abott, 1996). Abott (1996) also proposed continuous contact with White settlers transported vast sociocultural deviations in attitudes concerning drinking. According to Beauvais (1998), European colonists produced largeamounts of alcohol readily accessible to Native Americans, who in turn had a small amount of