If the nurse had not been culturally aware, she would have misunderstood the client's concerns and acted in a defensive manner. Such an interaction would have failed to identify client assets and barriers and appropriate intervention strategies. A confrontation might have ensued that would not have been helpful to the client or the nurse. McKenna (2001) urges nurses to champion the cause for clients to have their cultural traditions respected when they seek health care from health care professionals. Box 7-2 identifies a number of questions that nurses may reflect on as they try to understand their own culture and the implications of their own cultural values. Table 7-3 offers a 10-point checklist on how to use cultural awareness and sensitivity to achieve effective client outcomes.