NR 503 FINAL EXAM REVIEW. cultural competence- not an option but a necessity for APRNs. Cultural competence is defined as “a dynamic, fluid, continuous process whereby an individual, system or health care agency find meaningful and useful care delivery strategies based on knowledge of the cultural heritage, beliefs, attitudes, and behavior of those to whom they render care” (Giger & Davidhizar, 2002, p.186). cultural awareness- Self-examination of one's own prejudices and biases toward...