This report reflects on a nursing student's clinical placement experience in a critical care unit, focusing on a culturally diverse patient undergoing end-of-life care. The student analyzes the application of NMBA standard 1 ('Thinks critically and analyses nursing practice') and emphasizes the importance of cultural competence and critical thinking in patient care. The report details the challenges of communicating with a patient from a different cultural background, the implementation of a culturally sensitive plan of care, and the emotional impact of providing end-of-life care. It highlights the significance of family involvement and the application of talk therapy and counselling skills. The student also discusses the importance of cultural safety and the need to address the biopsychosocial needs of the patient and their family. The reflection underscores the development of skills in cultural empowerment and the delivery of patient-centered care, supported by relevant literature and references using APA 6th style.