This assignment presents a nursing case study that applies the first seven stages of the clinical reasoning cycle (Levett-Jones et al., 2010) to a clinical decision. The student, a registered nurse, recounts a scenario involving a patient, Mrs. A, admitted with anxiety, diabetes, and mild dementia, highlighting the challenges of cultural incompetence and communication barriers. The case study meticulously follows the clinical reasoning cycle, starting with assessing the patient's situation, collecting cues, and processing information. The nurse identifies the problem as a communication breakdown due to the patient's previous negative experiences and language differences. Goals are established to build trust and facilitate effective communication. Actions include involving a Greek-speaking nurse and the patient's daughter to improve care and address cultural needs. The evaluation reveals a positive outcome, with improved communication and health outcomes for the patient. The assignment emphasizes the importance of clinical reasoning in managing complex patient situations and highlights the practical application of the clinical reasoning cycle in nursing practice, demonstrating how critical thinking and cultural competency are essential for providing quality patient care.