This report provides a detailed analysis of patient assessment and nursing care, highlighting the challenges of communication, particularly with patients from diverse cultural backgrounds. It emphasizes the importance of culturally competent care and effective communication strategies to build trust and rapport. The report explores how primary healthcare principles, such as accessibility and patient education, impact patient management, including wound care, diabetes management, and fall prevention. It underscores the role of nurses in providing holistic care, including lifestyle modifications and connecting patients with community resources. The report concludes by summarizing the importance of addressing communication and cultural barriers to ensure high-quality patient care and positive health outcomes. Furthermore, it emphasizes the need for nurses to be well-prepared to handle these challenges effectively in order to ensure patient satisfaction and improved health outcomes.