A manager is educating a group of nurses on the importance of cultural competence. The manager knows that the teaching has been effective when one of the nurse's states:
a. ""Cultural competence does not impact patient care.""
b. ""Cultural competence is not important in health care.""
c. ""Lack of cultural competence leads to suboptimal patient outcomes.""
d. ""Lack of cultural competence does not cause active harm to the patient."""