Cultural & Linguistic Competence: Effective Communication for Limited-English-Proficiency, Part 4 - RD401-60

Cultural & Linguistic Competence: Effective Communication for Limited-English-Proficiency, Part 4

by Mary Curry Narayan, MSN, RN, HHCNS-BC, CTN-A and Laura Bell, BSN, RN, CCRN
(4.3 / 44 ratings )

This course is credentialed for:
Dietetics/Nutrition (1.00 CPEU)

Price: $20.00
CE-PRO Price: $10.00


Healthcare providers must communicate effectively with limited English-proficient (LEP) patients for safety and quality of care. Compliance with government regulations, accreditation standards, and evidence-based care is necessary. Based on 2010 U.S. Census data, 9% of the U.S. population speaks English with difficulty or not at all. From 1990 to 2010, the LEP population grew by 80%. Evidence exists that LEP patients are at risk for adverse events. It is important to know who is classified as an appropriate interpreter.


The goal of this educational program is to improve the ability of nurses, dietitians, dietary managers, health educators, laboratory professionals, occupational therapists, physicians, radiologic technologists, respiratory therapists, and social workers to provide quality care and better outcomes for LEP patients.
After taking this course, you should be able to:
  • Discuss the importance of linguistically appropriate services for LEP patients.
  • Identify regulatory, accreditation, and evidence-based standards related to LEP patients and linguistic services.
  • Describe strategies for effectively communicating with LEP patients. 

Accreditation Information
This course is intended for multiple professions, including nurses, dietitians, EMTs/paramedics, health educators, laboratory professionals, NDTR's, occupational therapists, physicians, radiologic technologists, respiratory therapists and social workers.
Dietitians: Take this version of the course to ensure you receive appropriate credit.
For the version accredited or approved for another profession, go to your specific profession at or If you have a CE Direct login ID and password (generally provided by your employer), please log in as you normally would at and search for this topic title.
Relias LLC, is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program or materials. This course is a level 1 course with suggested CDR learning codes of 1000, 1040, 6000, 7000 and performance indicators of 1.3.5, 1.3.6, 1.3.8, 1.3.9. 
OnCourse Learning is also accredited by the Florida Council of Dietetics and Nutrition (provider # FBN 50-1489).

Course Originally Released on: 5/31/2013
Date of Most Recent Review: 3/5/2020
Course Termination/Update Date: 3/31/2023

Unless stated above, the planners and authors of this course have declared no relevant conflicts of interest that relate to this educational activity. Relias LLC guarantees this educational activity is free from bias.

Please see CE Course Instructions to learn how to earn CE credit for this module.


For Florida professionals:

If this course is approved by the Florida Council of Dietetics and Nutrition, this course completion will be electronically reported to CE Broker as required per Florida Statute 456.025(7). Click here to view your CE Broker transcript and check the status of your CE requirements with a FREE 7-day CE Broker trial subscription. It may take up to 24 hours for the course to appear on your CE Broker transcript.

It is now required that all CE is completed and reported to CE Broker before you renew your license. When you complete continuing education with us, OnCourse Learning will report your hours for you.

Read more about the new license renewal process at and claim your free Basic Account in CE Broker to see what has already been reported for you.

Please check the licenses/certifications section under my account (after logging in) to make sure you have entered a valid FL license number. This information is required for correct reporting of your course completions to CE Broker.

Reports to CE Broker

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Kathleen V - Burlington, NC  ·  Jan 22, 2020
Excellent content and information on using competent medical interpreters .
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MARY S - San Antonio, TX  ·  Dec 23, 2019
Health Literacy is an extremely important topic. Very well written. Appreciate the detailed information.
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Jamie W - Roseville, IL  ·  Dec 18, 2019
very good cultural education
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JoAnn N - Detroit, MI  ·  Jul 10, 2019
Interesting point of view
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Melissa M - fairfield , CA  ·  Jun 09, 2019
The questions were relevant to the course. The course was easy to read and understand.
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Price: $20.00
CE-PRO Price: $10.00