 This article is the second in a two-part series and focuses on the relationship between cultural competence and educational preparation among registered nurses in North Dakota. A self-assessment survey was conducted to determine if participation in cultural competency educational programs correlated with higher self-rating scores. Results indicate that a majority of participants did not consider themselves culturally competent while higher self-rating scores were associated with participation in educational activities. The author offers suggestions for improving the rate and quality of cultural competence education and suggests further research. This article was authored by Teresa Serite.