The major factor contributing to the increased emphasis on the need for proficiency in cultural nursing practice in the United States is which of the following? 1. An increasing birth rate 2....

The major factor contributing to the increased emphasis on the need for proficiency in cultural nursing practice in the United States is which of the following?

1. An increasing birth rate

2. Increased access to health care services

 3. Demographic changes

4. A decreasing rate of immigration