Cultural knowledge is an important part of your cultural competence. ... For example, compare the various ways human beings greet one another – a handshake, a wave, a hug, a bow, a kiss on the cheek, or both cheeks – many of these are characteristic of specific cultures
So when you are communicating in a healthcare facility something isn't loss in translation and something serious occurs because someone didn't know the proper terminology.
The only guaranteed method is abstinence