If a patient says giving a nasal medication would break their fast, what is an appropriate nurse response?

• A. Respect the patient’s fasting practice and discuss alternatives.
• B. Ignore the belief and give the medication.
• C. Cancel treatment.
• D. Explain that fasting is not important.

Answer: (A)

Respecting the patient’s fasting practice and engaging in shared decision-making is essential. Acknowledge the belief and invite the patient to explain what would or wouldn’t break their fast. Then discuss alternatives that maintain safety and treatment goals while honoring their practice—such as using a non-oral route, adjusting timing, or consulting the prescriber about permissible options. This approach builds trust, supports autonomy, and avoids imposing care that conflicts with the patient’s values. Ignoring the belief, canceling necessary treatment, or dismissing the importance of fasting undermines patient-centered care.