A Muslim patient who is terminally ill refuses to eat during Ramadan. What statement by the nurse demonstrates a good understanding of providing culturally competent care to patients who are terminally ill?

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"I will bring you a tray after sundown" is selected as it aligns with culturally competent care for a Muslim patient observing Ramadan while terminally ill. 
Option 1: This statement demonstrates respect for the patient’s religious practice by acknowledging the fasting period and offering a plan to provide food once the fast is allowed, typically at sunset. It supports autonomy and spiritual needs without pressuring the patient. 
Option 2: Saying "Your health is the most important consideration at this time" may sound protective but can undermine culturally and spiritually informed choices, possibly conveying that religious practices are subordinate to medical concerns, which is not supportive of culturally competent care. 
Option 3: "You don't have to honor Ramadan at your stage of illness" dismisses the patient’s faith and choices, failing to honor religious values and patient-centered care that respects belief systems even during illness. 
Option 4: "Fasting will only make you sicker. You must really try to eat something" uses directive and confrontational language, discouraging patient autonomy and pressuring a religiously significant practice, which is inappropriate and culturally insensitive. 
Overall, option 1 best reflects understanding and accommodation of the patient’s cultural and spiritual needs in the context of terminal illness.

A Muslim patient who is terminally ill refuses to eat during Ramadan. What statement by the nurse demonstrates a good understanding of providing culturally competent care to patients who are terminally ill?

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