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  • Force the patient to eat.
  • Support the family's desire to feed the patient.
  • Facilitate communication between the patient, family, and medical team, advocating for the patient's autonomy while supporting the family's grief.
  • Document the patient's refusal and leave.
  • Force conventional treatment as superior.
  • Dismiss cultural beliefs as irrelevant.
  • Respect cultural beliefs, explore their understanding of illness, and provide education on the benefits of medical treatment while honoring autonomy.
  • Tell the patient their beliefs are wrong.
  • Use the erratic reading and administer insulin.
  • Use a different, reliable monitor, or perform a manual blood glucose check to ensure an accurate reading before administering insulin.
  • Guess the patient's glucose level.
  • Wait for the monitor to fix itself.
  • Tell the patient there's nothing more that can be done.
  • Document the pain and wait for the next dose time.
  • Re-assess the pain, advocate for additional pain management strategies or a change in orders from the physician, and explore non-pharmacological interventions.
  • Suggest the patient just try to relax.
  • Serve the prescribed diet.
  • Inform the patient that their diet is incorrect.
  • Temporarily withhold the conflicting food, provide an appropriate alternative, and immediately contact the dietitian and physician for a revised order.
  • Just serve a small portion.
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