Modesty & Privacy
Family & Decision-Making
Prayer & Religious Practices
Ramadan & Fasting
Food, Medication & Beliefs
100

A female Muslim patient is scheduled for an imaging procedure. Before the transport team enters, she asks for a moment to adjust her hijab and clothing. What should the healthcare worker do?

Give her time and privacy to adjust before moving her.

100

A Muslim patient asks for her husband to stay during an important medical discussion. What should the provider do?
 

Include him if that is what the patient wants.

100

A Muslim patient asks what time sunset is because it affects prayer and fasting. What is the best response?

Help provide that information or connect them with someone who can

100

A Muslim patient says Ramadan starts tomorrow and fasting is important to them. What should the provider ask first?

Ask whether they plan to fast and whether they want to discuss how fasting may affect treatment.

100

A patient hesitates before taking a medication and asks whether it contains alcohol or pork-derived ingredients. What is the best response?

Take the concern seriously, check the medication ingredients if possible, and explain available alternatives.

200

A female Muslim patient seems uncomfortable when a male provider begins discussing a physical exam. She avoids eye contact and lets her husband answer first. What is the best communication response?

Ask the patient directly and respectfully whether she would prefer a female provider or more privacy before continuing.

200

A Muslim patient keeps looking to her father before answering questions about treatment. What is the best first step?

Ask the patient who she would like involved in the conversation and decision-making.

200

A Muslim patient asks for a quiet moment and space to complete one of the five daily prayers. What should the healthcare worker do?

Accommodate the prayer time if medically safe.

200

A Muslim patient with a chronic illness says they plan to fast during Ramadan. The Nurse says, “Just tell them not to.” What is the better communication approach?

Ask about their fasting plans, discuss health risks respectfully, and work with them on a safe plan instead of dismissing the practice.

200

A Muslim patient refuses a dessert after being told it may contain alcohol-based flavoring. What should the provider do?

Respect the concern and help find an acceptable alternative.

300

A Muslim woman says she does not want her hospital gown open while male housekeeping staff are entering the room. What should the nurse do?

Help protect her privacy and modesty before allowing others into the room.

300

Several family members are gathered in the room and want to hear the medical update together because they see illness as a family matter. What should the provider do first?

Ask the patient whether they want the family included before sharing information.

300

A hospitalized Muslim patient asks for a few minutes to pray before a non-urgent conversation about discharge instructions. What is the best response?

Respectfully allow time for prayer if medically safe and return afterward, or ask how the team can best accommodate the patient’s prayer needs.

300

A Muslim patient with diabetes says they still want to fast during Ramadan. What is the best communication response?

Discuss safety concerns respectfully and work with the patient on a safe plan.

300

A patient asks whether their meals are halal and says they are worried about eating foods that conflict with their religious beliefs. What should the healthcare worker do?

Take the concern seriously, clarify dietary needs, and work with dietary services to find appropriate options.

400

A patient needs a skin assessment, but she says exposing part of her body in front of a male provider makes her uncomfortable because of her religious beliefs. What is the best communication response?

Acknowledge her concern, explain the reason for the assessment, and ask how the team can preserve modesty as much as possible.

400

A Muslim family asks the provider not to tell the patient the full diagnosis yet because they want to protect her from distress. What should the provider do?

Speak with the patient respectfully and determine how much information she wants and who she wants involved.

400

A Muslim patient wants to pray facing Mecca but is unsure which direction that is from the hospital bed. What should the staff do?

Help the patient determine the direction if possible or find someone who can assist.


400

A hospitalized Muslim patient says they do not want daytime medication because it will break their fast. What should the team do?

Explain the medical importance, discuss options respectfully, and explore possible alternatives or timing changes if appropriate.

400

A Muslim patient refuses both food and medication because they are unsure whether the items are halal, and the staff member sounds frustrated. What is the best communication response?

Stay respectful, clarify the patient’s religious concerns, check ingredient information, and explore acceptable alternatives as quickly as possible.

500

A Muslim woman in the emergency department needs an urgent abdominal assessment. She is wearing a hijab and layered clothing, her husband is present, and the only available clinician is male. She says she understands the exam may be necessary but is visibly distressed and asks that no unnecessary staff be in the room. What is the best communication response?

Explain the urgency clearly, ask what would help her feel most comfortable, limit the room to essential staff only, preserve as much covering as possible during the exam, and offer a same-gender chaperone or staff member if available.

500

A hospitalized Muslim patient is alert and able to make decisions, but several family members insist all major updates should go through the eldest son first. The patient stays quiet while the family answers for them, and the team is unsure whether this reflects the patient’s wishes or family pressure. What should the provider do?

Speak respectfully with the patient directly, ideally in a way that allows privacy, and ask whom they want involved in decisions and how they want information shared. Then follow the patient’s wishes while still involving the family to the extent the patient prefers.

500

A Muslim patient on a busy inpatient unit tries to perform one of the five daily prayers at roughly the same time each day. Staff interruptions for routine vitals, medication timing, and housekeeping have repeatedly disrupted prayer, and now the patient says the team does not respect Islamic practice. What is the best communication response?

Acknowledge the frustration, apologize, ask the patient about their prayer timing needs, and coordinate the care schedule so non-urgent tasks are moved when possible while explaining clearly when something cannot be delayed.

500

During Ramadan, a Muslim patient with diabetes and a postoperative infection says they intend to continue fasting from dawn to sunset. They are worried that food, oral medication, and some treatment timing will break the fast, but they also want to recover and avoid complications. The provider is concerned about both blood sugar control and missed antibiotics. What is the best communication response?

Ask the patient how they understand the fasting rules that matter most to them, explain the medical risks in a nonjudgmental way, and work with the patient on a plan that may include adjusted timing, alternative formulations, or a discussion of when treatment needs outweigh fasting goals. 

500

A hospitalized Muslim patient is recovering after surgery during Ramadan. They are refusing the daytime oral antibiotic because they believe swallowing it will break their fast. They are declining the standard meal tray because they are unsure whether it is halal. The patient has now missed doses and has eaten very little. What is the best communication response?

Respectfully clarify the patient’s fasting and halal concerns, explain the medical risks of missing treatment, and collaborate with pharmacy, dietary, and the provider to find acceptable alternatives or discuss urgency with the patient.