I was taught to be a Patient Advocate,but the reality makes me confused!

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I have served countless patients in my 20 years of the nursing career and mot of the time I feel that I have learned enough of the things from the job and there shouldn't be any confusions over my careerial life . But at other times I feel that I am wrong. When nurses perform nursing processdures for patients , we have guidelines as to how the processdures are done but what makes the process difficult is that at times patients are holding guidelines of their own and they tell you what to do. Frequently what they asked for in fact is not really good for them or not good for their specific case ,so it comes the predicament for the nurses. We were taught to be the advocate for the patient and if we think at the times the patients have the wrong perception or wrong decisions over their health we should explain to them the actual situation. But many times patients are not ready for a different explanation and feel up set by our sincere explanation . At times of this moment I feel very hard to make a decision since to simple go along with whatever required by patients in fact is not good for them and it's also sort of again nursing guidelings but If I insist in my way with an absolutely sincere intention the patients may get upset and that may certainly endanger my careerial profile. Friends , how should I handle this difficult situation ?? Awaiting your response!