Progressive Care Nursing Certification (PCCN) Practice Exam

In which stage of the Kubler-Ross model is a patient likely experiencing denial?

1. Anger

2. Denial

3. Depression

4. Bargaining

The correct answer is: Denial

The appropriate stage in the Kubler-Ross model where a patient is experiencing denial is indeed the denial stage. In this initial phase, individuals may refuse to accept the reality of their situation, whether it's a terminal diagnosis, the end of a relationship, or any significant loss. Denial serves as a coping mechanism, allowing individuals to process their feelings at their own pace. During this stage, patients may exhibit behaviors such as avoidance, confusion, and a general dismay that can be overwhelming. They might believe that the diagnosis or situation is a mistake, or they could disengage from discussions about their health. This response helps them shield themselves from the emotional pain that accompanies the acceptance of difficult truths. The other stages, such as anger, depression, and bargaining, follow denial and involve different emotional responses as individuals process their grief and come to terms with their situation. Understanding each stage allows healthcare providers to offer appropriate support and interventions tailored to patients' emotional needs throughout their journey.