According to Elisabeth Kübler-Ross model for grief, a patient experience with unsurprising symptoms such as sadness and loss of something which is commonly seen during which stage of kubber model?

Appeared in: NORCET -4 , 2023

Explanation

The question asks to identify the stage of grief characterized by sadness and the full realization of a loss.
According to the Kübler-Ross model, the Depression stage is when the individual experiences the full impact of the loss.
This stage is marked by feelings of profound sadness, helplessness, and disengagement as the reality of the loss sets in.

Option A: Denial is the initial stage of shock and disbelief. The individual does not accept the reality of the loss, so profound sadness is not the primary emotion.
Option C: Anger involves frustration, resentment, and blaming others or oneself ('Why me?'). It is characterized by hostility, not the quiet desperation and sadness of depression.
Option D: Acceptance is the final stage, characterized by a sense of peace and coming to terms with the reality of the loss. The intense sadness of the depression stage has typically subsided.

Visual 1: Diagram: The five stages of the Kübler-Ross grief model (DABDA), illustrating the emotional journey from Denial to Acceptance.

Clinical Relevance

Nursing practice connection: Use the key finding related to Stages of grief according to the Kübler-Ross model to guide bedside assessment, documentation, and the next nursing action.
Nurses must be able to identify the stage of grief a patient or their family is in to provide empathetic and stage-appropriate psychological support.
Understanding these stages helps the nurse normalize the patient's feelings, reassuring them that emotions like anger or sadness are a natural part of the grieving process.
What if? If a patient in the anger stage directs their frustration at the nursing staff, the nurse should recognize this as a coping mechanism and not take it personally, instead providing a safe outlet for the patient to express their feelings.

How to Approach the Question

First, identify the core concept of the question, which is the Kübler-Ross model of grief.
Next, pinpoint the key emotional descriptors in the stem: 'sadness' and 'loss'.
Recall the five stages of grief: Denial, Anger, Bargaining, Depression, and Acceptance (DABDA).
Match the keywords 'sadness' and 'loss' to the defining characteristics of each stage. Sadness is the hallmark of the Depression stage.
Eliminate the other options based on their defining characteristics: Denial is disbelief, Anger is frustration, and Acceptance is peace.

Concept Tested & Keywords

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Practise the full NORCET -4 , 2023

Attempt every question from this paper in a timed mock, then review the full solution for each one.