The most appropriate sequence of stages in reactions of a dying patient is:

Appeared in: IGNOU PB Bsc Entrance-2022

Explanation

The question asks for the correct sequence of emotional stages experienced by a dying patient, which is a core concept in palliative and end-of-life care.
The widely accepted model was developed by Elisabeth Kübler-Ross and outlines five distinct stages.
The correct order is Denial, Anger, Bargaining, Depression, and Acceptance.
This sequence is often remembered by the mnemonic DABDA.
While this model provides a useful framework, it's important to remember that grief is a personal process, and individuals may not experience the stages in a linear fashion.

Option A: This option incorrectly places Anger before Denial. According to the Kübler-Ross model, Denial is the initial stage of shock and disbelief.
Option B: This option incorrectly starts with Depression. Depression is typically a later stage that occurs after the reality of the situation sets in.
Option C: This option incorrectly starts with Bargaining. Bargaining is a stage where the individual tries to postpone the inevitable, which usually follows Denial and Anger.

Clinical Relevance

Nursing practice connection: Use the key finding related to Kübler-Ross stages of grief to guide bedside assessment, documentation, and the next nursing action.
Understanding the stages of grief allows nurses to provide empathetic, patient-centered care by recognizing and validating the patient's emotional state.
It helps the nurse anticipate the psychosocial needs of both the patient and their family, facilitating better communication and support during the end-of-life process.
This knowledge is crucial for implementing appropriate nursing interventions, such as active listening during the depression stage or allowing for expressions of anger without judgment.

How to Approach the Question

First, identify that the question is asking for a specific, established sequence from a psychological theory.
Recognize that the options list the five stages of grief identified by Elisabeth Kübler-Ross.
The task is to recall the correct order of these stages.
Use the mnemonic DABDA to remember the sequence: Denial, Anger, Bargaining, Depression, Acceptance.
Compare this mnemonic to the given options.
Select the option that matches the DABDA sequence exactly.

Concept Tested & Keywords

QpgwpkkzvGCW8WCECkU0si

E6 Nursing Fundamentals Taylor p. 949-951

E6 Nursing Brunner Adult Health 3SA Vol 2 Part 3 p. 102-104

Practise the full IGNOU PB Bsc Entrance-2022

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