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LPN Nursing · Grief Support · Practice question

A hospice nurse is providing education to a support group regarding Elizabeth Kubler-Ross's model of grief. Which list below shows understanding of the 5 stages of grief by the group?

Answer & explanation

Correct: Denial, anger, bargaining, depression, acceptance

Elisabeth Kübler-Ross introduced her five stages of grief in her 1969 book 'On Death and Dying.' The stages, in sequence, are denial, anger, bargaining, depression, and acceptance — commonly remembered by the acronym DABDA. The option listing denial, anger, bargaining, depression, and acceptance is the only one that correctly identifies all five stages in the proper order. Understanding the sequence is important because nurses use this framework to assess where a patient or family member is in the grieving process and to tailor supportive interventions accordingly. The first distractor substitutes 'shock' and 'pain' for the first two stages, which are not part of Kübler-Ross's model. The second distractor lists denial, depression, anger, sadness, and acceptance — placing depression before anger and replacing bargaining with sadness, both of which are incorrect. The fourth distractor replaces the first four stages with 'shock,' 'sadness,' 'crying,' and 'soul-searching,' none of which are named stages in the Kübler-Ross model. It is also important to note that these stages are not strictly linear; individuals may move back and forth between stages, and not everyone experiences all five. However, for exam purposes, the standard sequence as Kübler-Ross described it is the expected answer.

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