LPN Nursing · Grief Support · Practice question
The nurse is caring for a patient who is dying of cancer. The patient states, "If I can just live long enough to attend my daughter's wedding, I'll be ready to die. Which of Kubler-Ross' Stage of Grief is this patient experiencing?
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Depression
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Denial
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✓
Bargaining
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Anger
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Acceptance
Answer & explanation
Correct: Bargaining
In Kübler-Ross's model of grief, bargaining is the stage in which a dying person attempts to negotiate — often with God, fate, or a higher power — for more time or a different outcome. The classic verbal marker of bargaining is an 'if-then' statement: 'If I can just live long enough to see my daughter's wedding, I'll be ready to die.' This conditional promise clearly reflects an attempt to make a deal in exchange for more time, which is the hallmark of the bargaining stage. Depression, by contrast, is characterized by profound sadness, withdrawal, and a sense of hopelessness about the future rather than negotiation. Denial involves refusing to accept the reality of the illness or prognosis. Anger presents as frustration directed at caregivers, family, or fate — often expressed as 'Why me?' Acceptance is the final stage, in which the person has come to terms with the inevitability of death and is no longer fighting it. The patient's statement does not reflect any of these other emotional states; the conditional framing ('if… then') unambiguously places this patient in the bargaining stage. Recognizing this stage allows the nurse to provide empathetic, non-judgmental support appropriate to where the patient is in the grieving process.
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