Psychiatry · Consultation-Liaison Psychiatry (Psychiatric Aspects of Medical Illness)

According to the classical model of psychological adjustment to terminal illness, what is the correct sequence of stages described by Kubler-Ross?

  • A Anger, denial, bargaining, acceptance, depression
  • B Denial, anger, bargaining, depression, acceptance
  • C Denial, bargaining, anger, acceptance, depression
  • D Depression, denial, anger, bargaining, acceptance
Correct answer: B. Denial, anger, bargaining, depression, acceptance

Explanation

Kubler-Ross described five stages in order: denial, anger, bargaining, depression, and acceptance. Denial is the initial shock response, followed by anger directed at staff or family, then bargaining for time, then preparatory depression, and finally acceptance. The stages are not strictly sequential in real patients, but the examination convention expects this exact order.

Reference: Kaplan and Sadock's Synopsis of Psychiatry, 11th ed.

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