NCLEX · Crisis and Grief

What are the five stages of grief described by Elisabeth Kübler-Ross?

Correct answer

Denial, Anger, Bargaining, Depression, Acceptance — not a linear progression; stages may be revisited, skipped, or occur in different order

  1. A Sad, mad, glad
  2. B Three stages only
  3. C Hope, fear, peace
  4. D Denial, Anger, Bargaining, Depression, Acceptance — not a linear progression; stages may be revisited, skipped, or occur in different order

Why this is the answer

Kübler-Ross's five stages of grief (developed from observing dying patients in 'On Death and Dying,' 1969): (1) Denial — 'This can't be happening' — protects from initial shock; (2) Anger — 'Why me? It's not fair' — directed at self, others, healthcare team, God; (3) Bargaining — 'If only...' — attempts to negotiate, often with higher power; (4) Depression — 'What's the point?' — sadness, withdrawal, mourning the losses; (5) Acceptance — 'I'm ready for what comes' — peace, not necessarily happiness. Important points: (1) NOT linear — grieving people move between stages, revisit stages, or skip stages; (2) Individual experience — no 'right' way to grieve; (3) Cultural variation — different cultures express and process grief differently; (4) Time variable — there is no fixed timeline; complicated grief lasting >12 months is recognized as a clinical concern. Other grief models: (1) Bowlby's attachment-based grief stages; (2) Worden's tasks of mourning — accept reality, work through pain, adjust to environment without deceased, find ongoing connection while moving forward; (3) Dual process model — alternating between loss-oriented and restoration-oriented coping. Nursing interventions: (1) Therapeutic presence — be there, don't always fill silence; (2) Allow expression of all emotions — anger, fear, sadness are normal; (3) Avoid platitudes ('They're in a better place'); (4) Active listening; (5) Educate family about normal grief; (6) Refer to grief counseling, support groups, palliative care, chaplaincy as appropriate; (7) Recognize complicated grief — prolonged, intense, functional impairment. Anticipatory grief — grieving before the death — is common in terminal illness.
Source: NCLEX-RN, Psychosocial — Grief

Practice more questions

This question is from our NCLEX Practice Tests practice test. Take the full practice test to test your knowledge across all Crisis and Grief and other topics.

Take the RN: Psychosocial Integrity practice test →

About this topic: Crisis and Grief

Crisis and grief questions cover crisis theory and intervention, suicide risk assessment and precautions, violence de-escalation, and supporting clients and families through loss. This is one of 9 RN: Psychosocial Integrity questions on crisis and grief, each with a full explanation on a single study page.

New to this exam? Our NCLEX exam guide explains the format, scoring, and how to prepare.

Related questions

State-specific guides

Need information for your state? Our state guides cover local requirements, fees, and what to expect on exam day.