You are caring for a 35-year-old male who has just been diagnosed with paralysis due to a sky diving accident that injured the spinal cord. How can you anticipate that the patient will react emotionally?
A) Go through all stages of grief in a week so he can adapt
B) Progress sequentially through five stages of the grief process
C) Need humor therapy
D) Respond to grief in an individualistic manner
Ans: D
Feedback: The most frequently reported chronic illness and disability-triggered reactions
include shock, which is a short-lived reaction experienced at the onset of a traumatic and sudden injury or the onset of a life-threatening or chronic and debilitating disease; anxiety, which is a panic-like state as the nature and magnitude of the event is processed; denial, which is a defense mechanism used to ward off anxiety and other intense emotions; depression, which reflects the realization of the permanence and magnitude of the chronic illness or disability; anger and hostility that are both self-directed and externalized; and adjustment, which is exemplified by self-acceptance as a person with a chronic illness or disability and marked by reintegration into the community. Finally, chronic illness and disability-associated coping strategies are those psychological strategies that are used to decrease, modify, or diffuse the impact of stressful life events. Humor is a coping strategy that some people use, but people going through life-altering events do not need humor therapy at this point.
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