A patient with diabetes who refuses to change eating patterns may be in which stage of adjustment?
a. Denial and disbelief
b. Irritability and anger
c. Attempting to gain control
d. Acceptance and participation
ANS: A
A
Denial and disbelief is the first stage in adjustment to an illness. It is characterized by belief that the symptoms do not really represent illness and will go away.
B
Irritability and anger are characteristics of the second stage of illness acceptance. It is characterized by anger at the body for not functioning properly or by anger displaced onto others.
C
The person in the "attempting to gain control" stage usually seeks help and knowledge as ways to gain control.
D
The "acceptance and participation" stage occurs when the patient is ready to participate in decisions about treatment
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