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Old 08-16-2011
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I agree Patient's Response

An oncologist tells his patient that her laboratory results support a diagnosis of advanced malignant melanoma with multiple metastases to the liver and brain. He also advises her that the prognosis is poor. Which of the following is most likely to be the first statement that the patient will make?

A. "Can you keep me alive until my daughter graduates from medical school?"
B. "Damn you doctor, you should have caught this earlier!"
C. "Doctor, you must be wrong."
D. "I think it is time that I make a will and say good-bye to everyone."
E. "It's no use, I always lose and get the short end of the stick."
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Old 08-16-2011
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Originally Posted by Hope2Pass View Post
An oncologist tells his patient that her laboratory results support a diagnosis of advanced malignant melanoma with multiple metastases to the liver and brain. He also advises her that the prognosis is poor. Which of the following is most likely to be the first statement that the patient will make?

A. "Can you keep me alive until my daughter graduates from medical school?"
B. "Damn you doctor, you should have caught this earlier!"
C. "Doctor, you must be wrong."
D. "I think it is time that I make a will and say good-bye to everyone."
E. "It's no use, I always lose and get the short end of the stick."

C)


Denial should be first reaction.
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Old 08-16-2011
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C). doctor , u must be wrong..
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C. "Doctor, you must be wrong."
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yup c
denial is the first reaction
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Old 08-16-2011
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yes is denial ...
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Old 08-17-2011
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Correct Answer C) "Doctor you must be wrong"

The correct answer is C. "Doctor you must be wrong"

Explanation -

Kubler-Ross's death and dying sequence is a step-wise process with 5 identified stages. The order in which these stages appear is the following:

1. denial
2. anger
3. bargaining
4. sadness
5. acceptance.

"Doctor you must be wrong" is the correct answer since it reflects the patient's inability to accept the information and indicates the denial of the first stage.

"Can you keep me alive until my daughter graduates from medical school" (choice A) is a statement from the 3rd, bargaining stage.

"Damn you doctor, you should have caught this earlier" (choice B) is a statement from the 2nd or anger phase.

"I think it is time that I make a will and say good-bye to everyone" (choice D) reflects the patient's acceptance of the reality and is a statement from the 5th phase (acceptance).

"It's no use, I always lose and get the short end of the stick" (choice E) is a statement from the 4th phase (sadness).
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