Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

When a patient presents incorrect beliefs about the cause of their condition, which stage of emotional response are they likely experiencing?

1. Denial

2. Acceptance

3. Bargaining

4. Depression

The correct answer is: Denial

When a patient presents incorrect beliefs about the cause of their condition, they are likely experiencing denial. This stage is characterized by an inability or refusal to accept the reality of their situation. In this context, the patient may struggle to recognize or understand the actual factors contributing to their condition, often clinging to misconceptions as a way to cope with the distressing diagnosis. Denial serves as a defense mechanism that allows the individual to postpone the emotional impact of the situation, providing them time to process the associated feelings. This is typically an initial reaction to distressing news, as individuals may find it difficult to accept the realities of their health condition. In contrast, acceptance involves acknowledging the condition and its implications, while bargaining represents attempts to negotiate a deal to reverse or lessen the diagnosis. Depression is characterized by deep feelings of sadness and hopelessness following an understanding of the situation, rather than confusion over its cause. Thus, the presence of incorrect beliefs correlates most closely with denial.