Which of the following is the first step in accepting terminal illness?

Denial is generally regarded as the first step in the process of accepting a terminal illness. This stage is characterized by an individual's initial reaction to the diagnosis, where it may be difficult to fully comprehend the implications of what has been communicated. During this phase, the individual might refuse to acknowledge the reality of their illness, as it can be overwhelming both emotionally and psychologically. This defense mechanism allows the person time to process their feelings and gather strength before confronting the situation more directly.

As individuals move beyond denial, they may experience other stages, such as anger, bargaining, depression, and eventually, acceptance. Understanding that denial is a natural and common response helps individuals and health professionals provide supportive care that respects the emotional journey of patients facing terminal illnesses. This foundational phase emphasizes the importance of empathy and communication in nursing care, as individuals navigate their feelings and move toward other stages of grief and acceptance.