“A model that I and other nurses have found helpful is the mood curve developed by S. A. Spencer and J. D. Adams. In their extensive work with people navigating transitions? Spencer and Adams identified seven stages their clients went through when con- fronted by a major change. Here is what each stage involves? and its specific application to nursing situations. Stage 1: Losing focus Expect some confusion and disorientation during this stage. You may be uncertain about boundaries and expectations. Stage 2: Minimizing the impact ...