An older adult who recently learned that his last surviving ...

[maegan_martin]

An older adult who recently learned that his last surviving sibling has died refuses to take medication and is fearful of allowing anyone other than a specific staff member to assist with bathing and dressing. The patient is exhibiting signs of:
 
  a. paranoia.
  b. confusion.
  c. depression.
  d. disorientation.

Question 2

The initial response of a steelworker who was fired from a job was disbelief. At home the steelworker told family members about the firing but retreated to the bedroom, saying, I'm too choked up to talk about it right now..
 
  These behaviors are characteristic of: a. disbelief.
  b. depression.
  c. normal grief reaction.
  d. delayed grief reaction.

[frre432]

Answer to Question 1

A
Paranoia, a classic organized and complicated delusional system that is rare in older adults, can be caused by sensory deprivation or loss, medications, social isolation, delirium, depression, and dementia. The older adult with a paranoid personality will exhibit withdrawal, aloofness, fearfulness, oversensitivity, or secretiveness.

Answer to Question 2

C
Loss of one's job can precipitate a grief reaction. The steelworker is showing emotional responsiveness to the loss as evidenced by initial disbelief, anger, and pain.