The Nurse Caring for an Older Cognitively Impaired Patient with Osteoarthritis

The nurse caring for an older cognitively impaired patient with osteoarthritis in both hands assesses the patient for hand pain by

A) observing for facial grimacing when the patient uses a fork to eat.
B) being alert for signs of agitation when washing the patient's hands.
C) listening to detect moaning when patient makes a fist.
D) watching for signs that the patient is reluctant to shake hands.