The Nurse Caring for an Older Cognitively Impaired Client with Osteoarthritis

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

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