Answer to Question 1
A
Nursing begins with assessment. The director should implement a protocol for routine assess-ments of pain in both cognitively impaired and intact residents. A pain plan cannot be created without this assessment data. Family members should be encouraged to provide input. The staff may or may not need to have education on assessment.
Answer to Question 2
B
Exaggerated grief reactions occur when normal feelings of anxiety, depression, or hopelessness grow to unmanageable proportions. People with exaggerated grief may feel an overwhelming sense of being unable to live without the deceased person. They may lose the sense that the acute grief is transient and may continue in this intense despair for a long time. Re-reading diaries each night is the most specific example of this type of grief.