This job can not be performed without exposure to the stresses associated with an intimate, 24-hour residential care environment that delivers care and services primarily to disabled and cognitively impaired residents with an average age of 78 years. Examples of these stresses include, but are not limited to: shift rotation, week end and holiday duty, usual or impaired behavior by residents, family reactions to having a loved one in the nursing home, death and dying, oversight by State surveyors, presence of consultants and variable involvement of medical staff.