I would try and do what is asked of you by the nurse the residents have a right to smoke they are obviously unable to care for themselves completely and need your assistance and support let them enjoy what pleasures they can get from life also you sont want to put any extra negative attention on yourself at work if you're outside you re not really inhaling second hand smoke if it bothers you thatch maybe ask if you can stand away from the smoke once you've helped the light their cigarettes...try and find a middle ground where you're doing what's asked of you and you feel comfortable don't try and go over the nurses head right away