While the nurse is assessing an older client's fall risk, the client reports living at home alone and never falling. Which action should the nurse take?

A. Record a minimal risk for falls, documenting the client's statement: Relying solely on the client's self-report without completing a comprehensive assessment may miss other critical risk factors for falls. B. Continue to obtain client data needed to complete the fall risk survey: Gathering all necessary information using a standardized fall risk tool ensures a complete and objective evaluation, allowing appropriate interventions to be based on the total risk profile. C. Inform the client that falls occur more often in the hospital than at home: Providing this information may be educational later, but it does not replace the need to finish the full assessment before drawing conclusions about risk. D. Place the client on a high fall risk protocol because of advanced age: Age is a factor that increases fall risk, but it should not be the sole reason for assigning a high-risk status without evaluating the client's complete clinical picture.