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. Relying solely on the client’s statement is insufficient for determining fall risk. A more comprehensive assessment is needed. B. Advanced age alone does not automatically categorize a client as high risk for falls. A complete assessment should be used to evaluate risk. C. A thorough assessment, including a fall risk survey, is essential to accurately determine the client’s risk for falling. The fact that the client has never fallen does not automatically categorize them as low risk. D. Informing the client that falls occur more often in the hospital than at home does not address the need for an individualized risk assessment.