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?

Choice A reason: Completing the fall risk survey provides a comprehensive assessment of the client's fall risk, considering all factors.Choice B reason: Informing the client that falls occur more often in the hospital does not complete the assessment.Choice C reason: Recording a minimal risk based solely on the client's statement may not accurately reflect the true fall risk.Choice D reason: Placing the client on high fall risk protocol based on age alone is not appropriate without a complete assessment.