The Nurse Assesses a Client Using the Folstein Test (Mini

The nurse assesses a client using the Folstein test (Mini Mental Status Exam [MMSE]) and the client scores a 15.What action by the nurse is most appropriate?

A) Consult the provider about a physical therapy referral.
B) Arrange a full neurocognitive assessment for the client.
C) Assess the client's food and beverage preferences.
D) Teach the client and family ways to prevent falls.