A Nurse Is Performing an Admissions Assessment on a 93-Year-Old

A nurse is performing an admissions assessment on a 93-year-old woman with abdominal pain. The woman is unable to remember certain facts about her medical history or current medications. What is the nurse's first step?

A) Document her as slightly forgetful, consistent with age.
B) Inform the physician about her declining mental status.
C) Conduct further screening to determine mental status and memory.
D) Speak with the physician about ordering medication for dementia.