The Nurse Is Caring for a 78-Year-Old with a History

The nurse is caring for a 78-year-old with a history of chronic depression who is currently reporting persistent left shoulder pain when syncope caused her to fall.To best address the client's pain, the nurse initially determines:

A) if she is still at risk for falls.
B) the severity of the shoulder injury.
C) how effectively her depression is being managed.
D) the client's ability to effectively cope with pain.