The Nurse Observes That an Older Patient's Gait and Balance

The nurse observes that an older patient's gait and balance appear to be slightly unsteady.What assessment should the nurse perform next?

A) Perform the Get Up and Go Test.
B) Ask the patient if he has fallen in the past year.
C) Refer the patient for a comprehensive fall evaluation.
D) Administer the Timed Up and Go Test.