@Jennifer Williams good question — the honest answer is that the MultiNav Pro+ doesn't do automatic adaptive TX power out of the box. It's running at its configured output level regardless of what RSSI looks like on the link. The module is built around the STM32WB07 and the external PA stage, and that PA isn't being dynamically throttled based on link quality in the current firmware.
That said, you're not stuck blasting full power at 5 meters. TX power is configurable in firmware, so for your wearable use case you could either set a fixed lower power level if you know the deployment is always going to be short range, or build a small control loop in your application layer that reads RSSI and adjusts TX power through the BLE stack — the STM32WB07 supports that. It's not automatic, but it's not hard to wire up either.
The AI firmware builder in the Dev Hub is actually pretty decent at scaffolding something like this if you describe the logic — something like "read RSSI every N seconds, step TX power down if above threshold X, step it back up if below threshold Y" — it'll get you most of the way there without writing it from scratch.