Which of the following clients would be considered at high risk for falling and fracturing the hip?

• A. A 60-year-old man with controlled hypertension and no mobility issues
• B. A 45-year-old man who exercises regularly and has no chronic health conditions
• C. An 82-year-old woman with osteoporosis and a history of previous falls
• D. A 30-year-old woman recovering from a minor ankle sprain

Answer: (C)

Verified step by step guidance

1. Step 1: Understand the risk factors for hip fractures, which commonly include advanced age, osteoporosis (a condition that weakens bones), and a history of previous falls, as these factors increase the likelihood of both falling and sustaining fractures.
2. Step 2: Evaluate each client based on these risk factors: the 60-year-old man has controlled hypertension but no mobility issues, so his risk is relatively low; the 45-year-old man exercises regularly and has no chronic conditions, indicating low risk; the 30-year-old woman is recovering from a minor ankle sprain, which may temporarily affect mobility but does not indicate high fracture risk.
3. Step 3: Focus on the 82-year-old woman who has osteoporosis and a history of previous falls, both of which significantly increase her risk of falling and fracturing her hip due to weakened bones and demonstrated fall risk.
4. Step 4: Conclude that the client with the combination of advanced age, osteoporosis, and previous falls is at the highest risk for hip fracture compared to the other clients.
5. Step 5: Remember that in clinical psychology and healthcare, assessing risk involves considering multiple factors such as age, medical history, and physical condition to identify individuals who may need preventive interventions.