CDS Treatment Protocols & Procedures 2

Question 1

When applying a splint to a client with spasticity, which technique best prevents pressure ulcers?

Accepted Answer

Pad all bony prominences before securing the splint

Answer

Padding bony prominences distributes pressure and reduces risk of skin breakdown under orthotic devices.

Question 2

Which outcome measure is most appropriate for tracking functional independence in activities of daily living for adults with physical disabilities?

Accepted Answer

Functional Independence Measure (FIM)

Answer

The FIM assesses 18 ADL and mobility items scored 1–7, making it the standard tool for tracking functional independence.

Question 3

A client with ALS is losing respiratory function. Per established protocol, when should noninvasive ventilation (NIV) typically be introduced?

Accepted Answer

When FVC drops below 50% predicted or symptoms of hypoventilation appear

Answer

NIV is recommended when FVC is below 50% predicted or orthopnea and morning headache indicate nocturnal hypoventilation.

Question 4

Range-of-motion exercises for a client with a complete cervical spinal cord injury are primarily indicated to:

Accepted Answer

Prevent contractures and maintain joint mobility

Answer

Passive ROM maintains flexibility and prevents contractures in paralyzed limbs, though it does not restore voluntary movement.

Question 5

A disability specialist observes that a client's pressure-relief schedule is not being followed by caregivers. The BEST immediate action is to:

Accepted Answer

Educate caregivers on-site about the schedule and rationale for pressure relief

Answer

Immediate caregiver education addresses the gap in care directly and prevents skin breakdown without delay.

(CDS) Certified Disability Specialist Practice Test