CPI Client Assessment & Programming 2 — Questions and Answers
Question 1: When completing a risk assessment for a client with a history of self-injurious behavior, which factor is MOST critical to document?
- Frequency and severity of past incidents (Correct answer)
- Client's favorite recreational activities
- Number of siblings in the family
- Client's preferred meal times
Correct answer: Frequency and severity of past incidents
Documenting the frequency and severity of past self-injurious incidents helps predict future risk and informs the crisis prevention plan.
Question 2: A client's individualized care plan (ICP) should be reviewed and updated at minimum:
- Every five years
- Only when a crisis occurs
- At regular intervals and after significant behavioral changes (Correct answer)
- When a new staff member joins the team
Correct answer: At regular intervals and after significant behavioral changes
ICPs must be reviewed regularly and revised after significant behavioral changes to remain accurate and effective.
Question 3: Which assessment domain in CPI focuses on identifying what events or conditions typically precede a client's escalation?
- Antecedent analysis (Correct answer)
- Consequence mapping
- Outcome evaluation
- Functional skill inventory
Correct answer: Antecedent analysis
Antecedent analysis identifies triggers and conditions that occur before problem behavior, enabling proactive intervention strategies.
Question 4: A staff member notices a client becomes agitated every time a specific peer enters the room. How should this observation be used?
- Ignored unless behavior escalates to aggression
- Documented and incorporated into the client's programming (Correct answer)
- Shared only with the client's family
- Reported only to administration
Correct answer: Documented and incorporated into the client's programming
Behavioral observations about environmental triggers should be documented and used to shape individualized programming and prevention strategies.
Question 5: In CPI's assessment framework, 'precipitating factors' refer to:
- Long-term historical causes of behavior
- Immediate triggers that set off a crisis episode (Correct answer)
- Post-crisis consequences for the client
- Medications prescribed during crisis
Correct answer: Immediate triggers that set off a crisis episode
Precipitating factors are the immediate, situational triggers that directly precede and provoke a crisis episode.
Question 6: Which programming approach is most consistent with CPI's philosophy when a client demonstrates increasing anxiety?
- Immediate physical intervention to prevent escalation
- Providing choices and reducing environmental demands (Correct answer)
- Removing all staff from the area
- Increasing task complexity to redirect attention
Correct answer: Providing choices and reducing environmental demands
Offering choices and reducing demands during early anxiety helps the client regain a sense of control, aligning with CPI's least-restrictive principle.
Question 7: Which data collection method best supports ongoing assessment of a client's behavioral patterns over time?
- Single incident reports filed annually
- Consistent ABC (Antecedent-Behavior-Consequence) data recording (Correct answer)
- Verbal staff memory without documentation
- Client self-report only
Correct answer: Consistent ABC (Antecedent-Behavior-Consequence) data recording
ABC data recording provides objective, consistent behavioral data that supports trend analysis and informed programming decisions.
CPI Client Assessment & Programming 2
When completing a risk assessment for a client with a history of self-injurious behavior, which factor is MOST critical to document?