CPI Injury Prevention & Rehabilitation 2 — Questions and Answers
Question 1: When a staff member uses a wrist control hold during CPI, what is the primary injury risk to the individual in crisis?
- Shoulder dislocation
- Wrist fracture or soft tissue damage (Correct answer)
- Knee hyperextension
- Cervical spine strain
Correct answer: Wrist fracture or soft tissue damage
Wrist control techniques carry risk of fracture or soft tissue damage if applied with excessive force or torqued incorrectly.
Question 2: Which of the following post-incident actions best supports injury rehabilitation for a staff member involved in a physical intervention?
- Returning immediately to regular duties without evaluation
- Completing an incident report only
- Accessing employee assistance programs and medical evaluation (Correct answer)
- Waiting until the next scheduled wellness check
Correct answer: Accessing employee assistance programs and medical evaluation
CPI recommends that staff access medical evaluation and support resources like EAPs after physical interventions to address both physical and psychological injury.
Question 3: A person with osteoporosis is involved in a physical restraint. What injury is MOST likely if standard holds are applied?
- Muscle strain
- Bone fracture (Correct answer)
- Ligament sprain
- Tendon rupture
Correct answer: Bone fracture
Osteoporosis significantly reduces bone density, making fractures the highest risk when physical force is applied.
Question 4: Which CPI principle directly reduces the likelihood of musculoskeletal injury to staff during physical intervention?
- Using speed over technique
- Applying maximum force early
- Using proper body mechanics and team assistance (Correct answer)
- Relying on upper body strength alone
Correct answer: Using proper body mechanics and team assistance
Proper body mechanics and team-based approaches distribute force safely and reduce staff musculoskeletal injury risk.
Question 5: What does the CPI CARES model emphasize in the context of post-crisis injury prevention?
- Completing documentation before debriefing
- Connecting with the individual and staff to address needs and plan prevention (Correct answer)
- Administering first aid before contacting supervisors
- Isolating the individual until calm
Correct answer: Connecting with the individual and staff to address needs and plan prevention
CARES (Connect, Assess, Respond, Evaluate, Support) centers on addressing needs of all involved and identifying steps to prevent recurrence.
Question 6: Which breathing or cardiovascular condition increases the risk of positional asphyxia during a prone restraint?
- Hypertension
- Asthma or COPD (Correct answer)
- Diabetes
- Arthritis
Correct answer: Asthma or COPD
Asthma and COPD restrict airway function, making prone restraint positions especially dangerous due to restricted chest expansion.
Question 7: In CPI training, why is it important to release a restraint hold as soon as an individual begins to calm down?
- To conserve staff energy
- To reduce the ongoing risk of injury, asphyxia, and trauma (Correct answer)
- To allow the individual to escape
- Because holds are only legally allowed for 60 seconds
Correct answer: To reduce the ongoing risk of injury, asphyxia, and trauma
Releasing holds promptly minimizes cumulative risk of positional asphyxia, pressure injuries, and emotional trauma as the crisis de-escalates.
CPI Injury Prevention & Rehabilitation 2
When a staff member uses a wrist control hold during CPI, what is the primary injury risk to the individual in crisis?