CPI Injury Prevention & Rehabilitation 3 — Questions and Answers
Question 1: What is the safest alternative to prone (face-down) restraint recommended by CPI to reduce asphyxia risk?
- Seated restraint with upright torso support
- Supine restraint with arms crossed
- Standing wrist-lock hold
- Side-lying restraint without chest compression (Correct answer)
Correct answer: Side-lying restraint without chest compression
Side-lying restraint reduces chest compression and aspiration risk compared to prone positioning.
Question 2: A staff member notices their colleague applying a hold that compresses the individual's neck. What is the correct CPI response?
- Wait until the intervention ends to report it
- Verbally redirect the colleague and adjust the hold immediately (Correct answer)
- Increase pressure elsewhere to compensate
- Document the observation and do nothing in the moment
Correct answer: Verbally redirect the colleague and adjust the hold immediately
Immediate verbal redirection and hold adjustment is required because neck compression poses an acute risk of serious injury or death.
Question 3: Which factor in the individual's history should be assessed BEFORE any physical intervention to minimize injury risk?
- Employment status
- History of trauma, medical conditions, or prior injuries (Correct answer)
- Educational background
- Family contact information
Correct answer: History of trauma, medical conditions, or prior injuries
Prior trauma, medical vulnerabilities, and injuries directly affect which interventions are safe and appropriate.
Question 4: An individual in a restraint begins gasping for air. What is the FIRST action staff should take?
- Tighten the hold to prevent escape
- Release the hold and call for medical assistance immediately (Correct answer)
- Reposition to a prone hold
- Continue holding until supervisor arrives
Correct answer: Release the hold and call for medical assistance immediately
Signs of respiratory distress require immediate release of the hold and emergency medical response to prevent serious injury or death.
Question 5: Which CPI concept helps staff recover psychologically after a traumatic physical intervention?
- Secondary Traumatic Stress debriefing (Correct answer)
- Post-incident silence protocol
- Peer avoidance strategy
- Mandatory overtime review
Correct answer: Secondary Traumatic Stress debriefing
CPI acknowledges secondary traumatic stress and recommends structured debriefing and support to help staff process and recover from difficult incidents.
Question 6: How does proper hydration and physical fitness of staff relate to injury prevention in CPI?
- It has no documented impact on intervention safety
- It reduces fatigue-related errors and improves physical capacity during interventions (Correct answer)
- It is only relevant for staff over age 50
- It increases aggression risk during physical management
Correct answer: It reduces fatigue-related errors and improves physical capacity during interventions
Well-conditioned, hydrated staff are less likely to fatigue and make technique errors that cause injury during physical interventions.
Question 7: What does CPI mean by 'least restrictive intervention' in the context of injury prevention?
- Using no intervention at all
- Choosing the intervention with the lowest risk of harm that still ensures safety (Correct answer)
- Prioritizing staff safety over individual safety
- Applying the quickest intervention available
Correct answer: Choosing the intervention with the lowest risk of harm that still ensures safety
Least restrictive intervention means selecting the safest, lowest-risk option that effectively manages the immediate safety need.
CPI Injury Prevention & Rehabilitation 3
What is the safest alternative to prone (face-down) restraint recommended by CPI to reduce asphyxia risk?