Shake it to the left, shake it to the right

  1. (T/F) If a client can verbalize the use of an interdental aid he/she will be able to perform the task.
    False
  2. (T/F) The case presentation is used to encourage collaborative treatment effort between the client and the clinician.
    True
  3. (T/F) A message of five sentences or longer without allowing a response is considered cooperative communication between a healthcare professional and a client.
    False
  4. (T/F) If a client is involved in the design of self-care practices the success rate is likely to be favorable.
    True
  5. (T/F) Concreteness is a clinician characteristic necessary to understand a client's needs and implement change.
    True
  6. (T/F) Communication begins the minute the client steps into the dental treatment room.
    False
  7. All of the following are examples of educational interventions with the exception of one. Which is the exception?
    Application of fluoride varnish
  8. (T/F) Flossing is not the device of choice for many clients based on preference and assessment. Floss is effective when used daily by patients who have type II and III embrasures.
    The first statement is TRUE, the second is FALSE
  9. (T/F) Motivational Interviewing is a form of facilitative communication.
    True
  10. (T/F) Small step size refers to presenting disease theory and teaching skill enhancement incrementally. This implies that the clinician should only introduce one skill at at time.
    The first statement is TRUE, the second is FALSE
  11. Communication order:
    Unawareness, awareness, self-interest, involvement, action, habit

    “Ugly Apes Sit In A Hut”
  12. Self-Interest:
    knowledge has personal meaning
  13. Habit:
    behavior modification achieved
  14. Awareness:
    information lacks personal meaning
  15. Unawareness:
    incomplete/inaccurate information
  16. Action:
    abandon old ideas for new concepts
  17. Involvement:
    taking ownership of self
  18. Staller:
    Attempt to engage the client in problem-solving by not taking the problem on yourself
  19. Silent/ unresponsive:
    Get the client to open up and begin to discuss what is on his/her mind or what is bothering him or her
  20. Complainer:
    Interrupt the client cycle of blaming
  21. Hostile/Aggressive:
    Give the client time to run down, and maintain eye contact
  22. Know-it-all:
    Try to have the client consider alternatives
  23. Negativist
    Be prepared to take action on your own and express your plan to do so
  24. The rationale for providing plaque control instruction throughout dental hygiene care states that:
    Clients require time to go through the stages involved in learning and habituation
  25. (T/F) A “baseline human needs assessment” enhances the collection of assessment data by identifying the clients unmet needs. Identification of these needs directs the focus of the dental hygiene diagnosis and care plan.
    Both statements are TRUE
  26. The phase of oral self care education that is presented after the client assessment and treatment plan formulation, and before providing therapy is which of the following?
    Disease theory presentation
  27. The first step in client education is to:
    Establish rapport with the client
  28. (T/F) Flossing is not the device of choice for many clients based on preference and assessment. Floss is effective when used daily by patients who have type II and type III embrasures.
    The first statement is true, and the second is false.
  29. The gap between the desired performance and the actual performance in self-care is termed:
    Performance discrepancy
  30. Characteristics of the clinician while employing facilitative communication might include all of the following except one. Which one is the exception?
    Lecturing
  31. Which of the following statements represent the use of small step size in self-care education?
    Applying a new self-care technique to a segment of the oral cavity before applying it to the entire dentition
  32. Determining that a client is dissatisfied with the appearance of his/her teeth should occur with which of the following appointment phases?
    Assessment

    (dialogue, history and clients chief complaint are discussed during the assessment phase)
  33. Objectives of individual health instruction must be designed in accordance with each of the following except for one. Which one is the exception?
    Values of the dental health provider
  34. All of the following are examples of educational interventions except one. Which is the exception?
    Application of 2.0% neutral sodium fluoride
  35. Which of the following supplemental self-care devices is indicated for type II and type III embrasures, difficult to reach areas, or around fixed dental appliances?
    End-tuft brush
  36. A client with healthy gingiva exhibits 1-2 mm sulcus depth and a plaque-free dentition, These findings indicate that the client:
    No answer is correct.

    (we cannot assume what specific behaviors of techniques a client may be using based on the health of the gingiva.)
  37. A client demonstrating flossing technique and asking questions on how to modify that technique is an example of:
    Active participation
  38. A client states, “I know plaque causes gum disease. I have bleeding when I brush, but I do not have gum disease.” Identify what stage of the learning ladder continuum this statement represents:
    Awareness
  39. After 4 years with regular maintenance visits, a client's gingival tissues appear healthy and there has been no further loss of attachment. In evaluating plaque control technique, the hygienists notices the client using a very unorthodox method of grasping floss. Which of the following steps should the hygienists take?
    None of these steps are indicated.

    (if the clients tissues are healthy and there is no progression loss, there is no reason to modify his/her homecare techniques)
  40. Maslow’s theory of human needs suggests that:
    Inner forces or needs drive an individuals course of action
  41. To assist the client in the exploration of his/her needs, the clinician must possess the following characteristics:
    Listen and understand the emotions and feeling of the client
  42. Clients who do not believe that they are personally susceptible to dental disease are not likely to:
    Adhere to daily plaque biofilm control regime
  43. (T/F) Human needs theory explains that the need for fulfillment dominates human activity; therefore, human behavior is motivated by fulfilment of unmet human needs:
    Both statements are TRUE
  44. An adolescent client who is very concerned with peer approval will MOST likely be motivated by strategies aimed at which level on Maslow’s Hierarchy of Needs?
    Social
  45. Data collection procedure are
    determined by the client’s condition
  46. To assess home plaque biofilm control, when is the best time to determine a client’s plaque index?
    At the beginning of the appointment
  47. Which of the following is most critical to evaluate after one year to determine if a client is maintaining adequate plaque biofilm control?
    condition of gingiva
  48. During the implementation of care, all of the following are true EXCEPT for one. Which statement is the exception?
    The sequence of preventive interventions is outlined
  49. During the dental hygiene continuing care/maintenance appointment, the hygienist and client set goals and determine the course of action for the appointment. What phase is this in the dental hygiene process of care?
    Planning
  50. Paraphrasing facilitates communication between the client and the clinician for all the following reasons EXCEPT for one. Which is the exception?
    It clarifies the verbal message, but not the nonverbal message
  51. Which of the following types of behavior are considered nonverbal?
    All answers are correct

         (body orientation and posture, gestures, eye contact, distance, and space)
  52. (T/F) Observing a client’s toothbrushing technique is an important part of client education because the client’s demonstration of an acceptable method of toothbrushing insures improved oral hygiene.
    The statement is correct but the reason is not
  53. The primary barrier which can be directly removed through self-care education is which of the following?
    Lack of knowledge
  54. Each of the following represents an important component of active listening except for one. Which of the following is the EXCEPTION?
    Giving standard responses
  55. (T/F) A vitalometer used on multi-rooted tooth may provide a false response if there is vitality in one root and not another.
    True
  56. (T/F) The treatment intervention for a tooth presenting with cracked tooth syndrome is to place a crown.
    True
  57. (T/F) The diagnostic test best used on a tooth presenting with pulpitis is a tooth slooth.
    False
  58. (T/F) A tooth slooth is particularly effective in detecting caries.
    False
  59. A sharp or dull sensation in response to cold or hot stimuli that lasts for more than 20 seconds in duration may be a symptom of:
    Irreversible pulpitis
  60. Treatment intervention for cracked tooth syndrome is likely:
    Full coverage crown
  61. (T/F) The symptoms of a tooth with cracked tooth syndrome generally include a dull, lingering throbbing sensation without apparent stimuli. A treatment intervention for a tooth with cracked tooth syndrome would likely be to place a crown.
    The first statement is false, the second is true.
  62. (T/F) Referred pain is when the patient is positive which tooth is symptomatic; however it may actually be caused by the tooth adjacent to it, or an opposing arch:
    True
  63. The role of the hygienists during an emergency appointment is to perform all of the following functions except for one. Which one is the exception?
    Make a definitive diagnosis
  64. Using a mirror and indirect lighting to observe irregularities in tooth structure is an example of:
    Transillumination
  65. Treatment of an avulsed tooth does not involve which of the following?
    Scrub (you would not scrub the tooth)
  66. (T/F) Caries symptoms can vary in stimuli to include temperature, sweet, or pressure stimuli. A radiograph is not needed for diagnosis of caries.
    The first statement is true, the second statement is false.
  67. (T/F) Tapping a tooth (percussion test) will cause discomfort if the pulp tissue is inflamed. This diagnostic test is best performed with a “tooth slooth”:
    The first statement is true, the second statement is false.

    (you would tap using a mirror end on the cusp tips of the suspected tooth, not a tooth slooth.)
  68. (T/F) A disadvantage of the vitalamoter is that it relies on a non-physiological stimulus that does not relate to the chief complaint:
    True
  69. Which tooth would be inappropriate for vitalometer testing?
    #19 full gold crown
  70. Dentinal sensitivity may include which of the following?
    All answers are correct (mechanical, chemical and thermal stimuli)
  71. A “tooth slooth” can be effective in detecting:
    A fractured cusp or cusps
  72. (T/F) A mandibular molar with a fractured mesial root may be treated successfully with a root canal?
    False
  73. (T/F) Using the vitalometer on a multi-rooted tooth may provide a false response if there is vitality in one root and not another:
    True
  74. The scientific study of factors affecting normal aging and the effects of aging:
    Gerontology
  75. Total tooth loss:
    edentulousness
  76. A brain degenerative disorder that gradually destroys ability to remember, reason, learn and imagine:
    Alzheimer’s
  77. Progressive intellectual decline:
    dementia
  78. Occurs with damage to the cochlea or nerve pathways in the auditory nerve:
    sensorineural hearing loss
  79. A common side effect of many prescription and OTC drugs:
    Xerostomia
  80. Stroke:
    cardiovascular accident
  81. Fissuring/cracks at angles of the mouth, candida albicans can be associated:
    angular cheilitis
  82. A chronic, progressive disorder of the motor system:
    Parkinson’s
  83. The normal physiologic process of growing old:
    senescence
  84. (T/F) Coronal and root caries are active in the older population. Dental caries primarily affects children and teens.
    The first statement is True, the second is False.
  85. Age related changes in the periodontium and oral mucosa include all of the following except one. Which of the following is the exception?:
    Significant morphologic changes in the gingival epithelium.
  86. (T/F) Sublingual varicosities and varicosities (varix) on lips are common among the aged. These bluish/black areas are usually a precursor to oral cancer.
    The first is True, second is False.
  87. Each of the following is often associated with syncope except one. Which of the following is the exception?
    Constricted pupils
  88. In addition to gestures and sign language, adaptations necessary for older patients with hearing decline include which of the following?
    Increased repetition in verbal and written communication
  89. (T/F) Tooth loss increase with age, but not because of age:
    True
  90. Which of the following precautions apply when operating an automated external defibrillator (AED)
    All answers are correct (do not touch the victim when defibrillating, do not touch the victim when the AED is analyzing, do not use an AED on a patient lying in water)
  91. In an emergency situation involving an 8-year old which of the following is the artery of choice for checking the pulse rate?
    Carotid
  92. (T/F) Research shows that crestal bone loss with aging is minimal in healthy persons. Gingival epithelium reportedly shows significant morphologic changes with age:
    First is true, second is false.
  93. Which of the following preventative products is most appropriately recommended for an older patient with moderate risk for dental decay, especially root decay?
    1.1% stannous fluoride paste.
  94. Soon after sitting down in a dental chair, a patient with type 1 diabetes mellitus rapidly develops the following signs and symptoms: mental confusion, slurred speech, rapid heartbeat, nausea, and color, clammy skin. These signs and symptoms are characteristic of:
    Insulin shock
  95. What care should you give to a conscious adult who is choking and cannot cough, speak or breathe?
    Heimlich Maneuver
  96. In an emergency situation involving an infant, which of the following is the artery of choice for checking the pulse rate?
    Brachial
  97. A patient exhibiting symptoms of hypoglycemia should be treated with any of the following EXCEPT for one. Which of the following is the exception?
    Diet soda
  98. If a client experiences insulin shock, the primary course of action would be to
    Adminsiter glucose
  99. Which of the following is a good recommendation for older individuals who are at risk for periodontal disease?
    All answers are correct (use antimicrobial products to reduce plaque and ging, schedule frequent visits for professional debridement, use a powered tb)
  100. A sudden loss of brain functioning resulting from an interference of blood supply to the brain best describes:
    stroke
  101. In older adults, the vitality of the dentin is decreased and may become insensitive and impermeable due to:
    Secondary dentin formation
  102. Which of the following is true regarding the risk for caries in older adults?
    Recent studies show that older adults have caries rates greater than that of the adult population.

    (caries in older adults include coronal and root caries new and recurrent)
  103. Advanced signs of periodontal disease are more commonly seen in people 45 years and older because:
    No answer is correct
  104. A fall in blood pressure could occur when a patient is experiencing each of the following conditions except one. Which of the following is the exception?
    Anxiety
  105. Which of the following represents adaptations made during care to compensate for hearing deficits that are often associated with aging?
    Looking directly at the patient and speaking clearly
  106. Which of the following is a recommendation for patients with medication-induced xerostomia?
    Use high dose 2.0% sodium fluoride gel.
  107. Performing dental hygiene care for a client with difficulty in swallowing may require which of the following?
    Seating the patient in an upright position
  108. In the emergency treatment of angina pectoris, the mechanism of action of nitroglycerin is
    relaxation of vascular smooth muscle
  109. With age, the teeth undergo several changes including alterations in
    All answers are correct (dentin, pulp, enamel, cementum)
  110. Which of the following constitutes major buffer in saliva?
    -Bicarbonate
  111. Age related vision loss can be caused by all of the following conditions except for one. Which of the following is the exception?
    Cochlear damage
  112. (T/F) Clients with removable dental appliances are more likely to develop candidiasis. Treatment of candidiasis must include the oral cavity as well as the denture or partial denture to decrease the chance of recurrence.
    Both statements are TRUE
  113. (T/F) Calcium should be taken to prevent the body from drawing on its mineral stores in the bone. Older adults with a family history of kidney stones should take extra calcium.
    The first statement is TRUE, the second is FALSE
  114. When a drug becomes necessary for continued body functioning:
    Physical Dependence
  115. The state of mind where the person believes the drug is required for maintaining well-being:
    Psychologic Dependence
  116. A person with alcoholism who is abstaining from using alcohol:
    Recovering alcoholic
  117. The ability to endure without effect or injury; specifically the need for increased amount of the drug to achieve the same effect:
    Drug Tolerance
  118. A sensory impression (e.g., sight, sound, touch, smell, and/or taste) that has no external stimulation:
    Hallucination
  119. The interaction between a drug and the individual when there is a compulsion to take the drug in order to obtain its effect and/or to avoid the discomfort of withdrawal:
    Chemical Dependence
  120. The regular use of a drug for other than its accepted medical purpose or in dosages greater than considered appropriate:
    Substance abuse
  121. Treatment to assist in recovery from the toxic effects of a drug; involves withdrawal and may include pharmacologic treatment and counseling:
    Detoxification
  122. Involuntary rapid eye movement:
    Nystagmus
  123. A drug capable of modifying mental activity; used in treating mental illness:
    Psychotropic Drug
  124. From the dialog examples below, what response from the dental hygienist would express encouragement to a non compliant client? Joanne (client) “You are asking a lot of me. I told you i do not have time to use all these cleaning tools.”
    I appreciate your honesty, which of the devices do you think you would have time to use both morning and night?
  125. Toothbrushing effectiveness is best measured by
    -Amount and location of plaque biofilm
Author
dancincourt
ID
338702
Card Set
Shake it to the left, shake it to the right
Description
no
Updated