(T/F) If a client can verbalize the use of an interdental aid he/she will be able to perform the task.
False
(T/F) The case presentation is used to encourage collaborative treatment effort between the client and the clinician.
True
(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
(T/F) If a client is involved in the design of self-care practices the success rate is likely to be favorable.
True
(T/F) Concreteness is a clinician characteristic necessary to understand a client's needs and implement change.
True
(T/F) Communication begins the minute the client steps into the dental treatment room.
False
All of the following are examples of educational interventions with the exception of one. Which is the exception?
Application of fluoride varnish
(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
(T/F) Motivational Interviewing is a form of facilitative communication.
True
(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.
Attempt to engage the client in problem-solving by not taking the problem on yourself
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
Complainer:
Interrupt the client cycle of blaming
Hostile/Aggressive:
Give the client time to run down, and maintain eye contact
Know-it-all:
Try to have the client consider alternatives
Negativist
Be prepared to take action on your own and express your plan to do so
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
(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
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
The first step in client education is to:
Establish rapport with the client
(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.
The gap between the desired performance and the actual performance in self-care is termed:
Performance discrepancy
Characteristics of the clinician while employing facilitative communication might include all of the following except one. Which one is the exception?
Lecturing
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
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)
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
All of the following are examples of educational interventions except one. Which is the exception?
Application of 2.0% neutral sodium fluoride
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
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.)
A client demonstrating flossing technique and asking questions on how to modify that technique is an example of:
Active participation
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
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)
Maslow’s theory of human needs suggests that:
Inner forces or needs drive an individuals course of action
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
Clients who do not believe that they are personally susceptible to dental disease are not likely to:
Adhere to daily plaque biofilm control regime
(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
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
Data collection procedure are
determined by the client’s condition
To assess home plaque biofilm control, when is the best time to determine a client’s plaque index?
At the beginning of the appointment
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
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
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
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
Which of the following types of behavior are considered nonverbal?
All answers are correct
(body orientation and posture, gestures, eye contact, distance, and space)
(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
The primary barrier which can be directly removed through self-care education is which of the following?
Lack of knowledge
Each of the following represents an important component of active listening except for one. Which of the following is the EXCEPTION?
Giving standard responses
(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
(T/F) The treatment intervention for a tooth presenting with cracked tooth syndrome is to place a crown.
True
(T/F) The diagnostic test best used on a tooth presenting with pulpitis is a tooth slooth.
False
(T/F) A tooth slooth is particularly effective in detecting caries.
False
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
Treatment intervention for cracked tooth syndrome is likely:
Full coverage crown
(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.
(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
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
Using a mirror and indirect lighting to observe irregularities in tooth structure is an example of:
Transillumination
Treatment of an avulsed tooth does not involve which of the following?
Scrub (you would not scrub the tooth)
(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.
(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.)
(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
Which tooth would be inappropriate for vitalometer testing?
#19 full gold crown
Dentinal sensitivity may include which of the following?
All answers are correct (mechanical, chemical and thermal stimuli)
A “tooth slooth” can be effective in detecting:
A fractured cusp or cusps
(T/F) A mandibular molar with a fractured mesial root may be treated successfully with a root canal?
False
(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
The scientific study of factors affecting normal aging and the effects of aging:
Gerontology
Total tooth loss:
edentulousness
A brain degenerative disorder that gradually destroys ability to remember, reason, learn and imagine:
Alzheimer’s
Progressive intellectual decline:
dementia
Occurs with damage to the cochlea or nerve pathways in the auditory nerve:
sensorineural hearing loss
A common side effect of many prescription and OTC drugs:
Xerostomia
Stroke:
cardiovascular accident
Fissuring/cracks at angles of the mouth, candida albicans can be associated:
angular cheilitis
A chronic, progressive disorder of the motor system:
Parkinson’s
The normal physiologic process of growing old:
senescence
(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.
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.
(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.
Each of the following is often associated with syncope except one. Which of the following is the exception?
Constricted pupils
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
(T/F) Tooth loss increase with age, but not because of age:
True
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)
In an emergency situation involving an 8-year old which of the following is the artery of choice for checking the pulse rate?
Carotid
(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.
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.
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
What care should you give to a conscious adult who is choking and cannot cough, speak or breathe?
Heimlich Maneuver
In an emergency situation involving an infant, which of the following is the artery of choice for checking the pulse rate?
Brachial
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
If a client experiences insulin shock, the primary course of action would be to
Adminsiter glucose
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)
A sudden loss of brain functioning resulting from an interference of blood supply to the brain best describes:
stroke
In older adults, the vitality of the dentin is decreased and may become insensitive and impermeable due to:
Secondary dentin formation
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)
Advanced signs of periodontal disease are more commonly seen in people 45 years and older because:
No answer is correct
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
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
Which of the following is a recommendation for patients with medication-induced xerostomia?
Use high dose 2.0% sodium fluoride gel.
Performing dental hygiene care for a client with difficulty in swallowing may require which of the following?
Seating the patient in an upright position
In the emergency treatment of angina pectoris, the mechanism of action of nitroglycerin is
relaxation of vascular smooth muscle
With age, the teeth undergo several changes including alterations in
All answers are correct (dentin, pulp, enamel, cementum)
Which of the following constitutes major buffer in saliva?
-Bicarbonate
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
(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
(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
When a drug becomes necessary for continued body functioning:
Physical Dependence
The state of mind where the person believes the drug is required for maintaining well-being:
Psychologic Dependence
A person with alcoholism who is abstaining from using alcohol:
Recovering alcoholic
The ability to endure without effect or injury; specifically the need for increased amount of the drug to achieve the same effect:
Drug Tolerance
A sensory impression (e.g., sight, sound, touch, smell, and/or taste) that has no external stimulation:
Hallucination
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
The regular use of a drug for other than its accepted medical purpose or in dosages greater than considered appropriate:
Substance abuse
Treatment to assist in recovery from the toxic effects of a drug; involves withdrawal and may include pharmacologic treatment and counseling:
Detoxification
Involuntary rapid eye movement:
Nystagmus
A drug capable of modifying mental activity; used in treating mental illness:
Psychotropic Drug
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?