Quiz 8

A refractory case is one that is: a) often undiagnosed. b) considered treatment resistant. c) seen twice a year. d) all of the above.

b

All of the following are reasons to refer to the periodontist except: a) patient presents with uncommon periodontal disease. b) patient presents with pocket depths no greater than 4 mm. c) patient presents with recurrent periodontal abscesses. d) patient presents with necrotizing ulcerative gingivitis.

b

Criteria or protocols that define the minimal quality of care required to defend against a legal dispute against the practice of one's profession are known as which of the following? a) Formative evaluation b) Standard of care c) Objectives d) Outcomes assessment

b

Evaluation data following treatment are recorded in an unrelated format to the pretreatment assessment data, which facilitates comparison and analysis of outcomes. a) True b) False

b

The dental hygienist realizes that this is the third patient this week who has complained about the length of time taken for scaling and root planing. After consulting with other hygienists, she learns that she is spending much longer on this procedure than they are. She determines that she is taking too much time on this procedure. These statements are an example of which step in the critical incident approach to reflection and self-assessment? a) Description b) Analysis c) Application d) Documentation

b

What is primarily noted as a part of periodontal probing? a) Changes in tissue color b) Bleeding points c) Biofilm score d) Residual calculus deposits

b

Which of the following can assist the dental hygienist to determine a need to enhance specific clinical skills and abilities or develop a plan for continuing education that supports personal professional goals? a) Interview evaluation b) Self-assessment c) Immediate evaluation d) Tactile evaluation

b

Which of the following includes all of the components in the dental hygiene process of care in proper order and should be followed with the continuing care appointment? a) Plan, implement, assess, evaluate, decide, and determine b) Assess, diagnose, plan, implement, evaluate, and document c) Investigate, assess, plan, implement, evaluate, and calculate d) Evaluate, interview, implement, plan, record, and dismiss

b

A formal approach used to evaluate dental hygiene practice that takes the form of answering questions about a specific situation is which of the following? a) Dental hygiene process of care b) Standard of care c) Critical incident approach d) Summative evaluation

c

Evidence suggests patients with a history of periodontal disease need to be seen ____ times a year to decrease the risk for progression of the disease. a) two b) three c) four d) six

c

Read the Rikki Claire Case Study to answer the following question. Which of the following leads you to believe Rikki Claire may have a recurrence of her periodontal infection? a) Rikki Claire's gingiva is pink, firm, and stippled. b) Rikki Claire takes Synthroid. c) There is no evidence to support recurrent periodontal infection. d) Rikki Claire has a recurrent decay. e) Rikki Claire's probe readings are less than 3 mm.

c

The extent to which a patient's oral health behaviors coincide with the dental hygienist's recommendations is known as which of the following? a) Remission b) Consultation c) Compliance d) Recall

c

Using an explorer to check for residual calculus or evaluating to make sure there has been no undue tissue trauma at the end of a scaling and root planing procedure is an example of which type of evaluation? a) Formative b) Ongoing c) Immediate d) Summative

c

Which of the following best describes the primary objective of dental hygiene continuing care? a) Evaluation by the dentist b) To determine dental hygiene goals c) To continue the healthy state attained during active therapy d) Implementation of the dental hygiene care by the hygienist

c

Which one of the following is NOT an iatrogenic factor? a) Calculus b) Restoration c) Missing tooth d) Overhangs

c

Which standard relates to identifying, prioritizing, and sequencing interventions? a) Standard 1: Assessment b) Standard 2: Dental Hygiene Diagnosis c) Standard 3: Planning d) Standard 4: Implementation

c

Which type of evaluation is best for determining the success of factors associated with patient comfort during treatment, patient understanding of recommendations and self-care instructions, or effectiveness of clinician's communication approaches? a) Visual inspection b) Tactile evaluation c) Interview evaluation d) Periodontal probing

c

A patient presents for scaling and root planing. After 45 minutes, the patient complains that the scaling is taking so long and refuses to continue with treatment. This statement is an example of which step in the critical incident approach to reflection and self-assessment? a) Description b) Analysis c) Application d) Documentation

a

A systematic determination of worth, value, or significance is which of the following? a) Evaluation b) Visual Inspection c) Standard of Care d) Self-Assessment

a

Analysis and critical decision-making best describe which standard for delivery of dental hygiene care as defined by the ADHA Standards for Clinical Dental Hygiene Practice? a) Standard 2: Dental Hygiene Diagnosis b) Standard 4: Implementation c) Standard 5: Evaluation d) Standard 6: Documentation

a

Collecting information during any dental hygiene appointment, such as a patient's need for pain control, is an example of which type of evaluation? a) Formative b) Ongoing c) Immediate d) Summative

a

Collecting personal, dental, and health history information pertains to which standard for delivery of dental hygiene care as defined by the ADHA Standards for Clinical Dental Hygiene Practice? a) Standard 1: Assessment b) Standard 3: Planning c) Standard 5: Evaluation d) Standard 6: Documentation

a

Read the Rikki Claire Case Study to answer the following question. In scheduling Rikki Claire for her next continuing care appointment the monthly reminder method is used. Which of the following is not a part of the monthly reminder method? a) Scheduling her next appointment before she leaves today's appointment b) Filing her card in the month she is next due c) Entering her name in the computer under the month she is due in next d) Mailing her a reminder a month before she is next due for a continuing care appointment

a

Read the Rikki Claire Case Study to answer the following question. Open and read the attached case to answer the following question. Which type of periodontal continuing care therapy is Rikki Claire's current appointment? a) Posttreatment b) Compromise c) Preventive d) Trial

a

Read the Rikki Claire Case Study to answer the following question. Which item found in Rikki Claire's assessment would most likely increase the frequency of her continuing care appointments? a) She now has diabetes. b) Her plaque score of 15% c) She has stopped smoking. d) She has stopped smoking. e) Her recurrent decay f) Her motivation and compliance

a

Read the Rikki Claire Case Study to answer the following question. Which of the following is not a contributing factor in determining Rikki Claire's continuing care frequency? a) Her stained teeth b) Her diabetes c) Her smoking d) Her recurrent decay e) Her plaque scores

a

Which of the following is an example of an expected prevention outcome following a dental hygiene intervention? a) Periodontal probing b) Visual inspection c) Tactile evaluation d) Interview evaluation

a

Which of the following is the major feature in total program of etiologic factors are to be kept under control? a) Patient compliance in faithful personal daily care b) Effective scaling technique by the dental hygienist c) Prompt identification of dental caries by the dentist d) Accurate periodontal probing by the dental hygienist

a

Which three questions are posed in the critical incident approach to reflection and self-assessment? a) "What?" "So what?" and "Now what?" b) "Who?" "What?" and "Where?" c) "When?" "Why?" and "Where?" d) "How?" "How much?" "How often?"

a

A. Compromise periodontal maintenance (PM) provides an interim study period for borderline patients with conditions that must be observed and further evaluated. B. Trial PM is intended to slow the progress of disease in patients for whom corrective surgery and other advanced treatment cannot be implemented. a) Statement A is correct and statement B is correct. b) Statement A is correct and statement B is incorrect. c) Statement A is incorrect and statement B is correct. d) Statement A is incorrect and statement B is incorrect.

d

All of the following are expected Dental Caries Risk Outcomes after dental hygiene interventions except: a) no new cavitated lesions. b) demineralized/nonactivated areas resolved. c) reduced intake of cariogenic foods/beverages. d) decreased fluoride use.

d

During continuing care, the patient is considered: a) the client b) the decision maker c) the agent d) the co-therapist

d

When scheduling continuing care appointments all of the following are factors to consider except one. Which one is the exception? a) Predisposing diseases b) High risk for dental carious lesions c) High risk for periodontal diseases d) The patient's dental insurance carrier

d

When should you typically schedule continuing care appointments for your patients? a) Every 2 to 4 months b) Every 6 months c) Annually d) As needed

d

Which of the following is an example of an expected prevention outcome following a dental hygiene intervention? a) Reduced swelling/edema b) Smooth tooth surfaces with calculus removed c) Reduced probing depths d) Increased percentage of biofilm-free areas

d

Which of the following is not a source for determining standard of care in a legal dispute? a) Opinion of expert witnesses b) Journals from recognized professional associations c) Federal, state, or local statues and/or regulations d) Opinion of the staff of the dental practice in question

d

Which of the following is not one of the three methods of administering a continuing care plan mentioned in Chapter 48? a) Prebooking b) Monthly reminders c) Electronic media d) Telephone recalls

d

Which one of the following is NOT a therapeutic goal for PM? a) Prevent the recurrence of disease b) Maintain the state of periodontal health attained during periodontal therapy c) Prevent or reduce the incidence of tooth or implant loss with careful monitoring d) Decrease timely identification of the need for treatment

d

Which type of evaluation is best for determining the success of factors associated with patient comfort during treatment, patient understanding of recommendations and self-care instructions, or effectiveness of clinician's communication approaches? a) Periodontal probing b) Visual inspection c) Tactile evaluation d) Interview evaluation

d

Recolonization of a periodontal pocket without daily dental biofilm control may recur in an average of how many days? a) 2 days b) 4 days c) 22 days d) 24 days e) 42 days

e

Which of the following patients will most likely not require frequent continuing care intervals? a) Diabetic patients b) Mentally disabled persons c) Orthodontic patients d) Persons with rampant dental caries e) A health pregnant patient

e