Chp 23 Dental Hygiene Care Plan
D
All of the following are factors affecting the sequencing of dental hygiene care EXCEPT which? (Type the Letter) A. Existing etiologic factors B. Urgency C. Severity of gingival infections D. Clinical findings of malocclusion E. Severity of periodontal infections
C
All of the following are findings that indicate the severity of gingival or periodontal infections EXCEPT which? (Type the Letter) A. Increased probing depths B. Changes in color, size, or shape of the gingiva C. Proximal caries D. Tooth mobility E. Bleeding on probing
integrated, total treatment plan
Fill in the Blank: The dental hygiene care plan should be _______________ in to the _______________ _______________ __________.
sequence, interventions
Fill in the blank: The written care plan is a prioritized _________________ of evidence based dental hygiene __________________.
Regular dental appointments and preventative recommendations
For a patient with a low caries risk what should still be listed on the dental hygiene care plan under caries control?
False
True/False: A dental hygiene care plan can be oral or written.
True
True/False: A dental hygiene care plan for treatment or personal oral care outcomes is developed in consultation with the patient.
True
True/False: A dental hygiene care plan includes those services and intervention that are contained within the legal scope of practice as defined by each state practice act.
True
True/False: A dental hygiene care plan is an essential part of the dental hygiene process of care.
False
True/False: A dental hygiene care plan is an exact forecast of the care plan.
True
True/False: A dental hygiene care plan is based on all assessment data.
False
True/False: A dental hygiene care plan provides interventions and oral health care aids based on the patient's preference.
True
True/False: A dental hygiene diagnostic statement is based on an interpretation and analysis of the assessment data.
True
True/False: A dental hygiene diagnostic statement provides a basis for the treatment or care plan.
True
True/False: A multiple patient-appointment plan can be more effective for the achievement of planned oral health goals.
True
True/False: A properly prioritized and sequenced multiple patient-appointment plan is structured for patient comfort.
True
True/False: A re-evaluation appointment includes the collection of comprehensive new assessment data.
True
True/False: An example of an evaluation method for determining goal success is periodontal probing to determine reduction of pocket depths.
False
True/False: Biofilm control measures are evaluated after adding additional dental hygiene interventions.
True
True/False: Dental hygiene interventions are measures which regenerate, restore, or maintain oral health.
False
True/False: Documented informed refusal of care protects clinicians who provide treatment that does not meet their standard of care from legal action in all states.
False
True/False: During the delivery of a dental hygiene care plan, the patient should be lying back in the dental chair.
True
True/False: In the process of developing a dental hygiene care plan, the individual needs of the patient are considered.
False
True/False: Informed consent can not exist without documentation.
True
True/False: Informed consent can still be lacking even if a patient signs a document.
True
True/False: It is important to include the name of the clinician or student who prepared the written dental hygiene care plan.
False
True/False: One of the negative outcomes of presenting the dental hygiene care plan to the patient is that it undermines the basis for informed consent.
False
True/False: Periodontal therapy is considered part of Phase III therapy.
False
True/False: Planned dental hygiene interventions do not include treatments to arrest or control existing disease.
True
True/False: Presenting the dental hygiene care plan to the dentist will provide a coordinated statement to the patient's oral health needs.
True
True/False: Preventive measures are examples of planned dental hygiene interventions.
True
True/False: Sequence planning identifies the overall treatment and educational patterns for an individual patient's needs.
False
True/False: The care plan establishes hygienist-centered oral health goals for the patient.
True
True/False: The continuing care interval is determined during the re-evaluation appointment.
True
True/False: The dental hygiene care plan contains the treatment and oral health goals that address problems and risk factors.
True
True/False: The dental hygiene care plan is predicated on the dental hygiene diagnosis.
False
True/False: The dental hygiene care plan is separate from the comprehensive treatment plan.
False
True/False: The dental hygiene care plan list both self care goals and behavior goals that are established by the dental hygienist alone.
True
True/False: The dental hygiene care plan must be presented to the patient in order for them to provide informed consent.
False
True/False: The dental hygienist should dictate goals to the patient without patient input.
False
True/False: The patient's informed consent is necessary for the work performed by the dentist, but not for care performed by the dental hygienist.
True
True/False: The purpose of presenting the dental hygiene care plan to the dentist facilitates integration of the dental hygiene care plan in to the patient's total treatment plan.
True
True/False: The sequence of care for an individual patient is determined by numerous factors.
True
True/False: The ultimate success of the dental hygiene treatment will be determined by the patient's ability to remove daily biofilm.
True
True/False: The written dental hygiene care plan should include the date the written plan was prepared.
True
True/False: There should be a realistic time frame for measuring the success of personal oral health goals.
Consent
Voluntary agreement to an action proposed by another.
Periodontal/Gingival Health, Dental Caries Control, Other
What are the 3 parts of a dental hygiene care plan?
Area of patient complaint
What areas should be first treated at a dental hygiene appointment?
patient-specific goals
What do diagnostic statements based on assessment findings require the creation of?
Informed consent
What ethical and legal concept involves the ongoing process of communicating and educating patients about oral health treatment options, not only a printed form to sign?
Dental hygiene diagnosis
What is the dental hygiene care plan predicated on?
Restore and maintain oral health
What is the primary objective of a dental hygiene care plan?
Assessment Findings and Risk Factors
What section of a care plan includes a summarized description of significant findings?
Phase II Therapy
What therapy phase includes endodontic treatment, periodontal treatment, and implant placement?
B
A dental hygienist is planning the instrumentation sequence for a patient that needs scaling, debridement, and root planing. What is the reason to choose the treatment areas with the fewest teeth? (Type the Letter) A. To save time B. To make the first appointment less complicated for the patient C. To avoid anesthesia D. To avoid using mechanical instrumentation E. To follow insurance guidelines
Informed Refusal of Care
A patient's decision to refuse recommended treatment after all options, potential risks, and potential benefits have been thoroughly explained.
Informed Consent
A patient's voluntary agreement to a treatment plan after details of the proposed treatment have been presented and comprehended by the patient.
C
All of the following are components of a sequenced and prioritized dental hygiene care plan EXCEPT? (Type the Letter) A. Counseling on prevention measures B. Encouragement to maintain regular follow-up appointments C. Discussion about insurance benefits D. Individualized daily self care techniques E. Education on the etiology of oral disease
Phase I Therapy
Calculus removal is part of what therapy phase?
3
Fill in the Blank: A care plan that integrates a basic _______ part plan has a major influence on the future oral health of the patient.
biofilm control
Fill in the Blank: A plan for preventative care starts with the patient's personal daily oral ___________ _________.
observable, measurable
Fill in the Blank: Patient centered healthcare goals must describe ___________ behaviors with ____________ outcomes.
Face to face
How should the clinician and patient be positioned when discussing the care plan?
Upright
How should the patient be seated when the clinician is presenting the care plan to them?
Dental Hygiene Interventions
Measures applied to prevent, regenerate, restore, or maintain oral health and are specific to the individual patient's assessment findings and goals.
E
Mrs. Gomez is a new patient to the dental hygiene department. From her social history, it is noted that she is from Mexico City and has been in the US for 1 year. The dental hygiene assistant is fluent in Spanish. After explaining the oral condition and recommended treatment and obtaining valid informed consent and providing the treatment recommendations what step should the dental hygienist take? (Type the Letter) A. Assess the patient's ability to give informed consent. B. Use technical jargon to show that they are a professional C. Discourage the patient and the family to ask questions. D. Recommend the patietn seek a second opinion E. Document all relevant factors and include the signed form in the patient's record.
C
Mrs. Gomez is a new patient to the dental hygiene department. From her social history, it is noted that she is from Mexico City and has been in the US for 1 year. The dental hygiene assistant is fluent in Spanish. In explaining the necessary treatment, how should she proceed? (Type the Letter) A. Encourage the patient and family to ask questions B. Assess the patient's ability to give informed consent. C. Simplify the terminology so the patient can understand. D. Document all relevant factors and include the signed form in the patient's record
C
Mrs. Gomez is a new patient to the dental hygiene department. From her social history, it is noted that she is from Mexico City, has been in the US for 10 years, and speaks fluent English. After explaining the oral condition and recommended treatment, what should the dental hygienist and dental hygiene assistant do next? (Type the Letter) A. Assess the patient's ability to give informed consent. B. Simplify the terminology so the patient can understand C. Encourage the patient and the family to ask questions. D. Continue to assess the patient's understanding and reducate as often as necessary. E. Document all relevant factors and include the signed form in the patient's record.
D
Mrs. Ming is a new patient to the dental hygiene practice. English is not her first language, and no one in the practice speaks her particular dialect. When the dental hygienist asks her if she understood the request to begin an extraoral exam, Mrs. Ming bows her head. The dental hygienist is running behind schedule so he proceeds with teh examination and exposes several radiographs. Did Mrs. Ming provide appropriate informed consent? (Type the Letter) A. No, because the consent has to be verbal B. Yes, because nodding the head always indicates acceptance C. No because the consent has to be written D. No, because the dental hygienist cannot be sure the patient understood or consented. E. No, because the dental hygienist did no explain the prognosis.
D
Of the following choices which will help to promote patient comfort post treatment? (Type the Letter) A. Using sonic or ultrasonic instruments only B. Treating the quadrant with the most teeth first C. Scaling the least involved quadrant first D. Treating the maxillary and mandibular quadrants of the same side when two quadrants are selected for therapy E. Scaling the most involved quadrant first.
D
Of the following, which is key to reaching the treatment goals identified in a care/treatment plan? (Type the Letter) A. Evidence-based treatments B. The skill of the clinician C. The appointment sequencing D. The willingness and/or ability of the patient to commit to self care
Phase I Therapy
Restorative caries control is a part of what phase of therapy?
Diagnostic Statements
Statements that link the assessment findings to the probable etiology or risk factors.
Diagnosis
Term that best defines the description of the patient's problems.
Prognosis
Term that defines the expected outcomes.
Diagnosis
Term that defines the nature and rational for proposed services to treat the patient's problem(s).
Consequences
Term that refers to the risks and benefits of all treatment choices.
Implied Consent
The granting of permission of healthcare without a formal agreement between the patient and the healthcare provider.
Lifestyle Factors
The habits, attitudes, moral standards, economic status that together constitute a mode of living that are often associated with disease.
Demographic Data
The patient information that includes the patients name, age, birthday, gender, and patient's chief complaint.
Dental Hygiene Care Plan
The services within the framework of the total treatment plan to be carried out by the dental hygienist
Phase III Therapy
Therapy phase that includes biofilm control, calculus removal, and nutritional counseling.
Phase IV Therapy
Therapy phase that includes continuing care and maintenance.
Phase II Therapy
Therapy phase that includes endodontic treatment as well as periodontal treatment.
Phase III Therapy
Therapy phase that includes the placement of final restorations.
B
Which factor is likely to have the biggest impact on a patient's ability to provide informed consent? (Type the Letter) A. Insurance coverage B. Cultural differences C. The patient's status as a new patient D. The amount of time the patient has been treated by the practice E. The patient's preference for appointment scheduling
A
Which of the following is NOT included in a dental hygiene care plan? (Type the Letter) A. Correction of a restorative and prosthetic irritant B. Periodontal assessment data C. Emergency care D. Patient's participation
C
Which of the following is NOT included in the dental hygiene care plan? (Type the Letter) A. Dental biofilm control B. Periodontal response to implants/restorations C. Final Restorations D. All of the above are included
Preliminary Phase
Which phase of the master treatment plan includes emergency treatment?
Patient
Who should oral health goals and treatment planning be made in collaboration with?