Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PEDO (Spring) > 1. Behavioral Management > Flashcards

1. Behavioral Management Flashcards

1
Q

The AAPD encourages parents an other care providers to help every child establish a dental home by what age

A

No earlier than 6 months no later than 12 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the most common chronic childhood disease

A

dental caries

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Dental caries are _ time more common than hayfever and _ times more common than asthma

A

7… 5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are the three components of the pedo treatment triangle for ideal conditions (well behaved kid) and describe their arrangement

A

Apex of the triangle= Child patient
Family (mother)
Dentist and environment
Society is in the middle of the triangle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Why is society in the middle of the treatment triangle

A

society impacts how the child and parent respond and influenced much of what we do

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why is the child at the top of the triangle

A

Because they are the focus of the appointment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The personalities of the people at the corners of the treatment triangle are always_

A

changing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

T/F Hand over mouth exercise used to be an accepted practice by the AAPD

A

t- it no longer is

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Purpose of hand-over-mouth exercise

A

gain attention of highly oppositional child so that communication can be established

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Poor maladaptive acts (like screaming, kicking, etc.) are linked to what at home?

A

restraint

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cooperative behavior is related to what at home?

A

Removal of the restriction and the use of positive reinforcement (praise)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Describe how the treatment triangle changes when less-than-ideal circumstances occur

A

Dentist is at the apex
Triangle is inverted
Conflict and tension exist rather than harmony and trust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Behavior guidance techniques (pharmacological and non-pharmacological) are used to…

A
  • Alleviate anxiety
  • Provide safe and quality treatment
  • Nurture positive dental attitude
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Predictors of child behavior

A
  • Patient attributes (i.e how verbal are they, developmental level, etc.)
  • Parental Influences
  • Orientation to dental environment (friendly play area)
  • Patient assessment (Past experiences, current emotional state)
  • Dentist/Dental team behaviors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Potential patient attributes that may be a reason for non-compliance are

A
  • developmental delays
  • chronic disease
  • physical disability
  • Cultural and linguistic factors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Easing a patient into the dental environment can be achieved by….

A
  • Giving the a pre-appointment tour of the office

- Friendly waiting room environment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What method of listening is good to establish trust with kids

A

reflective listening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are some basic behavior guidance techniques

A
  • Direct observation
  • Tell-show-do
  • Ask-tell-ask
  • Voice control
  • Non-verbal communication
  • Positive reinforcement and descriptive praise
  • Distraction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is direct observation

A

patients are shown either a live example or a video of a well behaved patient undergoing dental treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Describe tell-show-do

A

Tell
-Verbally explain the procedure

Show
-Demonstrate the visual, auditory, olfactory and tactile aspect of the procedure

Do
-Without deviating from the explanation complete procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Describe Ask-Tell-Ask

A

Ask
-Ask about the feelings of the patient toward the visit

Tell

  • Explain the procedure
  • Use demonstrations
  • Provide information pertaining to their concerns

Ask
-Ask again how the patient feels about the procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Describe voice control

A
  • Alteration of voice, volume, tone, or pace to direct behavior
  • Way want to explain this to the parents before doing it to prevent misunderstanding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Contraindications for voice control

A

hearing impaired patients

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Describe non-verbal communication

A
  • contact
  • posture
  • Facial expression
  • Body language
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is descriptive praise

A

emphasizes specific cooperative behaviors

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Examples of social reinforcers are…. and non-social reinforcers

A

Social reinforcers

  • verbal praise
  • facial expressions

Non-social reinforcers

  • toys
  • tokens
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Effective distractions

A
  • Giving the kid a break during a stressful procedure
  • audiovisual eyeglasses
  • story telling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What does HOME stand for

A

hand over mouth exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What are the rules of Learning theory for good and bad behavior

A
  • Maladaptive acts (kicking and screaming) are linked to restraint (HOME)
  • Cooperative behavior is related to removal of the restriction and the use of positive reinforcment (praise)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

T/F HOME is still a part of the AAPD clinical guidelines

A

f

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

How do dentists decide what behavior management techniques to use

A

Depends on

  • Skill of practitioner
  • Patient
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

T/F now-a-days there are an increasing number of kids with poor coping skills and can’t adapt to new environments as well

A

T- reason being are evolving parenting styles

33
Q

What are advanced behavior guidance techniques

A
  • Protective stabilization
  • Sedation
  • General anesthesia
34
Q

What is memory restructuring

A

Behavioral approach when a negative memory is restructured into a positive memory after the event has taken place

35
Q

Memory restructuring involves what four components

A
  • Visual reminders
  • Positive reinforcement through verbalization
  • Concrete examples to encode sensory details
  • Sense of accomplishment
36
Q

Which of the four components of memory restructuring is this:

-Praising the child for specific positive behavior (i.e keeping their hands on their lap or opening wide)

A

Concrete examples to encode sensory details

37
Q

Which of the four components of memory restructuring is this:
-Photo of the child smiling at the visit

A

visual reminder

38
Q

Which of the four components of memory restructuring is this:
-Ask child to demonstrate behaviors

A

Sense of accomplishment

39
Q

Which of the four components of memory restructuring is this:
-Asking if the child told their parent about what a good job they did at the last appointment

A

positive reinforcement through verbalization

40
Q

Which of the four components of memory restructuring is this:
Ask the child to role play and tell the dentist what she had told the parent

A

positive reinforcement through verbalization

41
Q

T/F A wide diversity exists in practitioner philosophy and parental attitude regarding the parent’s presence or absence during the dental treatment

A

t

42
Q

Challenges in open and clear communication between the dentist and parent are

A
  • Socioeconomic status
  • Stress level
  • marital discord
  • Cultural differences
  • Linguistic skills
43
Q

What techniques can be used to enhance communication between the dentist and parent

A
  • Ask tell ask
  • Teach back
  • Motivational interviewing
44
Q

Nitrous oxide sedation with (increase/decrease) child’s communication

A

increase

45
Q

T/F Nitrous can’t be titrated

A

f it can (titration technique v.s rapid induction)

46
Q

Children requiring advanced behavior guidance technique often can’t cooperate for what reasons

A

Lack of….

  • Psycological maturity
  • Emotional maturity
  • Mental/physical/medical disability
47
Q

Describe the goal of protective stabilization

A

restrict patient’s freedom of movement to allow safe completion of treatment

48
Q

Restriction for protective stabilization may come from

A
  • Another human
  • A stabilization device
  • A combination
49
Q

Does protective stabilization require consent

A

yes

50
Q

What are the adverse consequences of protective stabilization

A
  • Physical harm
  • Psychological harm
  • Loss of dignity
  • Violation of patient rights
51
Q

Protective stabilization is indicated when

A
  • Patient’s require immediate Dx and or urgent limited treatment and can’t cooperate due to lack of maturity or mental or physical disability
  • Emergent care is needed and uncontrolled movements risk saftey of the patient, staff, dentist, or parent
  • Sedated patients require limited stabilization to help reduce untoward movement
  • Previously cooperative patient becomes uncooperative and used to expedite completion of treatment
52
Q

Protective stabilization should be used with caution in what types of patients

A
  • Respiratory compromise (i.e asthma)

- Patients on meds that cause respiratory depression (i.e LA or sedatives)

53
Q

Patients under protective stabilization must be monitored (continuously/intermittently)

A

continuously

54
Q

General anesthesia is a state of (consciousness/unconsciousness)

A

unconsciousness

55
Q

T/F Patient is often able to maintain protective reflexes when under GA

A

f

56
Q

Signs of pain during treatment are

A
  • Facial expressions
  • Crying
  • Complaining
  • Body movement
57
Q

What is the more reliable and frequently used scale to record a child’s behavior during visits

A

frankl scale

58
Q

In addition to the frankl scale what other documentation should be included regarding the child’s behavior

A
  • Verbal or non-verbal

- Things you said that made them cooperate

59
Q

Describe a kid who is Frankl 1

A
  • Definitely negative
  • Refusal of treatment
  • Forceful crying
  • Fearfulness
  • Any other over evidence of extreme negativism
60
Q

Describe a kid who is Frankl 2

A
  • Negative
  • Reluctant to accept treatment
  • Uncooperative
  • Some evidence of negative attitude but not pronounced (sullen, withdrawn)
61
Q

Describe a kid who is Frankl 3

A
  • Positive
  • Accepted treatment
  • cautious behavior at times
  • Willing to comply (at times with reservation)
  • Patient follows dentist instructions cooperatively
62
Q

Describe a kid who is Frankl 4

A
  • Good rapport with dentist
  • Interest in the dental procedures
  • Laughter and enjoyment
63
Q

Why do we want to record behavior

A

as a diagnostic aid in future visits

64
Q

Informed consent is needed for which of the following

  • Protective stabilization
  • Sedation
  • GA
A

All the about (all advanced behavior guidance techniques require consent)

65
Q

What types of therapeutic interventions can be use to help get the kid out of pain while being able to defer treatment to another day until child can cooperate better

A
  • Intrim intervention (i.e intrim therapeutic restoration (ITR))
  • Fluoride varnish
  • Antibiotics
66
Q

When should treatment deferral be considered

A
  • Treatment is in progress and kid becomes uncontrolable

- When a temporary treatment can be done to get the child out of pain til definitive treatment is rendered

67
Q

Contraindications for pulpotomy

A
  • Swelling or pulpal origin
  • Fistula
  • Pathologic mobility
  • Pathologic external root resorption
  • Internal root resorption
  • Periapical or interradicular (ferrcal) RL
  • Pulp calcification
  • Excessive bleeding from the amputated radicular stumps
  • *History of spontaneous or nocternal pain to percusion or palpation**
  • Need at least 2/3rds the root remaining*
68
Q

ASD stands for

A

autism spectrum disorder

69
Q

ASD is characterized by

A
  • Social-interaction difficulties
  • Social communication challenges
  • Tendency to engage is repetitive behaviors
70
Q

The aspects of social interaction with kids with autism includes…

A
  • Poor eye contact
  • Lack of facial expressions
  • Inability to read facial expressions or understand gestures
  • Difficulty with social reciprocity (i.e failure of normal back/forth conversation, failure to respond)
  • Difficulty with developing, maintaining, and understanding relationships (difficulties in sharing imaginative play or in making friends to an absence of interest in peers)
71
Q

What percent of ASD people are non-verbal

A

40%

72
Q

Do non-verbal individuals necessarily not know language

A

no

73
Q

In addition to difficulties in social situations kids with autism also have what other issues

A

sensory processing issues

  • hypersensitive to sounds, smells, sights, tastes, textures, human touch
  • However some are HYPOsensitive to those things

Repetitive behaviors such as…

  • Repetitive body movements or using objects in repetitive manner rather than using the objects in ways they are intended to be used
  • Highly sensitive to changes in their environment
  • Intensely focused or attached to unusual objects
  • *Should see the same dentist and other staff members at each visit**
74
Q

What are the six areas of impairment in ASD

A

Social communication

  • Intelligence
  • Social anxiety
  • Use of language
  • Form of language

Narrow Interests (including sensory and repetitive motor behaviors and mannerisms)

  • Repetition
  • Stickiness (don’t want their environment to change)
75
Q

T/F ASD patients have higher rates of caries than non ASD pateints

A

F- lower

76
Q

Depending on the severity of autism what oral conditions may exist

A
  • Bruxism –> wear
  • Non-nutritive chewing
  • Tongue thrusting
  • Self-injury
  • Erosion
  • Xerostomia
  • Hypergag reflex
77
Q

Patients with autism may have significant anxiety about going to the dentist how can you make it better

A
  • Give them a tour before their appointment
  • Tell them what they can expect to see
  • Sent the parent an initial intake form
    • Does child prefer dimly lit room? Do certain tastes bother them? Do they perfer quite?
  • Consider scheduling at a time the office is less busy
  • People with ASD respond well to advanced preparation or pre-teaching
  • Consider where they should wait (lobby v.s car)
  • Bring another child or adult to help
  • Comfort object
  • Create a series of short dental office visits
  • Consider their reaction to sensory stimuli
    • May benefit from wearing headphones
    • May like lead apron during treatment
    • Dim operating lights
    • Have kid wear subglasses
    • Ensure a clutter free environment
78
Q

give an example of descriptive praise

A

-Specific verbal praise for an action “you did a great job opening wide for me”

PEDO (Spring) (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions