behavior maintenance

Question 1

a pediatric dentist should be able to.. (in respect to behavioral guidance approaches)

Answer 1

assess accurately the child’s developmental level and dental attitudes and predict the child’s reaction to the choice of tx

Question 2

in what ways are dentists teachers

Answer 2

assess the developmental level and comprehension skills
speak to the pt on their level
use lay terminology
educate parents or caregivers

Question 3

t/f. a child’s future attitude toward dentistry is not determined by a series of successful experiences in a pleasant dental enviornment

Answer 3

false. it is determined by successful experiences

Question 4

5 goals of behavioral guidance

Answer 4

establish communication
alleviate fear and anxiety
deliver quality dental care
build a trusting relationship bt dentist and child
promote the child’s positive attitude towards oral/dental health care

Question 5

t/f. there is a direct correlation bt a mother’s anxiety and a child’s negative behavior in the dental office

Answer 5

true

Question 6

who has the greatest influence on the child’s reaction at a dental appointment

Answer 6

parent

Question 7

class 1 frankl behavioral rating scale

Answer 7

definitely negative - refusal of tx, completely uncooperative, forceful crying, fearfulness

Question 8

class 2 frankl behavioral rating scale

Answer 8

negative - cooperative, reluctant to listen/respond to questions, some progress is possible

Question 9

class 3 frankl behavioral rating scale

Answer 9

positive - cooperative, but somewhat shy/reluctant. cautious behavior at times

Question 10

class 4 frankl behavioral rating scale

Answer 10

definitely positive - completely cooperative and even enjoys tx

Question 11

wrights clinical classification of behavior #1

Answer 11

cooperative - minimal apprehension and respond well to behavior shaping

Question 12

wrights clinical classification of behavior #2

Answer 12

lacking in cooperative ability - deficient in comprehension and communication skills

Question 13

wrights clinical classification of behavior #3

Answer 13

potentially cooperative - uncontrolled, defiant, timid, tense-cooperation, whining

Question 14

t/f cooperative potential should be part of the tx planning

Answer 14

true

Question 15

non pharmacological behavioral techniques

Answer 15

communication skills, parental presence/absence, advanced behavior guidance

Question 16

the most significant and popular behavior management method in pediatric dentisty

Answer 16

tell show do

Question 17

an angry child behaves better when

Answer 17

separated from parent

Question 18

a fearful child behaves better when

Answer 18

with the parent standing behind the chair

Question 19

pharmacological behavioral technique

Answer 19

nitrous oxide

Question 20

non verbal communication

Answer 20

reinforcement and guidance of behavior through appropriate contact, posture, and facial expressions

Question 21

positive reinforcement

Answer 21

reward desired behaviors that will strengthen the recurrence of those behaviors

Question 22

distraction

Answer 22

diverting the pts attention from what may be perceived as an unpleasant procedure

Question 23

voice control

Answer 23

controlled alteration of voice volume, tone, or pace to influence and direct the pts behavior

Question 24

t/f. most parents express a wish to be present in the operatory

Answer 24

true (70.2%)

Question 25

t.f kids with special health care needs are at an increased risk for oral disease

Answer 25

true

Question 26

t/f. undeserved populations are at an increased risk for oral disease

Answer 26

true

Question 27

strategies to treating children wiht special health care needs

Answer 27

Give a tour to the pt
Give 1 instruction at a time in simple terms
Short appts
Schedule early in day

Question 28

hand over mouth technique

Answer 28

helps hysterical child regain self control and redirect inappropriate behavior, reframe a previous request, and reestablish effective communication

Question 29

t/f the hand over mouth technique is an accepted behavioral management technique

Answer 29

false, if used, you must get informed consent from parent

Question 30

t/f. you don’t need informed consent from parent before the use of protective stabilization

Answer 30

false. you do need consent (it looks like a straight jacket)

Question 31

what is the most frequently used route of administering sedation in pediatric pts

Answer 31

NO inhalation

Question 32

how long should a ped appointment be

Answer 32

45 min, do not prolong apppointments

Question 33

what is the recommended max NO concentration

Answer 33

50%

Question 34

suggested flow of NO in adults and kids

Answer 34

adult - 5-7 L/min

kids - 3 - 5 L/min

Question 35

most common premedication prior to GA

Answer 35

versed

Question 36

diazepam (valium)

Answer 36

sedation medication
oral or rectal
0.2 - 0.5 mg/kg to a max single dosage of 10 mg

Question 37

midazolam (versed)

Answer 37

sedation medication
high water solubility
oral and is given as syrup
oral - 1 mg/kg to max dose of 20 mg
syrup - 2 mg/kg

Question 38

chloral hydrate

Answer 38

sedative hypnotic
well known and widely used for peds
most common sedative agent in peds