Chapter 13 Health Histories

Question 1

Basic reading and numerical skills that allow a person to function in the healthcare environment - or reading comprehension requiring verbal confirmation for information accuracy

Answer 1

Health literacy

Question 2

Risk factors identified during the interview process, i.e. smoking, work stress, etc.

Answer 2

Social determinants of health

Question 3

A process to elicit the patient’s emotions and personal health agenda that allows for better understanding of the psychosocial context for disease

Answer 3

Patient-centered interviewing

Question 4

What are the dimensions of a health history?

Answer 4

physical, spiritual, emotional, cognitive, societal, and personal

Question 5

A technique that encourages patients to discuss their desires, abilities, reasons, and need for dental care

Answer 5

Change talk

Question 6

Response technique using words including “I see”, and gestures such as nodding with an attentive gaze, to demonstrate active listening

Answer 6

Back channeling

Question 7

ASA Classifications

Answer 7

I, II, III, IV, V, VI

Question 8

If a patient marked that he takes Lisinopril on his health history, there is no need for follow up questions, true or false?

Answer 8

False

Question 9

The client’s health history assessment is important for all of the following reasons EXCEPT one. Which one is the EXCEPTION?

It identifies the client with poor value for oral health.

Pre-existing medical conditions may complicate dental hygiene procedures.

Pre-existing medical conditions may influence the dental hygiene care plan.

Pre-existing medical conditions may create a need for prophylactic antibiotic premedication.

Answer 9

It identifies the client with poor value for oral health.

Question 10

A patient with poorly controlled diabetes would have and American Society of Anesthesiologists (ASA0 physical status classification of:

I

II

III

IV

Answer 10

IV

Question 11

A Patient who smokes tobacco would have an ASA classification of:

I

II

III

Answer 11

II

Question 12

Which is not a recommended prophylactic antibiotic premedication?

Clindamycin 2 g

Amoxicillin 2G

Cephalexin

Answer 12

Clindamycin 2 g

Question 13

Clindamycin has high risk of causing severe side effects, particularly Clostridium difficile colitis, true or false?

Answer 13

True

Question 14

Collecting a patient’s personal history is important because it
helps to?

Answer 14

• Identify risk factors and social
  determinants of health
• Document baseline information
• Help the RDH in tailoring a care plan
• Help the RDH to better understand the
  patient’s concerns, attitude, and desires
  for the appt.

Question 15

List reasons why collecting a patient’s dental history is important.

Answer 15

Collecting a patient’s dental history is important because it identifies pre-existing conditions that are relevant for diagnosing and planning care.

Question 16

List reasons why collecting a patient’s medical history is important.

Answer 16

Medical history is important as it documents a patient’s overall medical health but also identifies if there is a need for a medical consultation.

Question 17

What are two ethical obligations the dental hygienist should apply
when communicating verbally and nonverbally to patients?

Answer 17

• Maintain confidentiality
• Responsibility to patient autonomy and
  education

Question 18

List reasons why the dental history of a patient is important.

Answer 18

A patient’s dental history informs the dental provider about a patient’s oral health background. It is a tool that can be
utilized to help build a patient’s care plan.

Question 19

A patient notes several food, environmental, and medication allergies
on his medical health history form. What would be a major concern
when treating this patient?

Answer 19

Anaphylaxis

Question 20

List conditions that would initiate a medical consultation.

Answer 20

Cardiac conditions that put the patient at risk for infective endocarditis, joint replacements within 6 months, uncontrolled diabetes, kidney/liver failure, cancer, blood thinners, high BP