Fundamentals Quiz 1

Question 1

Purpose of Personal, Dental, and Health Histories

Answer 1

Collecting and recording personal, dental, and health histories will provide information that the dental hygienist needs to assess risks and contraindications that may influence treatment planning and determine the need for supportive medical consultation.

Question 2

The personal, dental, and health histories are legal documents that enable hygienist to:

Answer 2

• Understand patient concerns, attitudes, and goals for the dental visit;
• Establish patient rapport;
• Document baseline information regarding a patient’s complete health status;
• Identify key risk factors that affect the provision of dental hygiene care;
• Determine the need for a medical consultation;
• Prepare preoperative and postoperative care plans for the prevention of medical emergencies;
• Facilitate medical and dental diagnoses of various symptoms and conditions;
• Recognize special physiologic states, such as pregnancy or menopause;
• Identify patient’s social determinants of health;
• Manage risks, and minimize potential litigation.

Question 3

Using a _____ ____, ____ ____ ____ is recommended as the dental hygienist creates a dialog to establish a ____ relationship with the patient that will promote quality care.

Answer 3

1. Culturally sensitive, patient centered approach

2. therapeutic

Question 4

The ___ ____ can uncover patient perceptions, motivation, and value of dental care

Answer 4

personal history

Question 5

The ___ ____ provides information relating to past experiences, recognizes chief complaints, and guides treatment modalities.

Answer 5

dental history

Question 6

The ___ ____ identifies existing medical conditions that may influence clinical procedures and outcomes or identify the need for prophylactic antibiotic premedication.

Answer 6

health history

Question 7

During the psychologic, systemic wellness, and oral evaluations, the foundation for __ ___making develops.

Answer 7

clinical decision

Question 8

A __ ___ __ includes documentation, building rapport through patient-centered interviewing, and verifying key elements to guide care planning.

Answer 8

complete Health History

Question 9

A preferable design health history includes a clearly-demarcated area, usually at the top of the form, to identify ___ ___ information.

Answer 9

critical medical

Question 10

Critical Medication at top of form includes

Answer 10

High-risk med alerts
antibiotic allergies
cardiovascular disease
prophylactic antibiotic premedication

Question 11

The __ __ health history is the first step in building rapport and trust with a patient. One of the primary objectives is to form __ ___ - ___ parternship

Answer 11

1. patient centered

2. Dental Hygienist- Patient Partnership

Question 12

The Dental Hygienist- Patient partnership maintains a mutual goal of

Answer 12

the patients overall well being

Question 13

Potential barriers to effective communication

Answer 13

• language/cultural differences
• Presence of a physical or mental disability
• Low level of health literacy (basic reading and math)

Question 14

Patient Risk Factors/Social Determinants of health

Answer 14

Can affect a patients willingness or ability to seek dental care
(Smoking
work stress
poor living conditions)

Question 15

process to elicit the patient’s emotions and personal health agenda that allows for a better understanding of the psychosocial context for disease.
- Shifts the focus to patient concerns, anxieties and perceptions of disease

Answer 15

Patient-centered interviewing

Question 16

5 Steps in patient centered Interviewing are:

Answer 16

1) establishing a private setting
2) elicit the patients chief concerns/setting agenda for appointment
3) using open-ended questioning to help the patient express herself or himself
4) using active listening and response techniques
5) briefly summarizing the interview for accuracy, clarification, confirmation

Question 17

Interview should occur in a private setting unless the patient is ____ or a ___ is needed

Answer 17

a minor

interpretor

Question 18

Theme in patient-centered interviewing is asking what???

Answer 18

“What has brought you in today?”

Question 19

Enables the clinician to obtain a deeper understanding of the patients concerns, improves the therapeutic relationship, and increases patient and provider satisfaction.

Answer 19

Patient-centered interview

Question 20

Motivational Interviewing Techniques

Answer 20

modify patient behavior during the interview process promotes better communication and elicits change talk

Question 21

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

Answer 21

Change Talk

Question 22

During the health history interview, the dental hygienist should observe the ____, ____ ____, ___ ____as part of the patient assessment process.

Answer 22

use of eye contact

nonverbal communication, and body language

Question 23

Patients experiencing stress, fear, and anxiety during the dental visit may be at risk for medical emergencies such as ___, _____, _____

Answer 23

Vasovagal Sycope
Cardiac Arrythmia
Hyperventilation

Question 24

Vasovagal Sycope
Cardiac Arrythmia
Hyperventilation

Answer 24

vasovagal syncope (a common cause of fainting), cardiac arrhythmia (irregular heart beat), or hyperventilation (rapid or overbreathing).

Question 25

____and __ ____ techniques and protocols should be part of the interview process and incorporated into the dental hygiene care plan as a strategy to avoid a medical emergency

Answer 25

Stress

Fearr Reduction

Question 26

patient-centered interview is an opportunity for the dental hygienist to apply effective verbal and nonverbal communication skills while adhering to two ethical obligations:

Answer 26

1) Honest Listening without prejudgment

2) hoenst responses without bias

Question 27

Back Channeling means

Answer 27

using words inlcuding “I see” or gestures such as nodding with attention/demonstrates active listening

Question 28

The use of __ ___ questions require the patient to offer more than a yes or no response

Answer 28

open ended questions

Question 29

contain demographic information, the patient’s chief complaint, and the personal, dental, and medical or health histories.

Answer 29

Comprehensive Health History

Question 30

___ ___ is necessary for conducting the business aspects of the dental practice, establishing a familiarity with new patients, and facilitating

Answer 30

Demographic Information

Question 31

Demographic Infromation may include:

Answer 31

social history: marital/family status
Occupation
Living Situation
Cultural Practices 
barriers for seeking care

Question 32

patient’s primary reason for seeking oral healthcare services and is recorded in the patient’s own words.

Answer 32

Chief Complaint

Question 33

The patient’s primary concern should be addressed ___ in the care plan to facilitate patient satisfaction, build trust, and elicit cooperation.

Answer 33

early in the care plan

Question 34

The __ __ identifies pre-exisiting conditions that are relevant for diagnosing and care planning

Answer 34

dental history

Question 35

Documents the patients overall medical health and identifies the need for medical consultations

Answer 35

Medical History

Question 36

Medical History Includes :

Answer 36

diagnosed medical conditions, current symptoms suggestive of undiagnosed conditions, use of prescription and over-the-counter medications, alcohol and illicit drug use, types of allergies, drug reactions, and the need for prophylactic antibiotic premedication .

Question 37

HIPAA

Answer 37

Health Insurance Portability and Accountability Act

Question 38

requires that all “individually identifiable” personal health information or health-related information, such as name, birth date, address, or social security number, remain private and unavailable to others without the written approval of the patient or patient’s guardian.

Answer 38

Health Insurance Portability and Accountability Act

Question 39

Once exception to HIPAA

Answer 39

In an emergency situation during which disclosing protected health information is in the best interest of the patient

Question 40

Written comments and modifications to the health history should be ____ by the patient to verify accuracy.

Answer 40

initialed

Question 41

No subjective evaluations, such as an opinion about the patient’s ___ ___, should be recorded on the treatment record unless the writer is qualified and licensed to make such evaluations.

Answer 41

Mental Health

Question 42

All patient records should be retained at least the period of the statue of limitations

Answer 42

nor more than 7 years. If possible keep records indefinitely

Question 43

Entries are written in __ ink

Answer 43

black

Question 44

Entry errors are

Answer 44

drawn line through using single line and note “error in entry, see correction below” initial, date , time

Question 45

A physical status classification system was developed by the American Society of Anesthesiologists

Answer 45

ASA to categorize medical risk on 6 levels based on disease or disorder for patients receiving local or general anesthia

Question 46

___ month after a myocardial infarction as the period with the highest degree of medical risk

Answer 46

1st month
A patient who can walk up a flight of stairs without symptomatic limitations has likely reached a safe level of functional capacity to undergo dental procedures.

Question 47

Medications can :

Answer 47

create adverse rections
affect outcomes
alter clinical treatmnet

Question 48

___ Antibiotic Premedication for the ___ of Infective _____

Answer 48

Prophylactic

Prevention of Infective Endocarditis

Question 49

Routine dental procedures such as professional prophylaxis and the administration of local anesthetics in areas of infection can introduce bacteremia into the bloodstream that can allow _________to lodge on damaged or abnormal areas of the ________________

Answer 49

• microorganisms

- heart valves and underlying connective tissue.

Question 50

Life threatening infection of the tissue lining the heart

Answer 50

Infective Endocarditis

Question 51

Dental procedures for which antibiotic premedication may be beneficial for patients at high risk include

Answer 51

manipulation of gingival and periapical tissues and the perforation of oral mucosa.

Question 52

Preventive measures are taken to avoid bacteremia and possible infection by administering prophylactic antibiotic premedication ___ to __ hour before dental procedures.

Answer 52

1/2 to 1 hour

Question 53

If the dose of antibiotic is inadvertently not administered before the procedure, the dose may be administered up to___ hours after the procedure.

Answer 53

2 hours

Question 54

An alternate suggestion is to delay the dental procedure for___days after the completion of amoxicillin antibiotic therapy and administer a one-time dose of amoxicillin before the dental procedures.

Answer 54

10

Question 55

do not recommend prophylactic antibiotic premedication, regardless of the procedure, for patients with __ ___implants.

Answer 55

Prosthetic Joint Implants or orthopedic implants

Question 56

Physician Consultation and Referral for:

Answer 56

-Condition that may need prophylactic antibiotic premedication
• Suspicion of an undiagnosed or uncontrolled medical condition
• Abnormal vital signs (see Chapter 14 )
• Precautionary treatment modifications (e.g., local anesthetics with reduced levels of vasoconstrictor (see Chapter 43 )
• Person taking anticoagulant or blood-thinning medication (e.g., warfarin [Coumadin])

Question 57

A formal ___ request for medical consultation is the preferred procedure for medical-legal documentation.

Answer 57

Written

Question 58

Patients with ASA _ through _ classification should receive elctive oral care

Answer 58

I to III