Management1 Flashcards
Arrange the following steps of the educational process in correct order.
- expressing needs
- stimulating motivation
- recognizing needs
- evaluating results
- reinforcing learning
- setting goals
- acting to achieve goals
recognizing needs expressing needs stimulating motivation setting goals acting to achieve goals reinforcing learning evaluating results
Identify each of the following statements that are true concerning needs and learning.
• needs are driving forces that prompt a person to act
• the process of learning is continuous
• learning occurs as a person attempts to satisfy needs
• expressing needs helps to pinpoint them for the patient and dentist
• recording educational needs can be as important as recording treatment needs
• all of the above statements are true
all of the above statements are true
Most researchers believe that changes in behavior are a prerequisite to changes in attitude.
Behavior can be defined as a determined, purposeful unit of activity.
• both statements are true
• both statements are false
• the first statement is true, the second is false
• the first statement is false, the second is true
both statements are true
The principal nonverbal cue that two or more persons can use to regulate verbal communication is: • posture • facial expression • eye contact • gestures • proximity
eye contact
a mutual sense of trust and openness between individuals?
rapport
the ability to experience the feelings of another person?
empathy
Which term describes a behavioral response that operates by the simple process of association of one stimulus with another?
• operant conditioning
• classical conditioning
• observational learning
classical conditioning
positive reinforcement, negative reinforcement, punishment & extinction are four types of ?
operant conditioning (the likelihood of a specific behavior is increased or decreased through positive or negative reinforcement each time the behavior is exhibited)
Which type of aggression is an act of hostility unnecessary for self-protection or preservation that is directed toward an external object or person?
• destructive aggression
• inward aggression
• constructive aggression
destructive aggression
Which one of the following types of patients is usually considered to be the most difficult? • the "know-it-all" patient • the anxious patient • the shy patient • the talkative patient • the stubborn patient
the anxious patient
Which type of parent has an excessively demanding attitude? • neglectful parent • overprotective parent • manipulative parent • hostile parent
manipulative parent
Dental fear is an unpleasant mental, emotional or physiologic sensation derived from a specific dental related stimulus.
Someone who experiences fear will not necessarily be anticipating a negative event, their response will occur at the moment the unpleasant event (e.g., pain) occurs.
• both statements are true
• both statements are false
• the first statement is true, the second is false
• the first statement is false, the second is true
both statements are true
A 32-year-old woman visits the dental office for a routine dental cleaning. The dental hygienist discovers that the patient has not been following the home care program that was recommended six months ago. The hygienist believes that the problem is not a skills deficiency but a management deficiency instead. What is the best course of action for the hygienist?
• accept that the patient might never change her habits
• provide the patient with a pamphlet on periodontal disease
• collaborate with the dentist to determine the course of action
• go over brushing & flossing techniques
collaborate with the dentist to determine the course of action
Behavior shaping is also called: • aversive conditioning • successive approximation • restraining • hypnodontics
successive approximation
using a punishment or something unpleasant to stop an unwanted behavior
aversive conditioning (less effective than reinforcement)
any form of restriction of movement by a patient in the dental environment?
dental restraint
Which one of the following is a conceptual framework that describes a person's health behavior as an expression of his or her health beliefs? • health maintenance model • health role model • health belief model • leading circle model
health belief model
Behavior modification is also known as: • behavior evaluation • behavior therapy • behavior shaping • behavior training
behavior therapy
Five techniques are used to facilitate patient dialogue: empathy, respect, reflection, interpretation and silence.
Reflection is the explanation and understanding of the patient’s comments.
• both statements are true
• both statements are false
• the first statement is true, the second is false
• the first statement is false, the second is true
the first statement is true, the second is false (it is interpretation, reflection is a response that restates or repeats a segment of the patient’s statement)
Each of the following are ways to communicate effectively with patients EXCEPT one. Which one is the EXCEPTION? • describe • evaluate • be specific • be responsive • pay attention
evaluate
Each of the following are considered to be aversive conditions of interaction between the dentist and patient EXCEPT one. Which one is the EXCEPTION? • psychophysiological reactions • stress, anxiety & fear • preventive oral health behavior • pain
preventive oral health behavior
Which of the following suggests that change does not happen in one step and people tend to progress through different stages on their way to successful change. • ABC model (behavior theory model) • stages of change model (SCM) • social cognitive theory • contemporary public health model
stages of change model (SCM)
Behavior is preceded by an Antecedent that sets off the behavior and is followed by a Consequence
ABC model (behavior theory model)
behaviors are learned through observation, modeling & motivation such as positive reinforcement
social cognitive theory
Which of the following is an essential part of risk management? • veracity • documentation • autonomy • negligence
documentation (legal competence, informed consent, liability, confidentiality and documentation)
Identify which one of the following is a false statement concerning personal protective equipment (PPE):
- protective clothing must be worn by dental professionals when contact with blood or other bodily fluids is anticipated
- gloves must be worn to prevent contact with blood, saliva or mucous membranes
- wearing gloves replaces the need for handwashing
- protective clothing must be removed before leaving the dental office
- masks must be changed between patients
wearing gloves replaces the need for handwashing
Identify each of the following that is a true statement regarding the laundering of contaminated laundry in the dental setting:
- contaminated laundry must be handled as little as possible
- the dentist may choose to use an outside laundry service
- the dentist or assigned office personnel may launder the clothes on-site
- contaminated laundry should be bagged at the location of use
- contaminated laundry should be handled with appropriate PPE
- if contaminated laundry is transported to a laundromat, the employee must be trained in the handling of contaminated laundry
all statements are true
any surface directly contaminated from patient materials, gloved hands, blood, or OPIM ((other potentially infectious material)) is called?
clinical contact surface
a chemical agent used to destroy recognized pathogens; kills some but not all microorganisms
disinfectant
a germicide effective against Salmonella choleraesuis, Staphylococcal aureus and Pseudomonas aeruginosa?
hospital disinfectant
a disinfectant that makes the label claim tuberculocidal
intermediate level disinfectant
an agent capable of inactivating Mycobacterium tuberculosis
tuberculocidal
a germicide effective against HIV and HBV?
low level disinfectant
The interpretation of the Centers for Disease Control & Prevention (CDC) recommended infection control practices in dental healthcare settings varies from state to state; not all guidelines apply in all states.
The CDC recommended infection control practices in dental healthcare settings are stand-alone guidelines and are not required to be used in conjunction with OSHA practices & procedures.
• both statements are true
• both statements are false
• the first statement is true, the second is false
• the first statement is false, the second is true
both statements are false
Instruments in the dental practice can all be classified as either critical or noncritical.
For infection to occur, these three conditions must be present: a susceptible host, a pathogen with sufficient infectivity and numbers to cause infection, and, a portal of entry through which the pathogen may enter the host.
• both statements are true
• both statements are false
• the first statement is true, the second is false
• the first statement is false, the second is true
the first statement is false, the second is true (classified as critical, semicritical or noncritical)
critical instruments such as?
forceps, scalpels, bone chisels, scalers and surgical burs
semicritical instruments such as?
x-ray beam alignment devices, mirrors, amalgam condensers and burs
noncritical instruments ? come in contact with mucous membranes
do not
treatment of water supplies to reduce microbial counts to safe public health levels
sanitization
to expose food to an elevated temperature for a period of time sufficient to destroy certain diseasecausing microorganisms;
pasteurization (the target of pasteurization is the destruction of Mycobacterium tuberculosis)
Identify each of the following that is a true statement regarding the purpose of cleaning prior to disinfection:
- cleaning destroys all pathogens
- cleaning reduces the concentration of pathogens
- cleaning removes blood and debris which can interfere with disinfection
- cleaning is optional prior to disinfection
- cleaning reduces the concentration of pathogens
* cleaning removes blood and debris which can interfere with disinfection
Identify the term that BEST describes the complete destruction of all forms of microbial life, including heat-resistant bacterial spores: • pasteurization • sanitization • sterilization • disinfection
sterilization
three equipment options for heat sterilization include ?
the autoclave, the chemical vapor sterilizer and the dry
heat oven
sterilizers must be monitored for proper functioning. this is done via?
via the use of biological indicators (BI) or spore tests
how often spore testing of all sterilizers is recommend ?
weekly
Identify the type of pathogen that provides the ultimate test for efficacy of sterilization: • fungal organisms • HIV • hepatitis B virus • bacterial spores
bacterial spores
For a steam autoclave, identify each of the following that lists the correct temperature, pressure and time that must be used for sterilization. • 250° F, 15 psi, 20 minutes • 270° F, 30 psi, 08 minutes • 270° F, 20 psi, 20 minutes • 320° F, 20 psi, 20 minutes
- 250° F (121 °C), 15 psi, 20 minutes
* 270° F (132 °C), 30 psi, 08 minutes
Autoclave disadvantages?
- corrosion of unprotected carbon steel instruments
- dulling of unprotected cutting edges
- packages may remain wet at the end of a cycle
- use of hard water may leave deposits
- possible destruction of heat sensitive materials
For a dry heat oven, identify the correct temperature and time that must be used for sterilization. • 375° F, 60 minutes • 375° F, 120 minutes • 320° F, 60 minutes • 320° F, 120 minutes
320° F, 120 minutes
375° F, 12 minutes for wrapped items and 6 minutes for unwrapped items
For a chemical vapor sterilizer, identify the correct temperature, pressure and time that must be used for sterilization. • 250° F, 20 psi, 20-40 minutes • 250° F, 30 psi, 40-60 minutes • 270° F, 15 psi, 40-60 minutes • 270° F, 20 psi, 20-40 minutes
270° F (132 °C), 20 psi, 20-40 minutes
chemical vapor sterilizer advantages
- no corrosion of metal instruments including carbon steel
- no dulling of cutting edges
- suitable for orthodontic stainless wires
which sterile method can sterilize liquids?
steam autoclave
How many hours are required to kill bacterial spores when a dental instrument is placed in a 2% solution of glutaraldehyde ("cold sterilization")? • 8 hours • 10 hours • 12 hours • 24 hours
10 hours
Identify which one of the following is the most efficient way to kill microbes: • cold sterilization • heat sterilization • glutaraldehyde • all of the above
heat sterilization
- moist heat destroys bacteria by ?
* dry heat destroys bacteria by ?
- denaturation
* coagulation
Identify which one of the following is a false statement concerning infection control in the dental setting:
• exposure is not synonymous with infection
• do not disinfect what you can sterilize
• environmental surfaces must be sterilized between patients
• all dental patients can be treated using standard bloodborne precautions
environmental surfaces must be sterilized between patients (thorough cleaning of the surfaces is sufficient)
Identify which one of the following is a false statement regarding potential operator errors that may cause the failure of a spore test:
• the sterilizer was overloaded
• the sterilizer cycle was interrupted
• improper packaging was used
• inadequate time, temperature and/or pressure was used
• inadequate warm up time was completed
• mineral deposit build up
mineral deposit build up (it is an EQUIPMENT PROBLEM)
Identify which one of the following is a true statement concerning chemical monitoring:
• chemical monitoring is a definitive means of determining sterilization
• chemical monitoring determines if critical pressure has been reached
• chemical monitoring uses heat sensitive chemicals
• when a chemical indicator changes color, sterilization is complete
• a chemical indicator is part of the spore strip glassine envelope
chemical monitoring uses heat sensitive chemicals (not spores) confusion often exists between biological monitoring (spore testing) & chemical monitoring