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N2 > pt mngmnt > Flashcards

pt mngmnt Flashcards

1
Q

what’s battery?

A

tx w/o consent

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2
Q

Dentist keeps on current dental medicine to provide current standard of care. What
part of the ethical code does this relate to?

A

non-malefecence

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3
Q

sympathy vs empathy

A

sympathy: Sympathy-to be concerned about someone, do not have to share the same emotional state as them
empathy: to walk in their shoes, share the emotional state they are feeling;

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4
Q

what rapport?

A

is a mutual sense of trust and openness

between individuals

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5
Q

rapport best with…

  • empathy
  • sympathy
  • compassion
A

empathy

empathy: to walk in their shoes, share the emotional state they are feeling;
rapport: is a mutual sense of trust and openness between individuals

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6
Q

When should the dentist not use para-phrasing

A

when giving factual values

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7
Q

While the dentist is preparing a large carious lesion in Tooth #30 for a restoration, a
pulp exposure occurs. The patient angrily shouts at the dentist, “You incompetent ‘creep’- -you’re
responsible for this problem!”- Of the following possible responses the dentist could make, which
one is the most emphatic?
A. Calm down, I can still restore your tooth adequately.
B. Not when I’m preparing a tooth with caries like you had.
C. I can see that you’re very upset. You thought the tooth could be restored and
now this problem has occurred.
D. If you took care of your mouth the way you should, I wouldn’t have been close to the pulp.
E.I’m sorry this happened, but we must get on with the procedure

A

c. i can see…

asda

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8
Q

Stages of behavior changes

A 
1-pre-contemption: not acknowledging there is a problem that needs to be changed
2 — contemplation
acknowledging problem but not
ready or sure of wanting to make a
change
3 — preparation
getting ready to change
4 — action/willpower
changing behavior
5 — maintenance
maintaining behavior change
6 — relapse
abandoning change, returning to old behavior
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9
Q

expert witness vs fact witness

A

Expert witnesses offer opinions, unlike a fact witness, that may assist the judge in understanding technical knowledge in order to support their ability to make a sound ruling in a case

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10
Q

what’s social reinforcement

A

eye contact
smiling
telling pt good job

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11
Q

what’s behavior modeling?

A

is a type of learning that
occurs as a function of observing, retaining and replicating behavior executed by others in a social context
DD

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12
Q

A patient is going to the dentist and has never had local anesthetic. He recently got a vaccine and is now afraid of needles.The fear is due to what?

Location
Generalization
Translation

A

generalization

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13
Q

Replacing words like LA with sleepy juice is called

A

Euphemism (relabeling)

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14
Q

What is conditioned stimulus with pt that had previous bad experiences

a. Dental chair
b. High blood pressure
c. Fear
d. Anxiety

A

a. dental chair

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15
Q

who experiances impending doom

A

panic attack

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16
Q

allergy to meds, report to

A

FDA

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17
Q

who pays for medicare? medicaid?

A

medicaid: run by state under federal law
medicare: federal

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18
Q

what is capitation?

A

dentist is paid a fixed amount, usually on
a monthly basis, directly by the capitation
plan
- for this fixed payment, the dentist agrees to provide specified dental services for patients who present and who are assigned to the
practice by the capitation plan

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19
Q

Which one is related to employee insurance, where you get a discount from the insurance and
also you can go to a dentist of your preferance?
HMO/PPO

A

PPO

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20
Q

capitation dental plan is …

HMO or PPO?

A

HMO

DD

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21
Q

Which one is related to a dental group, that only allows you to go to a group of dentists at a specific location?

  • close panel
  • open panel
A

closed panel

  • closed panel - dental services provided by salaried dentists at specified locations only
  • open panel - dental services provided by any dentist willing to accept third party payment
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22
Q

Bill out for a core build up and crown and insurance says build up is only covered, what is this?

A

Bundling

Unbundling of procedures as “the separating of a dental procedure into component parts with
each part having a charge so that the cumulative charge of the components is greater than the total
charge to patients who are not beneficiaries of a dental benefit plan for the same procedure.”
Bundling is the exact opposite of unbundling and can occur on the insurance carrier end.

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23
Q

2 2 surface composites and insurance

made it 1 1 surface comp

A

downcoding

Upcoding or overcoding is defined by the ADA as “reporting a more complex and/or higher cost
procedure than was actually performed.”
Downcoding on the other hand is defined by the ADA as “a practice of third-party payers in which
the benefit code has been changed to a less complex and/or lower cost procedure than was
reported except where delineated in contract agreements.”

24
Q

least chance of needle stick?

most chance of needle stick?

A

least: setting up
most: cleaning up
(no ref)

25
Q

a patient have been visiting several dentist in the past, the first time she see you she
tells you that she likes you and she will refer family and friends to your office, what type of attitude
is she showing ?

A

borderline

no ref

26
Q

You have a test that is not accurate but gives consistent result

A

reliable: Reliability is the degree to which an assessment tool produces stable and consistent results
(wiki)

27
Q

Which of the following are necessary for a test to be accurate: Specificity, reliability,
validity

A

validity

28
Q

what happened in 1997?

A

SCHIP (State Children’s Health Insurance Program) was created

1997 law passed that state must look after children that cannot afford healthcare

29
Q

who is protected under Americans with disabilities act?

A

HIV pts

30
Q

what’s the “benchmark” of the effectiveness of a disinfectant?

A

mycobact. tuberculosis

FA

31
Q

definition of disinfection

A

can be applied on inanimate objects.

Destroy majority of microorganisms but NOT spores (sterilization kills spores)

32
Q

definition of antiseptic

A

an antimicrobial that can be safely applied to living tissues (alcohol); inhibits but not necessarly destroy microorganisms

33
Q

Dry heat

____ C, ____ min, ____ psi

A

320 F (160C), 120 min (no pressure generated)

34
Q

Steam (autoclave)

____ C, ____ min, ____ psi

A

250 F (121C), 15 min, 15 psi

35
Q

which method of sterilization needs higher temp?

A 
dry heat (160C) 
(vs. steam 121C)
36
Q

benchmark of sterilization?

A

spores destruction (Clostridium botulimum)

37
Q

what organization mandates heathcare prof receive Hep B vaccine?

A

OSHA

38
Q

what organization mandates MSDS be readily available?

Who provides MSDS?

A

OSHA

Manufacturer

39
Q

Dentist potential for abuse not likely due to

a. Vulnerability
b. Pressure of being perfect
c. Knowledge and access to drugs
d. Stress

A

a. vulner

40
Q

If a dentist is reading an article, where should he look for the definition of dependent and independent variables

A

methods

41
Q

fact:

double blind q, except - you need two controls

A

fact:

double blind q, except - you need two controls

42
Q

which type of study determines relative risk ratio?

which type of study determines odds ratio?

A

cOhOrt = relative risk

case control study = odds ratio

43
Q

what kind of study is it if you are “assigning” patients to groups

A

clinical trial

44
Q

chi square test

A

measure the association between 2 categorical variables

ex: caries status (caries free or not) vs fluoridation of district they live in (yes or no)

45
Q

t-test

A

analyzes the statistical difference between 2 MEANS.

ex: tx vs control group
ex: tx1 vs tx2

46
Q

which test measures 2 nonparametric data?

A

chi-square

47
Q

Two common VARIABLE..what statistical test would you use?

A

chi-square

48
Q

what’s a confounding variable?

A

a variable that influences both the dependent and indepenent variable

49
Q

how to reduce confounding variable?

A

randomizing groups

50
Q

types of error

A

type I: false positive

type II: false negative

51
Q

The power of a statistical analysis is ultimately to

A

reject the null

52
Q

sensitivity

specificity

A

sensitivity: TP/(TP+FN)
specificity: TN/(TN+FP)

53
Q

histograms shows:
mean
correlation of 2 variables
variance

A

variance

mem

54
Q

variables
Nominal
Interval
Ratio

A

Nomial- categories. Just naming items.
Interval-you have a degree of difference but ratio is meaning-less. Celsius
Ratio- can compare numbers: mass, length, duration, BP, Pulse, Kelvin

55
Q

temp: Kelvins vs Celsius
which one is interval?
which one is ratio?

A

Kelvins: ratio
Celsius: interval

N2 (14 decks)

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