Test 2: Chapter 22 Flashcards

1
Q

What is the foremost goal of all dental health care providers?

A. cleaning teeth

B. attaining measurable outcomes

C. providing the best possible care

D. attaining reproducible outcomes

A

C. providing the best possible care

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2
Q

Best practice refers to practices/treatments/therapies that are based on the best available ______.

A

evidence

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3
Q

The goals and outcomes to providing patient care should be ______ and ______.

A

measurable and reproducible

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4
Q

What are some of the circumstances that prompted the best practice approach to patient care?

A. Direct access to rapidly emerging clinical research information Active patient role in decision making

B. Indirect access to rapidly emerging clinical research information Active patient role in decision making

C. Direct access to rapidly emerging clinical research opinions Active patient role in decision making

D.Direct access to rapidly emerging clinical research information Active clinician role in decision making

A

A. Direct access to rapidly emerging clinical research information Active patient role in decision making

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5
Q

The three components of evidence-based decision making in healthcare are scientific evidence, patient preferences and values and ________.

A. Patient experience and judgement

B. Clinical experience and judgement

C. Patient experience and preferences

D. Clinician experience and preferences.

A

B. Clinical experience and judgement

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6
Q

The ADHA defines _____ ____ practice as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.

A

Evidence based

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7
Q

What is an ‘association’ as it relates to the relationship between an exposure and a disease?

A

it implies that he exposure MIGHT cause the disease.

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8
Q

What is an event or condition that plays a role in producing an occurrence of a disease? An example is exposure to the bacteria that causes TB

A

a casual factor (causality)

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9
Q

___ ___ is a ranking system used in evidence-based care to describe the strength of the results measured in a clinical trail or research study.

A

Best evidence

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10
Q

Identify the best evidence ranking order (more reliable to least reliable)?

A. Systematic Reviews; Cohort Studies; Single Randomized Controlled Trial (RCT); Controlled Studies, Case series Reports, Expert Opinion

B. Systematic Reviews; Single Randomized Controlled Trial (RCT); Cohort Studies; Expert Opinion; Controlled Studies, Case series Reports

C. Systematic Reviews; Single Randomized Controlled Trial (RCT); Cohort Studies; Case Controlled Studies, Case series Reports, Expert Opinion

D. Systematic Reviews; Single Randomized Controlled Trial (RCT); Case Controlled Studies, Case series Reports, Expert Opinion, Cohort Studies

A

C. Systematic Reviews; Single Randomized Controlled Trial (RCT); Cohort Studies; Case Controlled Studies, Case series Reports, Expert Opinion

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11
Q

What uses a panel of experts to research articles for study, design, statistics, and conclusions?

A

peer-reviewed journal

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12
Q

What can be commercial in nature, may or may not be peer-reviewed, may or may not be supported by references, and vary widely in quality?

A

trade magazines

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13
Q

What are the three desired outcomes for a DHCP from attending continuing education courses?

A. Reaffirm, reenergize, remit

B. Reaffirm, remember, reexamine

C. Reaffirm, relieve, reexamine

D. Reaffirm, reenergize, reexamine

A

D. Reaffirm, reenergize, reexamine

Reaffirm: provide support for your current ways of providing treatment

Reenergize: supports changes in areas that you have previously identified and provides the motivation and impetus to begin making those changes

Reexamine: address new research findings that merit further study and investigation as to the appropriateness of incorporation into practice

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14
Q

What is the five step process for finding and evaluating clinical evidence?

A. 1.) Develop an answerable clinical question; 2.) Conduct a computerized search; 3.) Critically appraise evidence 4.) Apply results; 5.) Evaluate

B. 1.) Develop an answerable clinical question; 2.) Conduct a computerized search; 3.) Critically appraise history 4.) Apply results; 5.) Examine

A

A. 1.) Develop an answerable clinical question; 2.) Conduct a computerized search; 3.) Critically appraise evidence 4.) Apply results; 5.) Evaluate

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15
Q

What are the four components used to structure a clear and focused question?

A

PICO

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16
Q

What does PICO stand for?

A

Patient/Problem, Intervention, Comparison, Outcome

17
Q

During which step of the five step process for finding and evaluating clinical evidence would PICO be helpful?

A

Step 1, Develop an answerable clinical question from a patient problem or need

18
Q

The Center for Evidence-Based Medicine recommends a straightforward approach based on formulating a PICO question, searching secondary resources, and searching _____

A

primary

19
Q
  1. The PICO process is a structure for formulating question. PICO stands for:
  2. Population, Intervention Comparison, Outcome
  3. Patient, Interest, Comparison, Outcome
  4. Patient, Intervention, Comparison, Outcome
  5. Patient, Interest, Contrast, Outcome
A

C. Patient, Intervention, Comparison, Outcome

20
Q
  1. There is a hierarchy of merit which research is granted. Which of the following is the highest ranked level of evidence?
  2. Cohort studies
  3. Systemic Review
  4. Single Randomized Controlled Trial (RCT)
  5. Case-Controlled Studies, Case Reports
A

B. Systemic Review

21
Q
  1. The Centre for Evidence-Based Medicine recommends a straightforward approach based on all of the following EXCEPT
  2. Search Primary resources
  3. Search Secondary resources
  4. Formulate a PICO question
  5. Reexamine the merit of the Question
A

D. Reexamine the merit of the Question

22
Q
  1. Best practice is a process of care that meet the patients expectations. Best practice is founded on evidence-based date.
  2. The first statement is true. The second statement is false.
  3. The first statement is false. The second statement is true.
  4. Both statements are true.
  5. Both statements are false.
A

B. The first statement is false. The second statement is true.

Explanation: Best practice is a process of care with the goal of achieving consistent, superior patient outcomes.

23
Q
  1. The PICO process was developed in order to convert problems into answerable questions.
  2. True
  3. False
A

A. True