Week 2: Behavior Guidance I/II

Question 1

factors to consider in behavior guidance

Answer 1

• child
• parent/caregiver
• dentist/team/environment
• society

Question 2

fear based on child’s experience, can be dental-related or not

Answer 2

objective fear

Question 3

fear based on anxiety, suggested by other to the child, fear of the unknown

Answer 3

subjective fear

Question 4

maternal anxiety is predictive of ______ _____

Answer 4

uncooperative behavior

Question 5

two general types of parenting styles

Answer 5

• authoritarian/authoritative

- permissive

Question 6

parenting style that emphasizes rules, child will follow lad of staff/dentist

Answer 6

authoritarian/authoritative

Question 7

parenting style in which children view adults in egalitarian manner, need a degree of choice of control

Answer 7

permissive

Question 8

children of authoritarian parenting style will generally be _______

Answer 8

fairly cooperative

Question 9

children of permissive parenting style will generally be _______

Answer 9

potentially uncooperative if they do not get their way

Question 10

there is a tendency towards ______ if the child believes a problem exists

Answer 10

negative behavior

Question 11

three general “types” of children

Answer 11

• cooperative
• lacking in cooperative ability
• potentially cooperative

Question 12

type of child that is reasonably relaxed, minimally apprehensive

Answer 12

cooperative

Question 13

type of child that is very young and lacks cooperative cognitive skills

Answer 13

lacking in cooperative ability

Question 14

type of child that has high dental anxiety/fear, needs guidance

Answer 14

potentially cooperative

Question 15

examples of uncontrolled behavior

Answer 15

• first dental visit
• 3-6 year olds
• tantrums

Question 16

what to do with uncontrolled behavior

Answer 16

set firm expectations to establish communication

Question 17

what to do with challenging & defiant behavior

Answer 17

use straightforward, firm approach; give choices

Question 18

examples of challenging & defiant behavior

Answer 18

• school aged children
• may present challenges at home
• “stubborn/strong-willed”
• “I don’t want to!”

Question 19

examples of timid behavior

Answer 19

• very anxious

- may shield behind parent

Question 20

what to do with timid behavior

Answer 20

• allow time to warm up
• work cautiously (managed incorrectly, appointment will deteriorate quickly)
• may need to repeat instructions

Question 21

examples of tense-cooperative behavior

Answer 21

• borderline negative/positive
• will accept treatment, but very tense
• child may be very quiet

Question 22

what to do with tense-cooperative behavior

Answer 22

• use friendly/positive words

- check-in with child often

Question 23

examples of crying/whining behavior

Answer 23

crying as a coping mechanism, may be with or without tears

Question 24

what to do with crying/whining behavior

Answer 24

• discuss reasons for crying with the child
• keep working through whining
• note any change in pitch of the whining

Question 25

crying without tears

Answer 25

compensatory crying

Question 26

crying is an expression of ____; it is a ________

Answer 26

stress, coping mechanism

Question 27

examples of passive resistance behavior

Answer 27

- moody teenagers | - will not engage with dentist

Question 28

what to do with passive resistance behavior

Answer 28

continue to attempt to engage

Question 29

range of Frankl behavior rating scale

Answer 29

1, 2, 3, 4

Question 30

Frank 1 behavior

Answer 30

- definitely negative - refusal of treatment - forceful crying - pre-cooperative

Question 31

Frank 2 behavior

Answer 31

- negative - reluctance to accept treatment - sullen, withdrawn

Question 32

Frank 3 behavior

Answer 32

- positive - acceptance of treatment - apprehensive, but cooperative - willing to comply

Question 33

Frank 4 behavior

Answer 33

- definitively positive - interest in dental procedures - easy appointment

Question 34

behavior strategies that do not work

Answer 34

- ignoring child's fear - forcing contact w/ feared object - dishonesty - bribing - shaming - parental promises

Question 35

examples of alternative names for dental objects: light, air syringe

Answer 35

sunshine light (light), wind (air syringe) | these are just 2 examples of many; you can be creative with this!

Question 36

strategy that involves desensitization of feared object, allowing child to see the object in use

Answer 36

direct observation

Question 37

example of direct observation

Answer 37

showing water/suction in a paper cup

Question 38

other behavior strategies

Answer 38

- tell/show/do | - ask/tell/ask

Question 39

behavior strategy that involves a sudden, firm command with a low deliberate cadence to gain control in unsafe situations with child

Answer 39

voice control

Question 40

after voice control statement, follow up with a __________ statement

Answer 40

positive reinforcement ("That is better, good. Thank you for helping.")

Question 41

coping promoting statements

Answer 41

- talk about anything but dentistry - direct commands for child - humor - reframing/reinterpreting the situation

Question 42

behavior guidance strategies with high caregiver acceptance

Answer 42

tell-show-do, modeling, positive reinforcement

Question 43

behavior guidance strategies with low caregiver acceptance

Answer 43

voice control, physical restraint, sedation