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Pediatrics > Week 2: Behavior Guidance I/II > Flashcards

Week 2: Behavior Guidance I/II Flashcards

1
Q

factors to consider in behavior guidance

A
  • child
  • parent/caregiver
  • dentist/team/environment
  • society
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2
Q

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

A

objective fear

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3
Q

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

A

subjective fear

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4
Q

maternal anxiety is predictive of ______ _____

A

uncooperative behavior

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5
Q

two general types of parenting styles

A
  • authoritarian/authoritative

- permissive

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6
Q

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

A

authoritarian/authoritative

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7
Q

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

A

permissive

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8
Q

children of authoritarian parenting style will generally be _______

A

fairly cooperative

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9
Q

children of permissive parenting style will generally be _______

A

potentially uncooperative if they do not get their way

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10
Q

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

A

negative behavior

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11
Q

three general “types” of children

A
  • cooperative
  • lacking in cooperative ability
  • potentially cooperative
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12
Q

type of child that is reasonably relaxed, minimally apprehensive

A

cooperative

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13
Q

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

A

lacking in cooperative ability

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14
Q

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

A

potentially cooperative

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15
Q

examples of uncontrolled behavior

A
  • first dental visit
  • 3-6 year olds
  • tantrums
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16
Q

what to do with uncontrolled behavior

A

set firm expectations to establish communication

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17
Q

what to do with challenging & defiant behavior

A

use straightforward, firm approach; give choices

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18
Q

examples of challenging & defiant behavior

A
  • school aged children
  • may present challenges at home
  • “stubborn/strong-willed”
  • “I don’t want to!”
19
Q

examples of timid behavior

A
  • very anxious

- may shield behind parent

20
Q

what to do with timid behavior

A
  • allow time to warm up
  • work cautiously (managed incorrectly, appointment will deteriorate quickly)
  • may need to repeat instructions
21
Q

examples of tense-cooperative behavior

A
  • borderline negative/positive
  • will accept treatment, but very tense
  • child may be very quiet
22
Q

what to do with tense-cooperative behavior

A
  • use friendly/positive words

- check-in with child often

23
Q

examples of crying/whining behavior

A

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

24
Q

what to do with crying/whining behavior

A
  • discuss reasons for crying with the child
  • keep working through whining
  • note any change in pitch of the whining
25
Q

crying without tears

A

compensatory crying

26
Q

crying is an expression of ____; it is a ________

A

stress, coping mechanism

27
Q

examples of passive resistance behavior

A
  • moody teenagers

- will not engage with dentist

28
Q

what to do with passive resistance behavior

A

continue to attempt to engage

29
Q

range of Frankl behavior rating scale

A

1, 2, 3, 4

30
Q

Frank 1 behavior

A
  • definitely negative
  • refusal of treatment
  • forceful crying
  • pre-cooperative
31
Q

Frank 2 behavior

A
  • negative
  • reluctance to accept treatment
  • sullen, withdrawn
32
Q

Frank 3 behavior

A
  • positive
  • acceptance of treatment
  • apprehensive, but cooperative
  • willing to comply
33
Q

Frank 4 behavior

A
  • definitively positive
  • interest in dental procedures
  • easy appointment
34
Q

behavior strategies that do not work

A
  • ignoring child’s fear
  • forcing contact w/ feared object
  • dishonesty
  • bribing
  • shaming
  • parental promises
35
Q

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

A

sunshine light (light), wind (air syringe)

these are just 2 examples of many; you can be creative with this!

36
Q

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

A

direct observation

37
Q

example of direct observation

A

showing water/suction in a paper cup

38
Q

other behavior strategies

A
  • tell/show/do

- ask/tell/ask

39
Q

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

A

voice control

40
Q

after voice control statement, follow up with a __________ statement

A

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

41
Q

coping promoting statements

A
  • talk about anything but dentistry
  • direct commands for child
  • humor
  • reframing/reinterpreting the situation
42
Q

behavior guidance strategies with high caregiver acceptance

A

tell-show-do, modeling, positive reinforcement

43
Q

behavior guidance strategies with low caregiver acceptance

A

voice control, physical restraint, sedation

Pediatrics (10 decks)

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