Client has pain, active caries and periapical radiolucency. Which unmet need(s)?

Freedom from pain/biologically sound/functional dentition

The Population Health approach aims to:

Strengthen the determinants of health

In a community oral health context the process of care is:

Needs Assessment, Planning, Implementation, Evaluation

Your client has 6-8 mm pockets and smokes. What is the very next thing you do?

Inform her about how smoking affects her periodontal health

In the human needs model, health and oral health include all of the following except which one?

Cognitive, affective, and psychomotor strategies

DH is presenting proposal for OHE program to a community agency. What should DH present first?

The survey results of the community's oral health status

In the human needs conceptual model, planning includes all of the following except which one?

Measurement of the extent to which goals are met

Client doesn't think smoking is a problem and has not intention of quitting. Stage of change?

No thought of quitting in the next 6 months

Which best describes the continuum of DH care?

Running toward health promotion

Which of the following is an example of an open-ended question?

Why are your main reasons for smoking?

Which is a dental diagnosis and NOT a dental hygiene diagnosis?

Bob Barker has necrotizing ulcerative periodontitis

How do you determine if a client is skilled to perform an oral self care technique?

Have the client demonstrate intraorally

In the human needs conceptual model, assessment includes all of the following except which one?

Establishment of goals for client behavior

Which unmet human need is considered a priority?

Freedom from head and neck pain

A dental hygiene diagnosis should be based on which of the following?

A cluster of signs and symptoms

Which conditions might lead the dh to conclude human need for skin and mucous... is in deficit?

Signs of gingival inflammation and bleeding upon probing

Which doesn't describe dental hygiene diagnosis?

Clarifies what the client needs to do to promote oral health

Which condition may indicate that human need for protection from health risks is in deficit?

Plays contact sports, but does not wear a mouthguard

The first step of developing a community oral health program is which of the following?

Identifying the target population

A goal may be which of the following?

Cognitive, affective, psychomotor or clinical

studbud

Oral Health Promotion Review Part 1: Health Promotion, Unmet Needs, Tobacco Cessation

99 termsStudBud Administration272 plays

Knowledge of oral health promotion is key for dental hygienists working in all practice settings. Knowledge of oral health promotion is especially important for registered dental hygienists to increase their depth of knowledge for developing community engagement skills.

Flashcards99 cardsFPractice quizPHost liveL

Questions 99

Answers

1
Which of the following risk factors are considered non-modifiable?
Biological parent has diabetes
Drinking several cans of cola a day
Smoking a pack of cigarettes weekly
Couch potato lifestyle
2
_____ is defined as someone’s income, occupation, and level of education.
ethnicity
race
culture
socioeconomic status
3
Client has pain, active caries and periapical radiolucency. Which unmet need(s)?
Biologically sound and functional dentition
Biologically sound and functional dentition
Freedom from fear and stress, freedom from pain
Freedom from pain/biologically sound/functional dentition
4
The Population Health approach aims to:
Fund the treatment of disease
Establish hospital-based programs
Strengthen the determinants of health
Provide every person with similar care
5
Enhancing people’s capacity to cope with an ever-changing environment is a challenge of...
Disease treatment
Treatment intervention
Health promotion
Disease prevention
6
Codependency may develop if the practice is singularly focused on disease:
Treatment
Prevention
Evaluation
Diagnosis
7
Using public announcements to raise awareness about ECTD is an example of which?
Place
Promotion
Product
Price
8
A dental hygienist's practice embraces oral health as part of overall health, the practice is?
Measurable
Ethical
Holistic
Lawful
9
A successful community health program should always include which component?
Collaboration
Follow up
Stages of change
Advocacy
10
Client has moderate gingivitis. What is a realistic goal?
Reduction in pocket depths
Elimination of bleeding
Removal of all biofilm
Reduction in gingival bleeding
11
Which defines a "client goal"?
Maintenance care for the client
Good attitude about care
Oral health and wellness
Desired outcome of care
12
Obese 3 year old, which factor in the ecological perspective on individual level significant?
Community
Intrapersonal level
Interpersonal level
Institutional/Organizations
13
Objectives of a community oral health program are not met, which is the best course of action?
Abandon the project
Evaluate teaching methodology
Identify a new target population
Start from the beginning
14
In a community oral health context the process of care is:
Assessment, Participation, Instruments, Executive Decision
Advocacy, Prevention, Implementation, Evaluation
Assessment, Determinants, Implementation, Evaluation
Needs Assessment, Planning, Implementation, Evaluation
15
Which process determines whether a program accomplishes what is was designed to accomplish?
Evaluation
Diagnosis
Planning
Assessment
16
All describe a characteristic of a dental hygiene diagnosis except one. Which one?
Requires dentist to sign off
Focuses on client conditions
Derived from data collected during assessment
Is necessary for subsequent phases of the process of care
17
Which of the following approaches is descriptive of a health promotion strategy?
Preventive intervention
Proactive program
Diagnostic workup
Process of elimination
18
Your client has 6-8 mm pockets and smokes. What is the very next thing you do?
Try to persuade her to stop
Arrange a follow up
Inform her about how smoking affects her periodontal health
Assess her willingness to quit
19
When planning an oral health promotion program, what is the first thing you do?
Prioritize unmet needs
Set goals
Make a plan
Determine cost to benefit ratio
20
In the human needs model, health and oral health include all of the following except which one?
Higher the level of human need fulfillment = higher wellness
Cognitive, affective, and psychomotor strategies
The connection between overall health and oral health
Health on a continuum from optimal wellness to illness
21
Which of the following evaluation processes occur during implementation?
Evaluative
Collaborative
Formative
Summative
22
DH is presenting proposal for OHE program to a community agency. What should DH present first?
The survey results of the community's oral health status
The cost factors and time frame associated with the plan
The program plan, priorities, and alternatives
The required human resources to implement the program
23
Educating decision makers about oral health policy is referred to as which of the following:
Community mobilization
Client advocacy
Active listening
Policy review
24
In the human needs conceptual model, planning includes all of the following except which one?
Measurement of the extent to which goals are met
Deadlines for meeting identified unmet human needs
Establishment of goals for client behavior
Critical decision making
25
DH educates teens about vape packaging. Aspect of disease prevention?
Financial
Psychological
Social
Physical
26
Which is most important for positive behaviour change?
Physiological readiness
Practical application
Motivation
Understanding
27
What should be avoided in a dental hygiene diagnosis?
Etiology
Quantitative and qualitative data
Emotions and value judgements
Objective and subjective data
28
Public announcements regarding wearing mouth guards during sports is an example of which?
Place
Promotion
Product
Price
29
How long do nicotine withdrawal symptoms last?
12 to 24 hours
Up to 4 weeks
30
Client doesn't think smoking is a problem and has not intention of quitting. Stage of change?
Willing to set a quit date
In relapse
Thinking about quitting in the next 6 months
No thought of quitting in the next 6 months
31
Which best describes the continuum of DH care?
Most dental hygiene actions are secondary prevention
Focus of treatment
Focus on primary prevention
Running toward health promotion
32
Which of the following is an example of an open-ended question?
How many cigarettes do you smoke a day?
When did you last see your physician?
Why are your main reasons for smoking?
What was your last blood pressure reading?
33
Which is a dental diagnosis and NOT a dental hygiene diagnosis?
Bob Barker has a radiolucency around tooth 12
Bob Barker has signs and symptoms consistent with disease
Bob Barker has necrotizing ulcerative periodontitis
Bob barker presents with cratered interdental papillae
34
What describes a goal related to dental hygiene care?
What the dental hygienist should do
What the dentist should do
What the client should do
Overall desired outcome
35
Distribution of a mailbox announcement is representative of which health promotion strategy?
Mass media
Legislation
Health education
Community organization
36
Parents are concerned about vaping packaging. DH writes to company, what level of prevention?
Primary
Complementary
Cautionary
Primordial
37
A DH contacts a MD to discuss client care, the DH is engaged in which type of collaboration?
Interprofessional
Intraprofessional
International
Intradisciplinary
38
Oral and craniofacial cancer tends to be diagnosed at a(n) _____ phase when prognosis is _____.
Early; better
Late; better
Late; poor
Early; poor
39
Which of the evaluation processes occur during program implementation?
Summative
Evaluative
Collaborative
Formative
40
How do you determine if a client is skilled to perform an oral self care technique?
Have the client demonstrate intraorally
Wait until the next recare appointment
Have the client demonstrate on a model
Ask the client to describe the technique
41
In the human needs conceptual model, assessment includes all of the following except which one?
Collection and analysis of medical/dental histories
Identification of unmet human needs
Collection and analysis of data from radiographs
Establishment of goals for client behavior
42
Enhancing coping with a changing environment is a challenge of which healthcare movement?
Treatment intervention
Disease treatment
Tertiary prevention
Health promotion
43
Which unmet human need is considered a priority?
Biologically sound and functional dentition
Freedom from head and neck pain
Freedom from fear and stress
Skin and mucous membrane integrity of the head and neck
44
A dental hygiene diagnosis should be based on which of the following?
Only subjective data
A cluster of signs and symptoms
One symptom
Only objective data
45
Ct. participates in care planning/informed consent/performs daily OHE, which human need is met?
Responsibility for oral health
Conceptualization and understanding
Biologically sound and functional dentition
Wholesome facial image
46
Which conditions might lead the dh to conclude human need for skin and mucous... is in deficit?
Dissatisfaction with appearance of teeth
Signs of gingival inflammation and bleeding upon probing
A daily diet high in fermentable carbohydrates
Fear and anxiety about dental hygiene care
47
Which doesn't describe dental hygiene diagnosis?
Facilitates care planning and evaluation
Provides a focus for professional care
Clarifies what the client needs to do to promote oral health
Clarifies the scope of dental hygiene practice
48
Which condition may indicate that human need for protection from health risks is in deficit?
Dissatisfaction with the appearance of the teeth
Plays contact sports, but does not wear a mouthguard
Numerous incipient carious lesions
Bleeding on probing
49
The first step of developing a community oral health program is which of the following?
Survey
Advocacy
Needs assessment
Identifying the target population
50
Distribution of a mailbox announcement is representative of which health promotion strategy?
Mass media
Health education
Legislation
Community organization
51
A goal may be which of the following?
Decided by the dentist because the dentist directs care
Cognitive, affective, psychomotor or clinical
Short term only for quick evaluation
Only developed by the dental hygienist
52
Someone who is new to a community and does not understand the healthcare system lacks what?
Healthcare education
Healthcare literacy
Healthcare information
Healthcare responsibility
53
Health promotion calls health professionals to become involved in the following actions, except
Empowering communities
Building public policy
Strengthening community action
Emphasizing disease treatment
54
Considering "stages of change" when is someone in "preparation"?
Has made a positive change for longer than 6 mo
Ready to make a change
Thinking about a change in the next 6 months
Has stopped health challenging behaviour, but less than 6 mo
55
Which is not consistent with the dental hygiene diagnosis?
Provides a focus for professional care
Clarifies what the client needs to do
Clarifies the scope of dental hygiene practice
Facilitates care planning and evaluation
56
The Five A's are:
Ask, Alert, Assess, Assist, Arrange
Advise, Ask, Assist, Assess, Arrange
Ask, Advise, Assess, Assist, Arrange
Ask, Advise, Accentuate, Assist, Arrange
57
___ is defined as someone's income, occupation, and level of education.
Subculture
Culture
Collectivism
Socioeconomic status
58
Organizing a free education "table clinic" is an example of which health promotion strategy?
Social marketing
Advocacy
Health education
Community organization
59
Which nicotine delivery system has the fastest onset of action?
Nicotine gum
Chantix
Nicotine nasal spray
Nicotine lozenge
60
Which of the following is an example of motivational interviewing?
"Let's get to the point"
"I'm going to stop you there and go over risks of smoking"
"Just stop smoking, you know it is not good for you!"
"Here is what I heard you say..."
61
Examples of tertiary prevention dental hygiene interventions are as follows, except...
Tobacco cessation program for a smoker
Fluoride varnish for rampant decay
Mouth guard fabrication for a hockey player
Dietary counseling for dental decay
62
Client smokes 1.5 packs cigarettes a day. Recommend a quit aid with a __ dose of nicotine?
High
Moderate
Low
None. The client should stop cold turkey.
63
Client has high BP and irregularly visits their MD. What is the priority deficit?
Wholesome facial image
Skin and mucous membrane integrity
Protection from health risks
Responsibility for oral health
64
Motivational interviewing is which of the following?
Does not resolve ambiguity
A method of persuasion
A client centered philosophy to address behavior change
Stops the communication process
65
Recruiting DHs to participate in a day of no cost dental hygiene is which of the following?
Advocacy
Community organization
Social marketing
Health education
66
Differences in health status and distribution of health determinants b/w different groups is:
Cultural sensitivity
Health inequalities
Healthcare literacy
Cultural awareness
67
Five A’s approach stands for:
Ask, Alert, Assess, Assist, and Arrange
Ask, Advise, Assess, Assist and Arrange
Ask, Advise, Accentuate, Assist, and Arrange
Assist, Allow, Ask, Arrange, Avoid
68
Health promotion has an ecologic perspective that:
Focuses on individual behaviors
Attributes disease to environmental influences
Singularly identifies each client’s needs
Considers individual behavior and the social environment
69
Public announcements regarding oral cancer awareness is an example of which social marketing?
Place
Product
Promotion
Price
70
Which is a systemic consequence of smoking?
Tetracycline staining
Extrinsic brown stain
Halitosis
Cerebrovascular accident
71
Having influential public figure involved in an oral health campaign is an example of which?
Official enforcement
Personal entitlement
Directive announcements
Social marketing
72
All are oral findings associated with smoking except which one?
Increased bleeding
Risk for oral cancer
Calculus deposit
Nicotine stomatitis
73
Which is NOT a challenge to oral health?
Oral piercing
Using tobacco products
Vaping
Interdental care
74
You give a client an evidence-based pamphlet on oral health. Which HP strategy are you using?
Mass Media
Collaboration
Legislation
Health education
75
Which of the following is a major descriptor defining health?
Ability to adapt and cope with the environment
Absence of disease and/or infirmity
Condition diagnosed by a healthcare professional
Merely the presence of physical and psychologic ability
76
Which is NOT a nicotine withdrawal symptom?
Restlessness
Increased appetite
Insomnia
Alertness
77
A 22-year-old uses snuff daily for 4 years. Is in good health and takes no meds. Which is true?
No nicotine in smokeless tobacco, so no risk of addiction
There is no sugar in smokeless tobacco, so no caries risk
There is no risk of developing carcinoma within 10 years
Primary carcinogen in smokeless tobacco is nitrosamines
78
Failure to evaluate a client's progress at each subsequent visit can lead to:
Collaboration
Supervised neglect
Client centered goal
Informed consent
79
Enhancing capacity to cope with a changing environment is a challenge of which movement?
Health promotion
Disease treatment
Treatment intervention
Disease prevention
80
A DH's practice embraces oral health as part of overall health, the practice is:
Holistic
Measurable
Ethical
Achievable
81
Nicotine addiction is a:
Behavioural only
Disorder that is easy to stop
Chronic relapsing brain disorder
Sensory only
82
Hallmarks for nicotine addiction include which of the following?
Irregular use
Compulsive use
Ability to stop anytime
Absence of cravings
83
The dental hygiene diagnosis includes all of the following except which one?
Critical decision making
Use of available data to identify met or unmet needs
Use of critical decision-making skills to reach conclusions
Measurement of extent which goals identified were achieved
84
A dental hygienist’s practice embraces oral health as part of overall health, the practice is:
Lawful
Holistic
Measurable
Advanced
85
How can a dental hygienist validate a diagnosis?
Asking "yes" or "no" questions
Relying on one sign or symptom
Dental hygienists cannot validate a diagnosis
Basing on subjective and objective data
86
In the human needs conceptual model, the dental hygiene diagnosis includes all except?
Measurement of the extent to which goals are achieved
Human need deficits
Use of critical decision-making skills to reach conclusions
Use of available data to identify met or unmet needs
87
The first step in developing a community oral health program is which?
Identifying the target population
Survey
Needs assessment
Advocacy
88
DH and RNs work to develop a kit to be used in prenatal classes. Health promotion strategy?
Advocacy
Collaboration
Community organization
Health education
89
Tim, 12 years old has incipient caries on 47 O. DH places fluoride. What level of prevention?
Tertiary
Secondary
Primary
Intermediate
90
Human needs conceptual model of dental hygiene requires dental hygienists to do which?
Engage in basic research
Make dental hygiene diagnosis based on 8 human needs
Work in a public health setting
Refrain from collaboration
91
Examples of lifestyle behaviors that challenge oral health are as follows, except...
Choosing vaping over smoking
Drinking beer instead of hard liquor
Wearing a bruxism appliance
Choosing to use tobacco products
92
Which is not relevant to dental hygiene practice?
Oral disease treatment
Oral health prevention
Oral disease prevention
Oral health promotion
93
Effectively integrating the client’s socioethnocultural background into healthcare is?
Symbolic
Cross-cultural competence
Ethnocentrism
Cultural diversity
94
Localized aggressive periodontitis is suspected, what is the priority?
Chlorhexidene mouthrinse
Initiate non-surgical periodontal therapy
Collaboration with, and referral to dentist
OHE on the progression and etiology of periodontal disease
95
Which is NOT included in a dental hygiene diagnosis?
Cause/etiology
Defining characteristic
Unmet human need
Length of time the client has had the problem
96
Which unmet human need is considered a priority?
Skin and mucous membrane integrity
Biologically sound and functional dentition
Freedom from pain
Freedom from fear and stress
97
Which of the following scenarios would require consultation with a client's MD or specialist?
Client reveals they have not seen an MD in more than 2 years
Client reveals blood sugar readings are relatively stable
Client takes all medications as prescribed
Blood pressure readings are WNL
98
Which of the following is not a nicotine withdrawal symptom?
Alertness
Hunger
Insomnia
Restlessness
99
Examples of secondary prevention dental hygiene interventions are as follows, except...
Screening for oral cancer
extraction of a tooth with severe periodontal disease
custom fluoride tray for dry mouth
Screening for dental caries

Oral Health Promotion Review Part 1: Health Promotion, Unmet Needs, Tobacco Cessation Flashcards | StudBud

Oral Health Promotion Review Part 1: Health Promotion, Unmet Needs, Tobacco Cessation

99 termsStudBud Administration272 plays

Flashcards99 cardsFPractice quizPHost liveL

Questions 99

Answers

1
Which of the following risk factors are considered non-modifiable?
Biological parent has diabetes
Drinking several cans of cola a day
Smoking a pack of cigarettes weekly
Couch potato lifestyle
2
_____ is defined as someone’s income, occupation, and level of education.
ethnicity
race
culture
socioeconomic status
3
Client has pain, active caries and periapical radiolucency. Which unmet need(s)?
Biologically sound and functional dentition
Biologically sound and functional dentition
Freedom from fear and stress, freedom from pain
Freedom from pain/biologically sound/functional dentition
4
The Population Health approach aims to:
Fund the treatment of disease
Establish hospital-based programs
Strengthen the determinants of health
Provide every person with similar care
5
Enhancing people’s capacity to cope with an ever-changing environment is a challenge of...
Disease treatment
Treatment intervention
Health promotion
Disease prevention
6
Codependency may develop if the practice is singularly focused on disease:
Treatment
Prevention
Evaluation
Diagnosis
7
Using public announcements to raise awareness about ECTD is an example of which?
Place
Promotion
Product
Price
8
A dental hygienist's practice embraces oral health as part of overall health, the practice is?
Measurable
Ethical
Holistic
Lawful
9
A successful community health program should always include which component?
Collaboration
Follow up
Stages of change
Advocacy
10
Client has moderate gingivitis. What is a realistic goal?
Reduction in pocket depths
Elimination of bleeding
Removal of all biofilm
Reduction in gingival bleeding
11
Which defines a "client goal"?
Maintenance care for the client
Good attitude about care
Oral health and wellness
Desired outcome of care
12
Obese 3 year old, which factor in the ecological perspective on individual level significant?
Community
Intrapersonal level
Interpersonal level
Institutional/Organizations
13
Objectives of a community oral health program are not met, which is the best course of action?
Abandon the project
Evaluate teaching methodology
Identify a new target population
Start from the beginning
14
In a community oral health context the process of care is:
Assessment, Participation, Instruments, Executive Decision
Advocacy, Prevention, Implementation, Evaluation
Assessment, Determinants, Implementation, Evaluation
Needs Assessment, Planning, Implementation, Evaluation
15
Which process determines whether a program accomplishes what is was designed to accomplish?
Evaluation
Diagnosis
Planning
Assessment
16
All describe a characteristic of a dental hygiene diagnosis except one. Which one?
Requires dentist to sign off
Focuses on client conditions
Derived from data collected during assessment
Is necessary for subsequent phases of the process of care
17
Which of the following approaches is descriptive of a health promotion strategy?
Preventive intervention
Proactive program
Diagnostic workup
Process of elimination
18
Your client has 6-8 mm pockets and smokes. What is the very next thing you do?
Try to persuade her to stop
Arrange a follow up
Inform her about how smoking affects her periodontal health
Assess her willingness to quit
19
When planning an oral health promotion program, what is the first thing you do?
Prioritize unmet needs
Set goals
Make a plan
Determine cost to benefit ratio
20
In the human needs model, health and oral health include all of the following except which one?
Higher the level of human need fulfillment = higher wellness
Cognitive, affective, and psychomotor strategies
The connection between overall health and oral health
Health on a continuum from optimal wellness to illness
21
Which of the following evaluation processes occur during implementation?
Evaluative
Collaborative
Formative
Summative
22
DH is presenting proposal for OHE program to a community agency. What should DH present first?
The survey results of the community's oral health status
The cost factors and time frame associated with the plan
The program plan, priorities, and alternatives
The required human resources to implement the program
23
Educating decision makers about oral health policy is referred to as which of the following:
Community mobilization
Client advocacy
Active listening
Policy review
24
In the human needs conceptual model, planning includes all of the following except which one?
Measurement of the extent to which goals are met
Deadlines for meeting identified unmet human needs
Establishment of goals for client behavior
Critical decision making
25
DH educates teens about vape packaging. Aspect of disease prevention?
Financial
Psychological
Social
Physical
26
Which is most important for positive behaviour change?
Physiological readiness
Practical application
Motivation
Understanding
27
What should be avoided in a dental hygiene diagnosis?
Etiology
Quantitative and qualitative data
Emotions and value judgements
Objective and subjective data
28
Public announcements regarding wearing mouth guards during sports is an example of which?
Place
Promotion
Product
Price
29
How long do nicotine withdrawal symptoms last?
12 to 24 hours
Up to 4 weeks
30
Client doesn't think smoking is a problem and has not intention of quitting. Stage of change?
Willing to set a quit date
In relapse
Thinking about quitting in the next 6 months
No thought of quitting in the next 6 months
31
Which best describes the continuum of DH care?
Most dental hygiene actions are secondary prevention
Focus of treatment
Focus on primary prevention
Running toward health promotion
32
Which of the following is an example of an open-ended question?
How many cigarettes do you smoke a day?
When did you last see your physician?
Why are your main reasons for smoking?
What was your last blood pressure reading?
33
Which is a dental diagnosis and NOT a dental hygiene diagnosis?
Bob Barker has a radiolucency around tooth 12
Bob Barker has signs and symptoms consistent with disease
Bob Barker has necrotizing ulcerative periodontitis
Bob barker presents with cratered interdental papillae
34
What describes a goal related to dental hygiene care?
What the dental hygienist should do
What the dentist should do
What the client should do
Overall desired outcome
35
Distribution of a mailbox announcement is representative of which health promotion strategy?
Mass media
Legislation
Health education
Community organization
36
Parents are concerned about vaping packaging. DH writes to company, what level of prevention?
Primary
Complementary
Cautionary
Primordial
37
A DH contacts a MD to discuss client care, the DH is engaged in which type of collaboration?
Interprofessional
Intraprofessional
International
Intradisciplinary
38
Oral and craniofacial cancer tends to be diagnosed at a(n) _____ phase when prognosis is _____.
Early; better
Late; better
Late; poor
Early; poor
39
Which of the evaluation processes occur during program implementation?
Summative
Evaluative
Collaborative
Formative
40
How do you determine if a client is skilled to perform an oral self care technique?
Have the client demonstrate intraorally
Wait until the next recare appointment
Have the client demonstrate on a model
Ask the client to describe the technique
41
In the human needs conceptual model, assessment includes all of the following except which one?
Collection and analysis of medical/dental histories
Identification of unmet human needs
Collection and analysis of data from radiographs
Establishment of goals for client behavior
42
Enhancing coping with a changing environment is a challenge of which healthcare movement?
Treatment intervention
Disease treatment
Tertiary prevention
Health promotion
43
Which unmet human need is considered a priority?
Biologically sound and functional dentition
Freedom from head and neck pain
Freedom from fear and stress
Skin and mucous membrane integrity of the head and neck
44
A dental hygiene diagnosis should be based on which of the following?
Only subjective data
A cluster of signs and symptoms
One symptom
Only objective data
45
Ct. participates in care planning/informed consent/performs daily OHE, which human need is met?
Responsibility for oral health
Conceptualization and understanding
Biologically sound and functional dentition
Wholesome facial image
46
Which conditions might lead the dh to conclude human need for skin and mucous... is in deficit?
Dissatisfaction with appearance of teeth
Signs of gingival inflammation and bleeding upon probing
A daily diet high in fermentable carbohydrates
Fear and anxiety about dental hygiene care
47
Which doesn't describe dental hygiene diagnosis?
Facilitates care planning and evaluation
Provides a focus for professional care
Clarifies what the client needs to do to promote oral health
Clarifies the scope of dental hygiene practice
48
Which condition may indicate that human need for protection from health risks is in deficit?
Dissatisfaction with the appearance of the teeth
Plays contact sports, but does not wear a mouthguard
Numerous incipient carious lesions
Bleeding on probing
49
The first step of developing a community oral health program is which of the following?
Survey
Advocacy
Needs assessment
Identifying the target population
50
Distribution of a mailbox announcement is representative of which health promotion strategy?
Mass media
Health education
Legislation
Community organization
51
A goal may be which of the following?
Decided by the dentist because the dentist directs care
Cognitive, affective, psychomotor or clinical
Short term only for quick evaluation
Only developed by the dental hygienist
52
Someone who is new to a community and does not understand the healthcare system lacks what?
Healthcare education
Healthcare literacy
Healthcare information
Healthcare responsibility
53
Health promotion calls health professionals to become involved in the following actions, except
Empowering communities
Building public policy
Strengthening community action
Emphasizing disease treatment
54
Considering "stages of change" when is someone in "preparation"?
Has made a positive change for longer than 6 mo
Ready to make a change
Thinking about a change in the next 6 months
Has stopped health challenging behaviour, but less than 6 mo
55
Which is not consistent with the dental hygiene diagnosis?
Provides a focus for professional care
Clarifies what the client needs to do
Clarifies the scope of dental hygiene practice
Facilitates care planning and evaluation
56
The Five A's are:
Ask, Alert, Assess, Assist, Arrange
Advise, Ask, Assist, Assess, Arrange
Ask, Advise, Assess, Assist, Arrange
Ask, Advise, Accentuate, Assist, Arrange
57
___ is defined as someone's income, occupation, and level of education.
Subculture
Culture
Collectivism
Socioeconomic status
58
Organizing a free education "table clinic" is an example of which health promotion strategy?
Social marketing
Advocacy
Health education
Community organization
59
Which nicotine delivery system has the fastest onset of action?
Nicotine gum
Chantix
Nicotine nasal spray
Nicotine lozenge
60
Which of the following is an example of motivational interviewing?
"Let's get to the point"
"I'm going to stop you there and go over risks of smoking"
"Just stop smoking, you know it is not good for you!"
"Here is what I heard you say..."
61
Examples of tertiary prevention dental hygiene interventions are as follows, except...
Tobacco cessation program for a smoker
Fluoride varnish for rampant decay
Mouth guard fabrication for a hockey player
Dietary counseling for dental decay
62
Client smokes 1.5 packs cigarettes a day. Recommend a quit aid with a __ dose of nicotine?
High
Moderate
Low
None. The client should stop cold turkey.
63
Client has high BP and irregularly visits their MD. What is the priority deficit?
Wholesome facial image
Skin and mucous membrane integrity
Protection from health risks
Responsibility for oral health
64
Motivational interviewing is which of the following?
Does not resolve ambiguity
A method of persuasion
A client centered philosophy to address behavior change
Stops the communication process
65
Recruiting DHs to participate in a day of no cost dental hygiene is which of the following?
Advocacy
Community organization
Social marketing
Health education
66
Differences in health status and distribution of health determinants b/w different groups is:
Cultural sensitivity
Health inequalities
Healthcare literacy
Cultural awareness
67
Five A’s approach stands for:
Ask, Alert, Assess, Assist, and Arrange
Ask, Advise, Assess, Assist and Arrange
Ask, Advise, Accentuate, Assist, and Arrange
Assist, Allow, Ask, Arrange, Avoid
68
Health promotion has an ecologic perspective that:
Focuses on individual behaviors
Attributes disease to environmental influences
Singularly identifies each client’s needs
Considers individual behavior and the social environment
69
Public announcements regarding oral cancer awareness is an example of which social marketing?
Place
Product
Promotion
Price
70
Which is a systemic consequence of smoking?
Tetracycline staining
Extrinsic brown stain
Halitosis
Cerebrovascular accident
71
Having influential public figure involved in an oral health campaign is an example of which?
Official enforcement
Personal entitlement
Directive announcements
Social marketing
72
All are oral findings associated with smoking except which one?
Increased bleeding
Risk for oral cancer
Calculus deposit
Nicotine stomatitis
73
Which is NOT a challenge to oral health?
Oral piercing
Using tobacco products
Vaping
Interdental care
74
You give a client an evidence-based pamphlet on oral health. Which HP strategy are you using?
Mass Media
Collaboration
Legislation
Health education
75
Which of the following is a major descriptor defining health?
Ability to adapt and cope with the environment
Absence of disease and/or infirmity
Condition diagnosed by a healthcare professional
Merely the presence of physical and psychologic ability
76
Which is NOT a nicotine withdrawal symptom?
Restlessness
Increased appetite
Insomnia
Alertness
77
A 22-year-old uses snuff daily for 4 years. Is in good health and takes no meds. Which is true?
No nicotine in smokeless tobacco, so no risk of addiction
There is no sugar in smokeless tobacco, so no caries risk
There is no risk of developing carcinoma within 10 years
Primary carcinogen in smokeless tobacco is nitrosamines
78
Failure to evaluate a client's progress at each subsequent visit can lead to:
Collaboration
Supervised neglect
Client centered goal
Informed consent
79
Enhancing capacity to cope with a changing environment is a challenge of which movement?
Health promotion
Disease treatment
Treatment intervention
Disease prevention
80
A DH's practice embraces oral health as part of overall health, the practice is:
Holistic
Measurable
Ethical
Achievable
81
Nicotine addiction is a:
Behavioural only
Disorder that is easy to stop
Chronic relapsing brain disorder
Sensory only
82
Hallmarks for nicotine addiction include which of the following?
Irregular use
Compulsive use
Ability to stop anytime
Absence of cravings
83
The dental hygiene diagnosis includes all of the following except which one?
Critical decision making
Use of available data to identify met or unmet needs
Use of critical decision-making skills to reach conclusions
Measurement of extent which goals identified were achieved
84
A dental hygienist’s practice embraces oral health as part of overall health, the practice is:
Lawful
Holistic
Measurable
Advanced
85
How can a dental hygienist validate a diagnosis?
Asking "yes" or "no" questions
Relying on one sign or symptom
Dental hygienists cannot validate a diagnosis
Basing on subjective and objective data
86
In the human needs conceptual model, the dental hygiene diagnosis includes all except?
Measurement of the extent to which goals are achieved
Human need deficits
Use of critical decision-making skills to reach conclusions
Use of available data to identify met or unmet needs
87
The first step in developing a community oral health program is which?
Identifying the target population
Survey
Needs assessment
Advocacy
88
DH and RNs work to develop a kit to be used in prenatal classes. Health promotion strategy?
Advocacy
Collaboration
Community organization
Health education
89
Tim, 12 years old has incipient caries on 47 O. DH places fluoride. What level of prevention?
Tertiary
Secondary
Primary
Intermediate
90
Human needs conceptual model of dental hygiene requires dental hygienists to do which?
Engage in basic research
Make dental hygiene diagnosis based on 8 human needs
Work in a public health setting
Refrain from collaboration
91
Examples of lifestyle behaviors that challenge oral health are as follows, except...
Choosing vaping over smoking
Drinking beer instead of hard liquor
Wearing a bruxism appliance
Choosing to use tobacco products
92
Which is not relevant to dental hygiene practice?
Oral disease treatment
Oral health prevention
Oral disease prevention
Oral health promotion
93
Effectively integrating the client’s socioethnocultural background into healthcare is?
Symbolic
Cross-cultural competence
Ethnocentrism
Cultural diversity
94
Localized aggressive periodontitis is suspected, what is the priority?
Chlorhexidene mouthrinse
Initiate non-surgical periodontal therapy
Collaboration with, and referral to dentist
OHE on the progression and etiology of periodontal disease
95
Which is NOT included in a dental hygiene diagnosis?
Cause/etiology
Defining characteristic
Unmet human need
Length of time the client has had the problem
96
Which unmet human need is considered a priority?
Skin and mucous membrane integrity
Biologically sound and functional dentition
Freedom from pain
Freedom from fear and stress
97
Which of the following scenarios would require consultation with a client's MD or specialist?
Client reveals they have not seen an MD in more than 2 years
Client reveals blood sugar readings are relatively stable
Client takes all medications as prescribed
Blood pressure readings are WNL
98
Which of the following is not a nicotine withdrawal symptom?
Alertness
Hunger
Insomnia
Restlessness
99
Examples of secondary prevention dental hygiene interventions are as follows, except...
Screening for oral cancer
extraction of a tooth with severe periodontal disease
custom fluoride tray for dry mouth
Screening for dental caries