TEST BANK FOR DARBY AND WALSH DENTAL HYGIENE 5TH EDITION BY BOWEN

TEST BANK FOR DARBY AND WALSH HYGIENE 5TH EDITION BY BOWEN. 1. Each of the following is a paradigm concept of the dental hygiene discipline EXCEPT one. Which is the EXCEPTION? a. Dental hygiene actions b. Health and oral health c. Environment d. Patient e. Client ANS: D The term client was selected as a paradigm concept, rather than the term patient, because the term client is broad, suggests wellness rather than illness, and represents an active rather than passive relationship with the dental hygienist. DIF: Application REF: 12 OBJ: 1 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 2. The surroundings in which the client and dental hygienist are interacting is the concept of a. dental hygiene actions. b. environment. c. health and oral health. d. client. ANS: B This concept includes social, ethno-cultural, financial, political, and educational factors that can be barriers or facilitators to health, oral health, and dental hygiene actions. The environment affects the client and the dental hygienist, and the client and the dental hygienist also influence the environment. DIF: Comprehension REF: 12 OBJ: 1 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 3. Which concept includes the surroundings where the client and dental hygienist interact? a. health/oral health. b. environment. c. dental hygiene actions. d. client. ANS: C The concept of dental hygiene action is defined as the interventions provided by a dental hygienist for the benefit of, and in collaboration with, the client to promote oral health and wellness and prevent oral disease.DIF: Comprehension REF: 13 OBJ: 1 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 4. “Biologically sound and functional dentition” is a feature of the a. Dental Hygiene Human Needs Conceptual Model. b. Oral Health-Related Quality of Life Model. c. Client Self-Care Commitment Model. d. paradigm concept of the dental hygiene discipline. ANS: A It is one of the eight human needs related to dental hygiene care in the Dental Hygiene Human Needs Conceptual Model. It draws upon the four dental hygiene disciplinary concepts to develop an understanding of client human needs throughout the dental hygiene process of care. DIF: Comprehension REF: 19 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 5. Which clinical dental hygiene conceptual practice model emphasizes the client’s perceptions of and reactions to their own health status? a. Paradigm concept of the dental hygiene discipline b. Oral Health-Related Quality of Life Model c. Dental Hygiene Human Needs Conceptual Model d. Client Self-Care Commitment Model ANS: B The Oral Health-Related Quality of Life Model was developed by dental hygiene educator-researchers at the University of Missouri-Kansas City. It specifically assesses the domains of symptom status, functional status, and oral health perceptions. DIF: Recall REF: 20 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 6. The model that involves clients as co-therapists in their own oral health decisions is the a. Dental Hygiene Human Needs Conceptual Model. b. Oral Health-Related Quality of Life Model. c. Client Self-Care Commitment Model. d. paradigm concept of the dental hygiene discipline. ANS: C The model is based on the premise that effectively involving clients as co-therapists in their oral health decisions, enhances motivation, commitment, and compliance with oral self-care. DIF: Comprehension REF: 23 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 7. In the Dental Hygiene Human Needs Conceptual Model, the client is viewed as having how many human needs especially related to dental hygiene care?a. Two b. Four c. Six d. Eight ANS: D The needs are protection from health risks, freedom from fear and stress, freedom from pain, wholesome facial image, skin and mucous membrane integrity of the head and neck, biologically sound and functional dentition, conceptualization and problem solving, and responsibility for oral health. DIF: Recall REF: 17 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 8. The presence of chronic periodontal disease for fictional client Edward Gilly indicates a deficit of which need according to the Dental Hygiene Human Needs Conceptual Model? a. Protection from health risks b. Responsibility for oral health c. Skin and mucous membrane integrity of the head and neck d. Wholesome facial image ANS: C Dental hygienist Siobhan McNicol would likely find a human need deficit for skin and mucous membrane integrity of the head and neck given the chronic periodontal disease condition. DIF: Application REF: 15 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 9. When Pia Tran informs dental hygienist, Mark Rosenberg, that she does not support the use of fluoride, Mark would likely begin to engage Pia in conceptualization and problem solving as well as responsibility for oral health with respect to her children’s dentition from the perspective of a. human needs. b. quality of life. c. client self-care. d. dental hygiene action. ANS: A Mark would likely initiate this conversation from a human needs perspective given the presence of potential carious lesions and Pia’s concern about them. Dental hygiene action is one of the paradigm concepts. DIF: Comprehension REF: 14-15 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care10. When dental hygienist, Mark Rosenberg, relates strategies for Pia Tran to minimize the oral implications of having low salivary flow to her need for soft-tissue integrity and sound dentition, it illustrates the a. Dental Hygiene Human Needs Conceptual Model. b. Oral Health-Related Quality of Life Model. c. Client Self-Care Commitment Model. d. None are applicable. ANS: A Skin and mucous membrane integrity of the head and neck is one of the eight human needs related to Dental Hygiene Care. DIF: Comprehension REF: 15 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 11. According to the Dental Hygiene Human Needs Conceptual Model, the patient learns from the dental hygienist about oral/systemic health, promoting oral/health a. thinking. b. fundamentals. c. literacy. d. techniques. ANS: C The dental hygienist learns from the patient about their needs, and the patient learns from the dental hygienist about oral/systemic health, thus promoting oral/health literacy. DIF: Recall REF:17 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 12. Learning that a client has high blood pressure during a dental hygiene appointment would indicate a deficit in which of the following according to the Dental Hygiene Human Needs Conceptual Model? a. Protection from health risks b. Freedom from fear and stress c. Freedom from pain d. Responsibility for oral health ANS: A Protection from health risks is the need to avoid medical contraindications related to dental hygiene care and to be free from harm or danger. DIF: Comprehension REF: 17 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 13. When dental hygienist, Siobhan McNicol, monitors Edward Gilly’s cardiovascular health to ensure that blood thinners are not a concern with respect to bleeding associated with any dental hygiene action such as periodontal debridement, she is meeting which human need related to dental hygiene care? a. Protection from health risksb. Biologically sound and functioning dentition c. Freedom from fear and stress d. Freedom from pain ANS: A This human need includes a patient’s need to be in a state of good general health through efficient functioning of body organs and systems, or under the active care of a physician or other primary healthcare provider to be in a controlled state of general health. DIF: Comprehension REF: 17 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Care 14. Which human need related to dental hygiene care is the need to feel safe and to be free from emotional discomfort in the oral healthcare environment and to receive appreciation, attention, and respect from others? a. Freedom from health risks b. Freedom from pain c. Freedom from fear and stress d. Wholesome facial image ANS: C The dental hygienist must fulfill the patient’s need to be free from fear and stress while the patient is in their care. During assessment, indications that the patient’s need for freedom from fear and stress is unmet may include previous negative experiences, cost of care, and signs of stress such as clenched hands or perspiration. DIF: Comprehension REF:17 OBJ: 2 TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental Hygiene Car