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Chapter 02: Dental Hygiene Metaparadigm Concepts and Conceptual Models Applied
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to Practice
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Bowen: Darby and Walsh Dental Hygiene: Theory and Practice, 5th Edition
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MULTIPLE CHOICE m
1. Each of the following is a paradigm concept of the dental hygiene discipline EXCEPT one.
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Which is the EXCEPTION?
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a. Dental hygiene actions m m
b. Health and oral health m m m
c. Environment
d. Patient
e. Client
ANS: D m
The term client was selected as a paradigm concept, rather than the term patient, because the
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term client is broad, suggests wellness rather than illness, and represents an active rather than
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passive relationship with the dental hygienist.
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DIF: Application REF: 12 OBJ: 1 m m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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2. The surroundings in which the client and dental hygienist are interacting is the concept of
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a. dental hygiene actions. m m
b. environment.
c. health and oral health. m m m
d. client.
ANS: B m
This concept includes social, ethno-cultural, financial, political, and educational factors that can
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be barriers or facilitators to health, oral health, and dental hygiene actions. The environment
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affects the client and the dental hygienist, and the client and the dental hygienist also influence the
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environment.
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DIF: Comprehension REF: 12 OBJ: 1 m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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3. Which concept includes the surroundings where the client and dental hygienist interact?
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a. health/oral health. m
b. environment.
c. dental hygiene actions. m m
d. client.
ANS: C m
The concept of dental hygiene action is defined as the interventions provided by a dental
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hygienist for the benefit of, and in collaboration with, the client to promote oral health and
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wellness and prevent oral disease.
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,DOWNLOAD THE Test Bank for Darby and Walsh Dental Hygiene 5th Edition Bowen
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DIF: Comprehension REF: 13 OBJ: 1 m m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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4. “Biologically sound and functional dentition” is a feature of the
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a. Dental Hygiene Human Needs Conceptual Model. m m m m m
b. Oral Health-Related Quality of Life Model.
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c. Client Self-Care Commitment Model. m m m
d. paradigm concept of the dental hygiene discipline. m m m m m m
ANS: A m
It is one of the eight human needs related to dental hygiene care in the Dental Hygiene Human
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Needs Conceptual Model. It draws upon the four dental hygiene disciplinary concepts to
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develop an understanding of client human needs throughout the dental hygiene process of care.
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DIF: Comprehension REF: 19 OBJ: 2 m m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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5. Which clinical dental hygiene conceptual practice model emphasizes the client’s perceptions of
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and reactions to their own health status?
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a. Paradigm concept of the dental hygiene discipline m m m m m m
b. Oral Health-Related Quality of Life Model
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c. Dental Hygiene Human Needs Conceptual Model m m m m m
d. Client Self-Care Commitment Model m m m
ANS: B m
The Oral Health-Related Quality of Life Model was developed by dental hygiene educator-
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researchers at the University of Missouri-Kansas City. It specifically assesses the domains of
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symptom status, functional status, and oral health perceptions.
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DIF: Recall REF: 20 OBJ: 2 m m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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6. The model that involves clients as co-therapists in their own oral health decisions is the
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a. Dental Hygiene Human Needs Conceptual Model. m m m m m
b. Oral Health-Related Quality of Life Model.
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c. Client Self-Care Commitment Model. m m m
d. paradigm concept of the dental hygiene discipline. m m m m m m
ANS: C m
The model is based on the premise that effectively involving clients as co-therapists in their oral
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health decisions, enhances motivation, commitment, and compliance with oral self-care.
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DIF: Comprehension REF: 23 OBJ: 2 m m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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7. In the Dental Hygiene Human Needs Conceptual Model, the client is viewed as having how
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mmany human needs especially related to dental hygiene care?
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a. Two
b. Four
c. Six
d. Eight
ANS: D m
The needs are protection from health risks, freedom from fear and stress, freedom from pain,
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wholesome facial image, skin and mucous membrane integrity of the head and neck,
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biologically sound and functional dentition, conceptualization and problem solving, and
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responsibility for oral health.
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DIF: Recall REF: 17 OBJ: 2 m m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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8. The presence of chronic periodontal disease for fictional client Edward Gilly indicates a deficit of
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which need according to the Dental Hygiene Human Needs Conceptual Model?
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a. Protection from health risks m m m
b. Responsibility for oral health m m m
c. Skin and mucous membrane integrity of the head and neck
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d. Wholesome facial image m m
ANS: C m
Dental hygienist Siobhan McNicol would likely find a human need deficit for skin and
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mucous membrane integrity of the head and neck given the chronic periodontal disease
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condition.
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DIF: Application REF: 15 OBJ: 2 m m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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9. When Pia Tran informs dental hygienist, Mark Rosenberg, that she does not support the use of
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fluoride, Mark would likely begin to engage Pia in conceptualization and problem solving as
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well as responsibility for oral health with respect to her children’s dentition from the
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perspective of
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a. human needs. m
b. quality of life. m m
c. client self-care. m
d. dental hygiene action. m m
ANS: A m
Mark would likely initiate this conversation from a human needs perspective given the presence
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of potential carious lesions and Pia’s concern about them. Dental hygiene action is one of the
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paradigm concepts.
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DIF: Comprehension REF: 14-15 OBJ: 2 m m m
TOP: NBDHE, Provision of Clinical Dental Hygiene Services, 3.0 Planning and Managing Dental
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Hygiene Care
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