Free NBDHE Dental Hygiene Care Question and Answers — Questions and Answers
Question 1: A patient with uncontrolled epilepsy, uncontrolled insulin-dependent diabetes, excessively high blood pressure, or unstable cardiovascular problems.
- ASA V
- ASA I
- ASA III
- ASA IV (Correct answer)
Correct answer: ASA IV
The American Society of Anesthesiologists (ASA) Physical Status Classification System categorizes a patient's health status. An ASA IV patient is defined as having a severe systemic disease that is a constant threat to life. Uncontrolled conditions like epilepsy, insulin-dependent diabetes, excessively high blood pressure, or unstable cardiovascular problems pose significant immediate risks and fit this classification.
Question 2: Select next to the sentences that would constitute "IMPLIED" consent. The other statements still require "INFORMED" consent.
- Patient allows us to go forward with treatment plan without discussion
- A patient appears for their appointment
- The patient allows us to collect data
- All of the above (Correct answer)
Correct answer: All of the above
Implied consent occurs when a patient's actions or behavior indicate their agreement to treatment, even without explicit verbal or written confirmation. Simply appearing for an appointment, allowing a healthcare provider to proceed with a treatment plan without objection, or permitting the collection of data for routine procedures all fall under implied consent. This is typically applicable for low-risk, routine aspects of care.
Question 3: The dental hygiene plan for periodontal therapy's main goal is to:
- Reduce bleeding on probing
- Control dental caries
- Reduce risk factors for periodontitis
- Restore and maintain health of the periodontal tissues (Correct answer)
Correct answer: Restore and maintain health of the periodontal tissues
The primary goal of periodontal therapy is to restore and maintain the health of the periodontal tissues, which include the gums, alveolar bone, and periodontal ligaments. This involves eliminating inflammation, stopping disease progression, and promoting tissue regeneration to ensure the long-term stability and function of the teeth. Reducing bleeding, controlling caries, and reducing risk factors are all important steps that contribute to this overarching goal.
Question 4: A patient with terminal cancer, end-stage renal failure, hepatitis, or an infectious disease
- ASA V (Correct answer)
- ASA I
- ASA II
- ASA IV
Correct answer: ASA V
The American Society of Anesthesiologists (ASA) Physical Status Classification System categorizes a patient's health. An ASA V patient is described as a moribund patient who is not expected to survive without the operation, or a patient with a terminal illness with a limited life expectancy. Conditions like terminal cancer, end-stage renal failure, or severe infectious diseases often place a patient in this critical category due to their life-threatening nature.
Question 5: Diagnostic techniques or dental hygiene
- Classify diagnostic statements according to disease process
- Address health functioning and behaviors
- Describe actual or potential health problems that dental hygienists are educated and licensed to treat
- All of the above (Correct answer)
Correct answer: All of the above
Dental hygiene diagnostic statements are comprehensive tools that serve multiple functions in patient care. They classify health problems based on underlying disease processes, address how these problems impact a patient's overall health functioning and behaviors, and specifically describe conditions that dental hygienists are educated and licensed to treat. This holistic approach ensures that the diagnosis effectively guides appropriate and individualized dental hygiene interventions.
Question 6: This caries risk assessment tool offers instructions for determining the level of caries risk and choosing dental hygiene measures based on risk factor evaluation.
- ASA
- CAMBRA (Correct answer)
- ADL
- OSCAR
Correct answer: CAMBRA
CAMBRA stands for Caries Management By Risk Assessment. It is an evidence-based approach used in dentistry to assess an individual's risk for developing dental caries. Based on this assessment, specific preventive and therapeutic dental hygiene measures are then tailored to manage and reduce the patient's caries risk, making it a crucial tool for personalized oral health care.
Question 7: Mouthwashes only provide short-term relief, and frequent usage can harm oral tissue.
- False
- True (Correct answer)
Correct answer: True
While mouthwashes can provide temporary relief from certain oral symptoms, frequent or prolonged use of some formulations can have adverse effects. Certain ingredients, such as high alcohol content or strong antimicrobials, can irritate oral tissues, disrupt the natural oral microbiome, or mask underlying oral health issues without providing a long-term solution. Therefore, it is true that mouthwashes only offer short-term relief and frequent usage can potentially harm oral tissue.
A patient with uncontrolled epilepsy, uncontrolled insulin-dependent diabetes, excessively high blood pressure, or unstable cardiovascular problems.