Deck 20: Dental Hygiene Care Plan and Evaluation

Question 1

"Client was diagnosed with an unmet human need for a biologically sound dentition due to exposed cemented in mandibular premolar and molar areas as evidenced by client complaining of sensitivity to cold foods and drinks." Which of the following best represents an oral health status goal for this diagnostic statement?

A) Client will eliminate dental hypersensitivity by 1/22.
B) Client will report daily use of self-applied topical fluoride gel.
C) Client will purchase a soft-bristle toothbrush and desensitizing toothpaste by 4/21.
D) Client will demonstrate modified basic toothbrushing technique in molar and premolar areas by 6/6.

Answer 1

Client will eliminate dental hypersensitivity by 1/22.

Question 2

In dental hygiene care planning,a client-centered goal defines the clinician's desired outcome of care.Therefore client-centered goals must reflect the contributing factors of the dental hygiene diagnosis for unmet human needs.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Answer 2

Both statements are false.

Question 3

Intervention strategies in a dental hygiene care plan specifically address which of the following?

A) Signs and symptoms of the problem
B) Cause of the problem
C) The goal of the dental hygienist and dentist
D) The appointment time available

Answer 3

Cause of the problem

Question 4

Development of a dental hygiene care plan occurs as a collaboration or partnership between which of the following?

A) Dental hygienist and dentist
B) Dental hygienist and client
C) Dentist and client
D) Dental hygienist develops care plan independently.

Question 5

At which stage of care plan development are oral self-care strategies sequenced into planned appointments?

A) Prioritizing dental hygiene diagnoses
B) Setting client-centered goals
C) Selecting dental hygiene interventions
D) Establishing the appointment schedule

Question 6

Which phase of the process of care is critical to determining the quality of the dental hygiene care plan in achieving the client's desired outcome?

A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation

Question 7

The purpose of the planning phase is to develop a care plan that will result in the resolution of an oral health problem amenable to dental hygiene care,the prevention of a problem,or the promotion of oral health.Therefore the dental hygiene care plan is independent of the dental treatment plan.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 8

The foundation for development of a client-centered dental hygiene care plan is the:

A) Dental hygiene diagnosis
B) Client-centered goal
C) Dental hygiene intervention
D) Client's desired outcome

Question 9

The dental hygienist formulates a client-centered care plan that supports the dental treatment plan;the dental hygienist has the ethical and legal responsibility to communicate the plan to the client and obtain informed consent.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement false.
D) The first statement is false;the second statement is true.

Question 10

Which one of the following is the proper sequence for developing a dental hygiene care plan?

A) Prioritize client's unmet needs,set goals,select interventions,establish appointment schedule.
B) Set goals,select interventions,prioritize client's unmet needs,establish appointment schedule.
C) Prioritize interventions,define need,set goals,establish an appointment schedule.
D) Establish length of appointment,set goals,select interventions,establish informed consent.

Question 11

CASE STUDY
A client was diagnosed with a human need for wholesome facial image due to the client's dissatisfaction with her malaligned maxillary anterior teeth as evidenced by the client verbalizing,"I try not to show my teeth when smiling." The dental hygienist,in collaboration with the client,set the following goal: The client will seek an orthodontic consultation by 7/12.
Which of the following intervention strategies will best address this proposed goal?

A) Educate client on benefits of orthodontic therapy.
B) Review client's oral self-care techniques in sextant 2.
C) Debride teeth of soft deposits in sextant 2.
D) Refer client to orthodontic specialist for consultation.

Question 12

A well-written client-centered goal will have a subject,a verb,criteria for measurement,and a specified time dimension.The criteria describe the expected outcome.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 13

When is the dental hygiene care plan written?

A) Immediately after the assessment and diagnosis phases of the process of care
B) During the implementation of phase I therapy
C) After phase I therapy
D) At the 6-month continued-care appointment

Question 14

In which phase of the dental hygiene process of care are diagnosed client needs prioritized,client goals and evaluative measures established,and intervention strategies determined?

A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation

Question 15

The best intervention strategy to ensure that a client is skilled to perform a recommended oral self-care technique is to:

A) Have the clinician demonstrate the technique on a model
B) Ask the client to describe the technique
C) Have the client demonstrate the technique intraorally
D) Wait until the next continued-care appointment and reevaluate the client's oral health status

Question 16

In the development of a dental hygiene care plan,strategies selected to reduce,eliminate,or prevent an oral health problem are:

A) Expected outcomes
B) Oral health goals
C) Dental interventions
D) Dental hygiene interventions

Question 17

Strategies for evaluating the outcome of dental hygiene care are guided by which of the following?

A) Dental hygiene diagnosis
B) Client-centered goals
C) Dental hygiene intervention strategies
D) Appointment schedule

Question 18

What is the legal term that indicates that the client is knowledgeable about the services the healthcare provider proposes to render but that the client declines the care?

A) Implied consent
B) Informed refusal
C) Informed consent
D) Expressed consent

Question 19

During development of a multiappointment dental hygiene care plan,a successful self-care management strategy is to sequence small increments of client education into each visit.This strategy is recommended to shape the client's self-care responsibilities.

A) Both the statement and the reason are correct and related.
B) Both the statement and the reason are correct,but they are not related.
C) The statement is correct,but the reason is not.
D) The statement is not correct,but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 20

Which one of the following represents a client-centered goal written in the affective domain?

A) The client will understand the composition of oral biofilm and its role in the progression of periodontal disease by 7/12.
B) The client will report including a power toothbrush in daily oral self-care by 11/3.
C) The client will successfully demonstrate flossing technique by 9/10.
D) The client will decrease bleeding on probing by 80% by 9/21.

Question 21

CASE STUDY
A client was diagnosed with a human need for wholesome facial image due to the client's dissatisfaction with her malaligned maxillary anterior teeth as evidenced by the client verbalizing,"I try not to show my teeth when smiling." The dental hygienist,in collaboration with the client,set the following goal: The client will seek an orthodontic consultation by 7/12.
The dental hygiene care plan addresses which components of the comprehensive dental plan?

A) Phase I-Etiotropic Therapy,and Phase II-Surgical
B) Phase I-Etiotropic Therapy,and Phase IV-Maintenance Therapy
C) Phase II-Surgical,and Phase III-Restorative Therapy
D) Preliminary Phase-Emergency Care,and Phase IV-Maintenance Therapy

Question 22

CASE STUDY
A client was diagnosed with a human need for wholesome facial image due to the client's dissatisfaction with her malaligned maxillary anterior teeth as evidenced by the client verbalizing,"I try not to show my teeth when smiling." The dental hygienist,in collaboration with the client,set the following goal: The client will seek an orthodontic consultation by 7/12.
A risk-management strategy for healthcare providers is to maintain detailed documentation of services rendered to clients.Documentation should include evidence of all phases of the process of care.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second statement is false.
D) The first statement is false;the second statement is true.

Question 23

CASE STUDY
A client was diagnosed with a human need for wholesome facial image due to the client's dissatisfaction with her malaligned maxillary anterior teeth as evidenced by the client verbalizing,"I try not to show my teeth when smiling." The dental hygienist,in collaboration with the client,set the following goal: The client will seek an orthodontic consultation by 7/12.

-Which of the following evaluative statements best measures the outcome of this goal?

A) Goal met,client recognizes the benefits of orthodontic therapy.
B) Goal partially met,client is brushing 1 $\times$ day.
C) Goal met,client attended orthodontic consultation on 7/2.
D) Goal met,client researched the risks and benefits of orthodontic therapy.

Question 24

CASE STUDY
A client was diagnosed with a human need for wholesome facial image due to the client's dissatisfaction with her malaligned maxillary anterior teeth as evidenced by the client verbalizing,"I try not to show my teeth when smiling." The dental hygienist,in collaboration with the client,set the following goal: The client will seek an orthodontic consultation by 7/12.
According to the dental hygiene process of care,all of the following are reasons why a client may fail to achieve a desired outcome of care except which one?

A) Care plan has not been updated.
B) Intervention strategies do not address the care plan goals.
C) Goals fail to address the client's unmet human need.
D) Goals are realistic and achievable by the client.

Question 25

CASE STUDY
A client was diagnosed with a human need for wholesome facial image due to the client's dissatisfaction with her malaligned maxillary anterior teeth as evidenced by the client verbalizing,"I try not to show my teeth when smiling." The dental hygienist,in collaboration with the client,set the following goal: The client will seek an orthodontic consultation by 7/12.
According to the dental hygiene process of care,when evaluation reveals that the client has made little progress toward goal attainment,the dental hygienist does all of the following except which one?

A) Terminate care.
B) Reassess the client.
C) Modify dental hygiene diagnoses.
D) Modify the care plan.