Deck 10: Personal,dental,and Health Histories

Question 1

A client with an ASA status of _____ of greater should not receive dental hygiene care.

A) I
B) II
C) III
D) IV

Answer 1

IV

Question 2

If a mistake is made in recording client responses on a health history questionnaire,which of the following steps should be taken to correct it?

A) Use Wite-Out^® correction ink to correct the mistake.
B) Draw one line across the error and initial it.
C) Mark through it so you cannot tell what the mistake was.
D) Write all health histories in pencil so you can just erase your mistakes.

Answer 2

Draw one line across the error and initial it.

Question 3

What is the relevance of gaining information about the client's chief complaint?

A) This is the reason for the dental visit.
B) The client will want the chief complaint addressed early in care.
C) Failure to address the chief complaint may detract from a positive dental experience.
D) All of the above are relevant.

Answer 3

All of the above are relevant.

Question 4

Which of the following is not a phase in the health history interview process?

A) Orientation phase
B) Working phase
C) Termination phase
D) Summary phase

Question 5

Which of the following should not be written in the Medical Alert Box,in red,on the health history questionnaire?

A) Hysterectomy
B) High blood pressure
C) Antibiotic premedication
D) Penicillin allergy

Question 6

If an adult client takes clindamycin as antibiotic premedication before an invasive dental or dental hygiene procedure,what is the currently recommended dosage and time interval?

A) 2 g,1 hour before the procedure
B) 600 mg,1 hour before the procedure
C) 800 mg,1 hour before the procedure
D) 600 mg,2 hours before the procedure

Question 7

Which of the following questions is not asked on the dental history questionnaire?

A) What type of toothbrush do you use?
B) What do you eat between meals?
C) When was your last physician's visit (laboratory tests)?
D) What is your chief oral complaint?

Question 8

If an adult client without a drug allergy to penicillin needs antibiotic premeditation because of a recent total knee joint replacement,what antibiotic is normally prescribed?

A) Amoxicillin,2 g orally,1/2 hour before the procedure
B) Amoxicillin,1 g orally,1 hour before the procedure
C) Azithromycin,500 mg orally,2 hours before the procedure
D) Penicillin,2 g orally,1 hour before the procedure

Question 9

A client is on prophylactic antibiotic premeditation and is scheduled for two appointments.How much time should be given between appointments?

A) 4 to 6 days
B) 7 to 8 days
C) 10 days
D) Time between appointments is not an issue.

Question 10

Prophylactic antibiotic premedication before invasive dental or dental hygiene care is prescribed for clients with a history of any of the following conditions except which one?

A) Total joint replacement within the last 2 years
B) Previous history of infective endocarditis
C) Heart transplant with valve disease
D) Uncontrolled diabetes mellitus
E) Prosthetic valve replacement

Question 11

Positive "yes" responses made by the client on health history or dental history questionnaires should be circled in what color permanent ink?

A) Blue
B) Green
C) Red
D) Black

Question 12

Clients respond best to a friendly,caring,nonjudgmental interviewer.Therefore the hygienist must monitor personal verbal and nonverbal communication so that the client feels accepted.

A) The statement and reason are true,and they are related.
B) The statement and reason are true,but they are unrelated.
C) The statement is true and the reason is false,but they are related.
D) The statement is false and the reason is true,but they are related.

Question 13

A client records on the health history questionnaire that she is 6 months pregnant.Is it safe to provide dental hygiene care,and if so,why?

A) No;increased risk for loss of consciousness exists.
B) Yes;place pillow under right hip to avoid pressure on vena cava.
C) Yes;there is very low risk for any problems at 6 months.

Question 14

Assessment of a client's health history enables a dental hygienist to establish information about the client's:

A) Risks for a medical emergency
B) Health and medical status
C) Need for medical evaluation
D) All of the above

Question 15

A client may have an undiagnosed disease or condition that can be recognized by a comprehensive health history assessment because some clients may seek oral healthcare more often than medical care.

A) The statement and reason are true,and they are related.
B) The statement and reason are true,but they are unrelated.
C) The statement is true and the reason is false.
D) The reason is true and the statement is false.

Question 16

The client's health history assessment is important for all of the following reasons except which one?

A) It identifies the client with poor value for oral health.
B) Preexisting medical conditions may complicate dental hygiene procedures.
C) Preexisting medical conditions may influence the dental hygiene care plan.
D) Preexisting medical conditions may create a need for prophylactic antibiotic premedication.

Question 17

Which of the following should be a concern when looking up a drug in a dental drug reference?

A) Drug interactions
B) Medical condition indication for drug
C) Adverse reactions
D) A and B only
E) All of the above

Question 18

A new,comprehensive health history should be taken for each client:

A) Every 10 years
B) When the client's health status changes significantly
C) Every 2 years
D) When all the areas for information are filled

Question 19

When looking up a drug in the Dental Drug Reference,all of the following should be considered except which one?

A) Drug class
B) Clinical considerations
C) Pharmacokinetics of the drug
D) Drug side effects

Question 20

If a client with a drug allergy to penicillin-like agents needs antibiotic premedication because of high-risk status for infection around a total joint replacement,what antibiotic would be prescribed?

A) Amoxicillin
B) Cefazolin
C) Clindamycin
D) Azithromycin
E) Cefazolin,clindamycin,or azithromycin