Deck 18: Insights for the Fearful Patient

Question 1

Match the following:

-Anxiety

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Answer 1

Emotional response to threat not immediately present

Question 2

Match the following:

-Biofeedback

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Answer 2

Modification of physiological responses

Question 3

Match the following:

-Deep breathing

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Answer 3

Coping technique to control respiration

Question 4

Match the following:

-Fear

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 5

Match the following:

-Focusing attention

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 6

Match the following:

-Guided imagery

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 7

Match the following:

-Muscle relaxation

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 8

Match the following:

-Pain

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 9

Match the following:

-Phobia

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 10

Match the following:

-Reaction

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 11

Match the following:

-Rehearsals

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 12

Match the following:

-Response

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 13

Match the following:

-Skill

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 14

Match the following:

-Strategy

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 15

Match the following:

-Time structuring

A) Proficiency acquired or developed through training or experience
B) Opportunity to practice new skill
C) Plan of action to accomplish a specific goal
D) Reply or answer to stimulus
E) Bodily response to stimuli
F) Coping technique to control respiration
G) Redirecting anticipatory anxieties
H) Apprises patient of injection progress
I) Emotional response to immediate danger
J) Persistent, irrational fear of object or situation
K) Modification of physiological responses
L) Relieves tension
M) Unpleasant sensory and emotional experience
N) Emotional response to threat not immediately present
O) Creating pleasant mental scenes

Question 16

Approximately 20% of all patients presenting for dental care experience some level of anxiety related to appointments.

Question 17

Fear is an emotional response to an immediate threat or danger.

Question 18

A phobia is an emotional response to a threat not immediately present.

Question 19

Fearful patients are often not aware of the benefits of oral health due to past fearful experiences.

Question 20

Fear is innate and will develop in response to pain, regardless of the manner in which a clinician manages a patient's reaction to pain.

Question 21

Self-report is the only method for obtaining reliable information about a patient's fear.

Question 22

When a patient feels they have control over a situation, they can increase their level of pain tolerance.

Question 23

Patients need to have a sense of control throughout an appointment or they will worry that the procedures will be more than they can endure.

Question 24

Focused attention is a cognitive control method whereby patients are guided to think of pleasant scenes or scenarios.

Question 25

Muscle relaxation techniques are helpful in reducing the likelihood of a startle reaction.

Question 26

Deep breathing and muscle relaxation give patients an active role during administration of local anesthetic drugs, enhancing cognitive control over negative thoughts.

Question 27

N₂O-O₂ sedation is a substitute for good behavioral management.

Question 28

It is important when using a time-structuring strategy during an appointment to tell patients when needle penetrations are occurring, deposition sites have been reached, and injections are nearly finished.

Question 29

Electric pulp testing (EPT) devices can be a reliable method to reassure patients that adequate anesthesia has been established prior to initiating treatment.

Question 30

Confirming anesthesia with an EPT is contraindicated because this causes pain and induces unnecessary fear and anxiety in patients.

Question 31

Provide examples of behavioral indicators of dental fear.

Question 32

Explain one of the two muscle relaxation techniques.

Question 33

What postoperative anesthetic recovery instructions are important for fearful patients?

Question 34

The receptionist receives a call from a prospective patient who states that she has not been to the dentist for years and knows that she needs treatment. The receptionist makes an appointment for her; however, the patient later decides she cannot make it that day and another appointment is scheduled for the following month. The next day, the patient calls again saying she is not able to make the second appointment, either. After speaking with the receptionist, she decides to reschedule for an earlier appointment because her tooth is starting to hurt.

-What clues suggest this patient might be fearful of dentistry?

Question 35

The receptionist receives a call from a prospective patient who states that she has not been to the dentist for years and knows that she needs treatment. The receptionist makes an appointment for her; however, the patient later decides she cannot make it that day and another appointment is scheduled for the following month. The next day, the patient calls again saying she is not able to make the second appointment, either. After speaking with the receptionist, she decides to reschedule for an earlier appointment because her tooth is starting to hurt.

-Given this scenario, do you suspect this patient is fearful, anxious, and/or phobic? Why?

Question 36

The receptionist receives a call from a prospective patient who states that she has not been to the dentist for years and knows that she needs treatment. The receptionist makes an appointment for her; however, the patient later decides she cannot make it that day and another appointment is scheduled for the following month. The next day, the patient calls again saying she is not able to make the second appointment, either. After speaking with the receptionist, she decides to reschedule for an earlier appointment because her tooth is starting to hurt.

-What is the most important first step in providing dental care for her?

Question 37

The receptionist receives a call from a prospective patient who states that she has not been to the dentist for years and knows that she needs treatment. The receptionist makes an appointment for her; however, the patient later decides she cannot make it that day and another appointment is scheduled for the following month. The next day, the patient calls again saying she is not able to make the second appointment, either. After speaking with the receptionist, she decides to reschedule for an earlier appointment because her tooth is starting to hurt.

-Explain three concepts to consider when developing strategies for treating her. Provide examples.