Deck 61: Palliative Oral Care

Question 1

All of the following are symptoms associated with oral candidiasis except:

A) pain.
B) hypersalivation.
C) bleeding.
D) burning mouth.
E) inability to taste food.

Answer 1

hypersalivation.

Question 2

Which of the following is the most common factor in preventing the onset of mucositis?

A) Keeping the patient's mouth clean and hydrated
B) Warm baking soda, saline, and water rinses
C) Chlorhexidine
D) Topical corticosteroids

Answer 2

Keeping the patient's mouth clean and hydrated

Question 3

Hospice is a place where patients go at the end-of-life. It exists to provide compassion, support, and care for persons in the last phases of terminal illness.

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

Answer 3

The first statement is false, and the second statement is true.

Question 4

Palliative care is a healthcare approach that improves the quality of life of patients and their families who face problems associated with life-limiting illnesses. Palliative care aims to prevent and relieve suffering by early identification, assessment, and treatment of pain and other types of physical, psychologic, emotional and spiritual distresses.

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

Question 5

A mouth free of discomfort and bad odors helps with all of the following except:

A) ensuring self-esteem.
B) aiding in social communication.
C) maintaining nutritional status.
D) preventing further decline in overall health.

Question 6

Oral problems are not common among patients receiving palliative care, because most patients can perform oral hygiene on themselves regularly.

A) Both the statement and the reason are correct, and they are 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 7

Toothbrushing techniques differ depending on the patients' ability to swallow or spit. For those who have no difficulty swallowing or spitting, a small smear of fluoride toothpaste can be used.

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

Question 8

Palliative care is often initiated after a person receives a diagnosis of a life-limiting illness. Palliative care is only delivered at home.

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

Question 9

Which of the following types of oral candidiasis clinically presents as a cottage cheeselike mass that wipes off with red inflammation and bleeding underneath?

A) Pseudomembranous
B) Erythematous
C) Hyperplastic
D) Angular cheilitis

Question 10

Which of the following represents the oral complication that appears as red edematous tissue with a yellow membrane covering the ulceration?

A) Oral candidiasis
B) Mucositis
C) Xerostomia
D) Burning mouth syndrome

Question 11

Appliances with metal clasps need to be soaked in chlorhexidine solution, because sodium hypochlorite corrodes the metal clasps.

A) Both the statement and the reason are correct, and they are 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 12

It is imperative that patients and their caregivers regularly treat dentures to avoid fungal infections because salivary Candida levels have been reported to be higher in denture wearers than dentate individuals.

A) Both the statement and the reason are correct, and they are 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 13

Nystatin oral suspensions typically are used in patients with difficulty swallowing, because it must be expectorated.

A) Both the statement and the reason are correct, and they are 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 14

Which oral complication is associated with a change in the consistency and volume of saliva?

A) Oral candidiasis
B) Mucositis
C) Drug-induced xerostomia
D) Ulcers

Question 15

What organism is a natural inhabitant of the oral cavity and responsible for most cases of candidiasis?

A) Streptococcus mutans
B) Porphyromonas gingivalis
C) Candida albicans
D) Staphylococcus epidermidis

Question 16

Examples of members of a palliative care team include all of the following except:

A) physicians.
B) social workers.
C) dental hygienists.
D) pharmacists.
E) nurses.

Question 17

Topical corticosteroids must be used with caution in the treatment of mucositis, because they may increase the risk of aspiration pneumoni a.

A) Both the statement and the reason are correct, and they are 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 18

Mucositis commonly occurs among patients undergoing chemotherapy and radiation, because it increases the mitosis rate of cells in the oral tissue causing atrophy of the tissue.

A) Both the statement and the reason are correct, and they are 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 19

What is the term for the period of time during which an individual copes with declining health from a terminal illness or from the frailties associated with advanced age, even if death is not clearly imminent?

A) Hospice
B) End-of-life
C) Long-term care
D) Acute care

Question 20

Which risk factor(s) for the onset of xerostomia is most important?

A) Anxiety
B) Dehydration
C) Salivary gland disease
D) Medications and drug therapies

Question 21

During which part of the oral health assessment are patients and caregivers asked questions about the patient's oral health?

A) Oral health screening examination
B) Interview
C) Clients chart review
D) Extraoral examination

Question 22

Which phase of the dental hygiene process of care involves reviewing the client's chart to determine drug history, medical problems, diet, and prior treatment that would have implications on the client's oral health?

A) Dental hygiene diagnosis
B) Oral health assessment
C) Planning
D) Implementation of care

Question 23

If the mouth is determined to be healthy, then standard oral hygiene care is prescribed for the patient or caregiver to perform on a daily basis. Which of the following procedures should be carried out during standard oral care? (Select all that apply.)

A) Brushing all teeth
B) Cleaning the tongue twice daily
C) Applying fluoride varnish
D) Lubricating lips with water based products

Question 24

The physical and psychologic needs of patients in palliative care are continually changing. Proper evaluation of palliative oral care is based on whether the goals are met, partially met, or unmet.

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

Question 25

Select four oral complications found among patients in palliative care.

A) Crossbite
B) Mucositis
C) Candidiasis
D) Overjet
E) Xerostomia
F) Ulcers

Question 26

Frequent hydration with sips of water, saliva substitutes, ice chips, or sugar-free popsicles are all ways to treat which oral complication?

A) Xerostomia
B) Oral candidiasis
C) Mucositis
D) Ulcers

Question 27

What is the main goal when planning treatment for patients in palliative care?

A) Reduce pocket depths.
B) Restore incipient carious lesions.
C) Maintain oral comfort.
D) Tooth whitening to improve client's self-esteem.

Question 28

Products containing lemon, glycerin, or alcohol are contraindicated for clients with xerostomia, because they are acidic and will dry out the tissue further.

A) Both the statement and the reason are correct, and they are 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 29

Which phase of the dental hygiene process of care involves using information gathered during the assessment to identify the human needs related to oral care for the client?

A) Dental hygiene diagnosis
B) Planning
C) Implementation of care
D) Evaluation

Question 30

Select the four clinical classifications of oral candidiasis.

A) Pseudomembranous
B) Erythematous
C) Gingivitis
D) Hyperplastic
E) Periodontitis
F) Angular cheilitis