Deck 22: Dental Hygiene Care Plan, Evaluation, and Documentation

Question 1

Based upon the outcome of the goal being met, the dental hygienist will do all of the following except:

A) terminate the care plan.
B) determine a prognosis of the client's continued level of optimum oral health achieved.
C) recommend a continued cycle of care to support the client's long-term success.
D) modify the care plan.

Answer 1

modify the care plan.

Question 2

What is the legal term that applies to client consent for assessment, diagnosis, and care planning components of the dental hygiene process of care upon voluntarily coming to the oral care setting and sitting in the dental chair?

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

Answer 2

Implied consent

Question 3

Which component of the dental hygiene care plan defines the client's desired outcome of care?

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

Answer 3

Client-centered goals

Question 4

During the implementation phase of care, evaluation strategies are applied to:

A) determine a dental hygiene prognosis of care.
B) determine a supportive continued cycle of care.
C) monitor the client's progress toward achieving a desired outcome of care.
D) evaluation strategies are not applied during the implementation phase of care.

Question 5

Which of the following intervention strategies will best address this proposed goal?

A) Educate client on the benefits of using a modified grip on a toothbrush and interdental aid.
B) Review and reinforce client's oral self-care techniques with a modified grip toothbrush and interdental aid.
C) Debride teeth of soft deposits.
D) Reinforce the client's responsibility for daily oral self-care.

Question 6

According to the dental hygiene process of care, the following are reasons why a care plan is successful at achieving a desired outcome of care except:

A) goals must address the dental hygiene diagnosis for unmet human need.
B) dental hygienist continually monitors the client's progress toward achieving
C) care plan goals.
D) intervention strategies are service-oriented.
E) intervention strategies support the care plan goals.

Question 7

Each of the following statements represents the purpose of a client-centered dental hygiene care plan except one. Which is the one exception?

A) Resolution of an oral health problem amenable to dental treatment services
B) Prevention of a problem
C) Promotion of oral health
D) Supports the dental treatment plan

Question 8

Which of the following best represents an intervention strategy for the dental hygiene diagnosis; the client with an unmet human need for biologically sound dentition due to exposed cementum in the mandibular premolar and molar areas, and client reports using a medium toothbrush as evidenced by client complaining of sensitivity to cold foods and drinks?

A) Client will eliminate dentinal hypersensitivity by 1/22.
B) Client will report daily use of a self-applied topical fluoride agent by 12/23.
C) Client will purchase a soft bristle toothbrush and desensitizing toothpaste by 12/23.
D) Apply sodium varnish to exposed cementum.

Question 9

A well-defined client-centered goal will reflect the evidence of the diagnosed unmet human need. Which component of the dental hygiene diagnosis are the client-centered goals defined?

A) Statement of the problem
B) Statement of cause/etiology
C) Statement of signs and symptoms
D) Statement of chief complaint

Question 10

The evaluation phase of the process of care is a critical component to the successful outcome of dental hygiene care. Therefore, evaluation strategies are applied during the implementation phase of care, at the completion of the dental hygiene care plan, and at the subsequent continued care visit to guide the client in achieving and maintaining desired outcomes of care.

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 11

Which is the correct sequential order of the dental hygiene process of care phases
1) Diagnosing
2) Implementing
3) Assessing
4) Evaluating
5) Planning
?

A) 3, 1, 5, 2, 4
B) 4, 5, 1, 2, 3
C) 5, 3, 1, 2, 4
D) 2, 4, 1, 3, 5

Question 12

Which of the following will ensure that a dental hygiene care plan will be focused on comprehensive client needs?

A) Formulating the dental hygiene care plan from client oral symptoms
B) Formulating the dental hygiene care plan from client-centered goals
C) Formulating the dental hygiene care plan from the dental hygiene diagnosis
D) Formulating a dental hygiene care plan that addresses both preventive and therapeutic dental hygiene services

Question 13

The client has an unmet human need for skin and mucous membrane integrity of the head and neck due to bacterial plaque surrounding a newly placed crown on No. 30 as evidenced by localized gingival inflammation and spontaneous bleeding upon probing. Which of the following best represents an oral health status goal for this diagnostic statement?

A) Client will eliminate localized inflammation and bleeding at No. 30 by 4/21.
B) Client will demonstrate modified Bass toothbrushing and flossing technique around No. 30 crown by 4/21.
C) Client will report increased effort to access No. 30 during oral self-care by 4/21.
D) Client will describe the role of bacterial plaque biofilm in the progression of periodontal disease by 4/21.

Question 14

A well-written, client-centered goal will have a subject, verb, criteria for measurement, and a specified time dimension. Which of the following best describes the selection of a verb?

A) The action desired of the client to achieve the desired outcome
B) Desired observable behavior of outcome
C) Who is responsible for performing the action
D) When the desired outcome will be achieved

Question 15

Which of the following evaluative statements best supports the outcome of this goal?

A) Goal met, client reports that the modified grips have improved comfort during oral self-care.
B) Goal met, client is brushing once a day.
C) Goal met, client has increased plaque free index score to 88%.
D) Goal met, client demonstrates competent brushing and interdental plaque removal skills using modified grips on the oral self-care aids.

Question 16

A risk management strategy for healthcare providers is to maintain comprehensive documentation of services rendered to clients. Documentation may be limited to evidence of
Dental hygiene diagnosis, preventive, and treatment services implemented and evaluation of client outcomes.

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 17

The dental hygiene care plan is best developed by the dental hygienist in collaboration with the client because individuals that shared in the process are more likely to accept the care plan and adhere to change.

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

Client presents for Phase I Nonsurgical Therapy to address the following dental hygiene diagnosis: unmet human need for skin and mucous membrane integrity of the head and neck due to generalized subgingival biofilm, gingival pockets of 4 mm as evidenced by generalized spontaneous bleeding upon probing. Following implementation of dental hygiene intervention strategies, in which phase of care is the client scheduled to measure the outcome of the dental hygiene care plan?

A) Phase I: Evaluation of Response to Nonsurgical Therapy
B) Phase II: Surgical Therapy
C) Phase III: Restorative Therapy
D) Phase IV: Maintenance Therapy

Question 19

Which phase of the process of care defines the evaluation strategies that will be applied to measure the success of the care plan in achieving the desired outcomes?

A) Assessing
B) Diagnosing
C) Planning
D) Implementing
E) Evaluation

Question 20

During the planning phase of care, dental hygiene intervention strategies are selected to reduce, eliminate, or prevent an oral health problem. Intervention strategies specifically address the signs and symptoms of the problem as defined by the dental hygiene diagnosis.

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 21

From the list of components of a dental care plan, Select the two components that may be included in the dental hygiene care plan.

A) Preliminary phase-Emergency Care
B) Phase I-Nonsurgical Therapy
C) Phase II-Surgical Therapy
D) Phase III-Restorative Therapy
E) Phase IV-Maintenance Therapy

Question 22

The following are factors that the dental hygienist will consider before recommending a continued care interval to the client except:

A) overall appraisal of goal attainment.
B) client's continued adherence to recommended oral self-care.
C) level of optimum health achieved.
D) restorative care needed.

Question 23

Select three dental hygiene services completed at the Phase IV.

A) Maintenance Therapy continued care visit.
B) Reassess client's continued oral health and adherence to oral self-care recommendations.
C) Complete simple restorative needs.
D) Implement supportive, preventive, and therapeutic maintenance therapy.
E) Review, modify, and reinforce oral self-care as needed.
F) Complete extraction of hopeless teeth.

Question 24

A critical strategy for care planning self-care instruction includes considering variables such as client dexterity, skill, and knowledge. Therefore, a parent or guardian should be included when instructing a young child or client with a special need.

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 25

Select four characteristics of a well-written dental hygiene care plan.

A) Reflects current standards of evidence-based care
B) Identifies a relationship between the dental hygiene diagnoses, client goals, and intervention strategies
C) Is independent of the dental treatment plan
D) Reflects goals of care to prevent oral disease using primary, secondary, and tertiary preventive interventions
E) Identifies recommendation for continued care interval
F) Identifies the prognosis of care
G) Reflects goals of care to develop and maintain the individual's behaviors essential to oral health and the mastery of self-care and the environment

Question 26

Select three items that occur during the planning phase of the dental hygiene process of care.

A) Dental hygiene diagnosis is defined.
B) Diagnosed client needs are prioritized.
C) Client goals and evaluative measures are established.
D) Intervention strategies are determined.
E) Prognosis of care is proposed.