Deck 21: Nutritional Assessment and Education for Dental Patients

Question 1

Which communication skill is most important for a dental hygienist when interviewing a patient during nutritional counseling?

A) Empathy
B) Patience
C) Listening
D) Questioning

Answer 1

Listening

Question 2

A patient does not respond to efforts designed to develop healthier dietary patterns the dental hygienist should:

A) gently reprimand the patient.
B) dismiss the patient for uncooperative behavior.
C) describe the dire consequences of the existing behavior.
D) continue the same efforts to help the patient change his or her behavior.
E) evaluate the situation to understand obstacles to dietary changes.

Answer 2

evaluate the situation to understand obstacles to dietary changes.

Question 3

Disturbances in which of the following nutrients contribute to glossitis? (Select all that apply.)

A) Niacin
B) Vitamin C
C) Folic acid
D) Biotin
E) Vitamin D

Answer 3

Niacin
Folic acid
Biotin

Question 4

Overall, the most effective method of obtaining dietary information is with the:

A) diet history.
B) twenty-four-hour-recall.
C) food frequency questionnaire.
D) food diary.

Question 5

The component of treatment plan formulation that focuses on monitoring the patient's progress and evaluating the care provided is called:

A) follow-up.
B) review.
C) evaluation.
D) documentation.

Question 6

Motivational interviewing is a respectful, collaborative conversation about change. While the power for change rests in the hands of the patient, the dental professional selects the dietary plan most appropriate for the patient.

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

Question 7

Effective intervention techniques to use during dietary counseling include which of the following? (Select all that apply.)

A) Avoid scheduling nutritional education sessions after a long or difficult dental appointment.
B) When possible, choose a quiet and private location.
C) The operatory is never an acceptable location because patients find it difficult to relax.
D) Resist the temptation to create an ideal diet prescription and solve all nutritional needs.
E) Refrain from taking notes, because it is distractive to the patient.

Question 8

Impediments to active listening include which of the following? (Select all that apply.)

A) Interrupting
B) Preparing a response while the other person is speaking
C) Multitasking
D) Finishing the speaker's sentences
E) Eye contact

Question 9

Which of the following accurately depict aspects of the 24-hour recall diet history? (Select all that apply.)

A) Allows the dental professional to collect data on food consumed during a single day
B) Quick, easy, and presents a representative sample of dietary intake
C) Determines how often a patient consumes foods from groupings containing similar nutrient content
D) Involves weighing and measuring quantities of food consumed

Question 10

Health literacy significantly affects nutrition and oral health. Which of the following are accurate regarding health literacy? (Select all that apply.)

A) Health literacy is defined as the degree to which individuals practice proactive health strategies
B) One objective of Healthy People 2020 is to improve health literacy by simplifying healthcare instructions.
C) Low health literacy has been linked to less frequent use of preventive services.
D) Well-educated individuals typically are health literate.
E) The dental hygienist can promote health literacy by tailoring dental information to the needs of the patient.

Question 11

Asking open-ended questions is often perceived as intrusive. To improve listening skills, the dental hygienist can practice being attentive by decreasing the number of questions asked.

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

Question 12

Positive nonverbal communications increase the effectiveness of a message and create a comfortable atmosphere for the patient. Avoiding direct eye contact by frequently studying the patients chart enables the patient to relax and think more clearly.

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

Question 13

After reviewing the health and dental histories, the dental hygienist has adequate information to begin dietary counseling with the patient. Providing a standardized, low-carbohydrate menu is sufficient for most patients with a high caries rate.

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

Question 14

The nutritional assessment must be documented in the patient's treatment record. The treatment record is a legal document. Even if the assessment is not recorded, it is always assumed the intervention took place.

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

Question 15

During nutritional counseling, it is most important to:

A) consult the patient's family.
B) formulate a sample diet plan before presenting it to the patient.
C) include members of the dental team in the dietary formulation.
D) include the patient in formulation of the dietary plan.

Question 16

Each of the following is a component of formation of a nutrition treatment plan except one. Which one is the exception?

A) Integration and implementation
B) Setting goals
C) Organizational strategies
D) Menu creation
E) Review

Question 17

The assessment tool designed to elicit information about the patient's use of tobacco and alcohol use, fluoride history, and snacking patterns is the:

A) psychosocial history.
B) dental history.
C) clinical observation.
D) extraoral and intraoral assessment.

Question 18

Nutritional goals for a patient wishing to modify eating patterns should adhere to each of the following except one. Which one is the exception?

A) Measurable and realistic
B) Incorporated immediately
C) Realistic
D) Achievable

Question 19

The purpose of the health history is to identify health-related considerations and medications that may cause nutritional risk. Many medications, such as prednisone, have drug-nutrient interactions that can influence nutrient needs.

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

Question 20

A dental hygienist finds several new carious lesions in a patient with chronic obstructive respiratory disease (COPD). While conducting the medical and dental histories, the dental hygienist is most likely to find an increased use of which of the following?

A) Protein
B) Cough drops
C) Fluoride
D) Xylitol

Question 21

Assessment of nutrient-related oral conditions is a key component of dental hygiene therapy. Match each nutrient with the oral condition likely to result from its imbalance.
Gingival hemorrhage

A)Folic acid
B)Vitamin C
C)Vitamin A
D)Vitamin K
E)Iron
F)Zinc
G)Cobalamin

Question 22

Assessment of nutrient-related oral conditions is a key component of dental hygiene therapy. Match each nutrient with the oral condition likely to result from its imbalance.
Pale to grey mucosa

A)Folic acid
B)Vitamin C
C)Vitamin A
D)Vitamin K
E)Iron
F)Zinc
G)Cobalamin

Question 23

Assessment of nutrient-related oral conditions is a key component of dental hygiene therapy. Match each nutrient with the oral condition likely to result from its imbalance.
Glossitis with enlargement of fungiform papillae

A)Folic acid
B)Vitamin C
C)Vitamin A
D)Vitamin K
E)Iron
F)Zinc
G)Cobalamin

Question 24

Assessment of nutrient-related oral conditions is a key component of dental hygiene therapy. Match each nutrient with the oral condition likely to result from its imbalance.
Pale to yellow mucosa

A)Folic acid
B)Vitamin C
C)Vitamin A
D)Vitamin K
E)Iron
F)Zinc
G)Cobalamin

Question 25

Assessment of nutrient-related oral conditions is a key component of dental hygiene therapy. Match each nutrient with the oral condition likely to result from its imbalance.
Ameloblast atrophy

A)Folic acid
B)Vitamin C
C)Vitamin A
D)Vitamin K
E)Iron
F)Zinc
G)Cobalamin

Question 26

Assessment of nutrient-related oral conditions is a key component of dental hygiene therapy. Match each nutrient with the oral condition likely to result from its imbalance.
Gingival inflammation with bleeding

A)Folic acid
B)Vitamin C
C)Vitamin A
D)Vitamin K
E)Iron
F)Zinc
G)Cobalamin

Question 27

Assessment of nutrient-related oral conditions is a key component of dental hygiene therapy. Match each nutrient with the oral condition likely to result from its imbalance.
Thickening of tongue

A)Folic acid
B)Vitamin C
C)Vitamin A
D)Vitamin K
E)Iron
F)Zinc
G)Cobalamin