Test Bank for Periodontology for the Dental Hygienist 4th Edition by Perry

Test Bank for Periodontology for the Dental

Hygienist 4th Edition by Perry

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MULTIPLE CHOICE

1. The dental hygiene care plan is the portion of treatment that is the responsibility of
the dental hygienist. It is a component of the comprehensive care plan and includes all of
the following elements EXCEPT one. Which one is the EXCEPTION?
a. Restorative care c. Maintenance care
b. Patient education d. Nonsurgical periodontal therapy
ANS: A
Restorative care is not an element of dental hygiene care, although assessment of patient
conditions and referral (including encouragement) for restorative care is.

PTS: 1

2. All of the following factors influence the number and length of treatment visits for
dental hygiene care EXCEPT one. Which one is the EXCEPTION?
a. Age of patient
b. Furcation involvement
c. Number of teeth present
d. Amount of subgingival calculus
e. Amount of supragingival calculus
ANS: A
The age of the patient is not typically a major consideration in establishing the treatment
plan.

PTS: 1

3. An appropriate treatment plan includes consideration of the wishes of the patient. The
dental hygienist decides on the treatment plan and informs the patient of the extent of
disease.
a. Both statements are TRUE.
b. Both statements are FALSE.
c. The first statement is TRUE, and the second is FALSE.
d. The first statement is FALSE, and the second is TRUE.
ANS: C
The first statement is true. Understanding and consideration of patient wishes are
extremely important in creating a successful treatment plan. Few patients are content to
be told what to do without explanation or consideration of their needs.

PTS: 1

4. The treatment plan is a guideline for the management of comprehensive periodontal

and restorative care. The treatment plan is essential for every periodontal patient.
a. Both statements are TRUE.
b. Both statements are FALSE.

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

Test Bank 9-2

c. The first statement is TRUE, and the second is FALSE.

d. The first statement is FALSE, and the second is TRUE.
ANS: A
Both statements are true. The treatment plan is the blueprint for patient care and must be
developed and agreed to by the patient in every case.

PTS: 1

5. The phase of treatment that addresses any periodontal emergency is called:

a. Preliminary phase.
b. Phase I.
c. Phase II.
d. Phase III.
e. Phase IV.
ANS: A
Periodontal emergencies are addressed immediately, in the Preliminary Phase of care.

PTS: 1

6. The elements of informed consent include all of the following factors EXCEPT one.
Which one is the EXCEPTION?
a. Implied consent
b. Risks and benefits
c. Prognosis if treatment is performed
d. Prognosis if treatment is not performed
ANS: A
The treatment plan does not include implied consent. The patient must specifically
consent to all treatment.

PTS: 1

Please use the case description to answer the following questions.

Mrs. DJJ is a 34-year-old Hispanic woman with a history of slightly elevated blood
pressure. She is not taking any medications and is not allergic to anything except pollen.
Her family history is unremarkable, and she states that her periodontal condition is of
great concern to her because she is a backup singer for a movie studio. She is also
concerned about “getting cavities.” The patient is new to the periodontal practice and has
undergone a complete dental assessment. Mrs. DJJ has been diagnosed as having chronic
periodontitis with moderate amounts of calculus in all quadrants. The tissue in the lower
right sextant is of concern to the periodontist and the patient because it is particularly red
and inflamed. The dental hygienist has been asked to create a treatment plan and to
manage care before returning the patient to Dr. DBC for further evaluation. The patient is
concerned about how many appointments this will take to complete.

7. What phase of treatment will the dental hygienist be providing for this patient?

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

Test Bank 9-3

a. Preliminary phase
b. Phase I therapy
c. Phase II therapy
d. Phase III therapy
e. Phase IV therapy
ANS: B
Phase I therapy, assessment, and nonsurgical treatment will be provided by the dental
hygienist.

PTS: 1

8. What are the most critical factors to be considered in scheduling this patient?
a. The amount of calculus present
b. The severity of disease and amount of calculus
c. The amount of calculus and length of appointment sessions
d. The severity of disease, amount of calculus, and need for patient education
ANS: D
The severity of disease, amount of calculus, and need for patient education are primary
considerations in developing the treatment plan.

PTS: 1

9. Effective behavior change for this patient’s oral hygiene will be dependent on:
a. The cost of the treatment.
b. The level of informed consent.
c. The number of appointments required.
d. An understanding of the periodontal disease classifications.
e. An understanding of the relationship between her gum problems and plaque
biofilm control.
ANS: E
The patient will need to understand how her daily home care affects the disease process
so she can begin to modify her behavior.

PTS: 1

10. After entering the treatment rendered in the patient’s chart, you discover that you
wrote down the wrong blood pressure reading. The best course of action is to:
a. Erase the wrong numbers and enter the correct ones.
b. Use “white-out” to delete the wrong numbers and enter the correct ones.
c. Black out the wrong numbers so they are illegible and enter the correct ones.
d. Draw a line through the wrong information so it can be read, enter the correct ones,
and initial the entry.
ANS: D

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

Test Bank 9-4

Correcting chart entries requires that you cross out the incorrect information so it can still
be read, add the correct information, and sign or initial the modification.

PTS: 1

Please use the case description to answer the following questions.

Mr.VMC is a 52-year-old white man who has recently completed treatment with a
periodontist in another part of the state. He is new to the area and to the practice where
you are employed as a dental hygienist, and he was referred to the office by a colleague at
work. He has a history of rheumatic fever and is interested in his general and dental
health. He was not pleased about having periodontal surgery in the past and performs a
complicated regimen of oral cleaning twice a day to avoid further surgery. The dental
hygienist is the first person in the office to see and treat Mr. VMC.

11. What would be the major concern that the dental hygienist should address at the first
appointment?
a. Taking a new dental history
b. Referring the patient to a periodontist
c. Evaluating the need for premedication
d. Determining the plan for patient education
e. Establishing the patient’s periodontal classification
ANS: C
The patient must first be evaluated for the need for antibiotic coverage during treatment.

PTS: 1

12. What phase of treatment will the dental hygienist be providing for this patient?
a. Preliminary phase
b. Phase I therapy
c. Phase II therapy
d. Phase III therapy
e. Phase IV therapy
ANS: E
Phase IV therapy, maintenance care is most likely needed in this case.

PTS: 1

13. All of the following factors should be considered in establishing a dental hygiene care
plan for this patient EXCEPT one. Which one is the EXCEPTION?
a. Probing pocket depths
b. Patient cooperation and sensitivity
c. Amount of calculus and attachment loss
d. Expense of previous periodontal treatments
e. Patient’s general health and tolerance of treatment
ANS: D

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

Test Bank for Periodontology for the Dental Hygienist 4th Edition by Perry

Test Bank 9-5

Expenses incurred for previous treatment should not be a consideration in planning care.

PTS: 1

14. If the patient refuses any further recommended periodontal treatment after careful
explanation by the periodontist and the dental hygienist, the term for that option is:
a. Negligence. c. Informed refusal.
b. Implied consent. d. Informed consent.
ANS: C
The patient was informed of the risks associated with not proceeding with treatment, so
the term is informed refusal.

PTS: 1

15. What aspect of this patient’s history and clinical findings would likely be the best
motivational tool for continued attention to his daily oral hygiene practices?
a. His interest in his general health
b. His history of periodontal disease
c. A strong desire to avoid more periodontal surgery
d. An interest in proving his ability to brush and floss correctly
ANS: C
The patient expressed a strong desire to avoid further periodontal surgery, so that can be
used to encourage him to continue with his home care and maintenance regimen.

PTS: 1

Copyright © 2007 by Saunders, an imprint of Elsevier Inc.

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