Motivational Interviewing
What are the 4 motivational interviewing principles?
Expressing empathy, develop discrepancy, roll with resistance, support self-efficacy
When working with a pediatric patient you can rename instruments with age appropriate terminology. Another name for an explorer can be ______________ and another name for the tri-syringe can be _______________.
tooth counter and water spray gun
A belief that other cultures are inferior to one’s own is called _______________.
Ethnocentrism
What is the name of a highly vascularized lesion up to 2 cm in diameter that occurs during a small percentage of pregnancies?
Pyogenic granuloma
When a patient is experiencing dental fear and anxiety their pain threshold and pain tolerance is higher.
FALSE, it is lowered.
What are the key purposes for respective listening in motivational interviewing?
It validates the client’s perspective, allows the client to feel understood, checks understanding, and encourages the client to elaborate.
True or False: Counting can be used to help children get through procedures such as taking impressions, radiographs, and applying fluoride.
True
Conducting a cultural assessment to collect relevant cultural data regarding the patient’s chief complaint is an example of_______________.
Cultural Skill
A woman who is pregnant and is diagnosed with periodontitis is at risk for __________.
Preterm birth less than 37 weeks, low birth weight infants
Fill in the Blank: Increased fear and anxiety when in a healthcare setting or around healthcare professionals is called ________.
White coat syndrome
What does OARS stand for?
Open ended questions, Affirmations, Reflective listening, Summarizing
When using distraction as a management technique with a paediatric patient the objectives are:
Increased perception of unpleasantness
Attention directed toward the dental procedure
Avert negative or avoidance behavior
May be used with any patient
Avert negative or avoidance behavior
Ming presents at the clinic with low caries risk and gingival health. During the appointment, Ming reveals his oral health routine is a routine practice back in his home country, which includes brushing 1x/day, no flossing, oil pulling, and using herbal tea leave treatments. In consideration to his culture, and the fact that he presents with gingival health, Ming does not need to change his home care regimen. True or False?
True, if it is healthy then we can appreciate cultural remedies as long as they are not affecting oral health negatively.
Differentiate between geriatrics and gerontology.
Geriatrics branch of medicine, gerontology research focus of studying aging process effects of aging.
Which of the following is NOT a strategy for managing dental fear and anxiety?
Verbally checking in with patient following the appointment
Avoid inquiring about patient’s fears
Rapport building
Giving a clear explanation of dental procedures and expenses
Avoid inquiring about patient’s fears
List two strengths of summarizing.
Shows the clinician has understood the client
Maintains cohesiveness and rapport
Ensures that important issues have been reviewed and addressed
Links information from the dental hygienist to the dentist
What is the difference between passive-aggressive communication and aggressive communication?
Passive-aggressive communication is indirect behaviours to avoid direct communication and perceived as aggressive in an indirect way. Aggressive communication is evaluation of others and more dominant and direct compared to passive communication.
A patient who has recently immigrated to Canada presents in the dental chair, and you realize that the patient cannot completely understand the information that you are presenting. Since there is no interpreter available, you use very basic vocabulary and bring your dentoform to explain your treatment plan. Do you proceed with dental hygiene therapy, despite your patient not fully understanding?
No, unable to provide informed verbal or written consent. Therefore, the patient would be advised to bring a medical interpreter or a family/friend to interpret.
True or False: Registered dental hygienists should inform expectant mothers about the need to apply a pea size amount of toothpaste to brush the infant’s first tooth when it erupts.
False should be a tiny smear
List 2 causes for dental fear and anxiety:
Early childhood experiences
White coat syndrome
Dental environment
Previous negative experiences
Lack of understanding
Media portrayal of dental office
Daily Double:
Which term refers to the creation of an agreement that respects the beliefs and wishes of the patient, and whether or not they follow the instructions of the practitioner?
Concordance
Daily Double: A 6-year old patient presents to the clinic for their hygiene appointment, they are crying and overly frightened. Discuss 3 communicative management techniques you could use as a hygienist to calm the child.
I would use tell-show-do, positive reinforcement, and distraction. For example, I would tell them I am going to count their teeth with the explorer, show them on my finger, and then do it in their mouth. After that I would give them praise for getting through the exploring, “I like how easy you are making my job by keeping your mouth open wide, good job!” If impressions were needed I would distract my patient by counting them through the procedure and following up with praise.
Other options include non-verbal communication, voice control, parental presence/absence.
What is the difference between cultural knowledge and cultural awareness?
Cultural awareness is recognizing your own culture and what influences that.
Cultural knowledge is gaining knowledge about cultures that you’re unfamiliar with (asking patients, face-to-face interactions, traveling, books, etc.)
True or False: The R in an MPOWER initiative stands for Raise awareness on the negative effects of tobacco.
False: Raise taxes on tobacco.
Explain the difference between dental fear, dental anxiety, and dental phobia?
Dental fear - A reaction to threatening stimuli in dental situations
Dental anxiety - An emotional state that is associated with the thought of visiting a dental office
Dental phobia - Persistent, unrealistic, an intense fear of a specific stimulus, leading to complete avoidance of the perceived danger.