Title: Chapter 57: Test Generator Questions
Course: DEH 2821 Medically-Compromised Patient

Q: Which of the following would most likely be true of a patient who is homebound?
- Be very mobile and active
- Live in a group home
- Have only an ASA I classification
- Perform all daily hygiene tasks independently
A: Live in a group home

Q: Systemic conditions can affect oral health status. Poor oral health can affect systemic conditions.
- The first statement is true and the second statement is true
- The first statement is true and the second statement is false
- The first statement is false and the second statement is true
- The first statement is false and the second statement is false
A: The first statement is true and the second statement is true

Q: Which of the following is not a barrier to accessing dental services for patients who are homebound?
- Lack of transportation
- High cost
- Ageism or negative attitudes of practitioners
- Large number of practitioners who provide home-based services
- Patient's health attitudes and beliefs
A: Large number of practitioners who provide home-based services

Q: Which of the following is a midlevel oral health professional who would be able to eliminate barriers for patients who are homebound?
- Advanced Dental Hygienist
- Nurse Practitioner
- Advanced Dental Hygiene Practitioner
- Dental Practitioner
A: Advanced Dental Hygiene Practitioner

Q: In preparing to provide care for a patient on a home visit, the patient's medical history should be reviewed when?
- At the time of the appointment
- After radiographs are taken
- At any time during or after treatment
- In advance of the appointment
A: In advance of the appointment

Q: Case Study 1
Barb is a 90-year-old patient who has been referred to the practice by her hospice nurse to receive dental hygiene care. When the hygienist receives and reviews her medical history, it states that Barb is terminally ill with lung cancer and is currently receiving hospice care. Her past medical history and list of medications are included with the medical history form. Barb's daughter and hospice workers do most of the caregiving. Lately Barb has been complaining of a constantly dry mouth and a bad taste in her mouth and her daughter notices that her breath stinks. Barb has limited mobility and for the last 2 weeks has not left her bed.

Reference: Ref 57-1

Open and read the attached case to answer the following question. Since Barb is terminally ill, dental hygiene treatment should be:
- postponed
- provided
- the last priority
- neglected
A: provided

Q: Case Study 1
Barb is a 90-year-old patient who has been referred to the practice by her hospice nurse to receive dental hygiene care. When the hygienist receives and reviews her medical history, it states that Barb is terminally ill with lung cancer and is currently receiving hospice care. Her past medical history and list of medications are included with the medical history form. Barb's daughter and hospice workers do most of the caregiving. Lately Barb has been complaining of a constantly dry mouth and a bad taste in her mouth and her daughter notices that her breath stinks. Barb has limited mobility and for the last 2 weeks has not left her bed.

Reference: Ref 57-1

Open and read the attached case to answer the following question. The focus of Barb's dental hygiene care should be on what?
- Short-term palliative care
- Long-term preventative care
- Eliminating the progression of periodontal disease
- Eliminating gingivitis
A: Short-term palliative care

Q: Case Study 1
Barb is a 90-year-old patient who has been referred to the practice by her hospice nurse to receive dental hygiene care. When the hygienist receives and reviews her medical history, it states that Barb is terminally ill with lung cancer and is currently receiving hospice care. Her past medical history and list of medications are included with the medical history form. Barb's daughter and hospice workers do most of the caregiving. Lately Barb has been complaining of a constantly dry mouth and a bad taste in her mouth and her daughter notices that her breath stinks. Barb has limited mobility and for the last 2 weeks has not left her bed.

Reference: Ref 57-1

Open and read the attached case to answer the following question. The main objective of the dental hygiene care provided to Barb is to:
- get treatment done quickly
- focus on esthetic problems
- remove all signs of periodontal disease
- provide care to make her comfortable
A: provide care to make her comfortable

Q: Case Study 1
Barb is a 90-year-old patient who has been referred to the practice by her hospice nurse to receive dental hygiene care. When the hygienist receives and reviews her medical history, it states that Barb is terminally ill with lung cancer and is currently receiving hospice care. Her past medical history and list of medications are included with the medical history form. Barb's daughter and hospice workers do most of the caregiving. Lately Barb has been complaining of a constantly dry mouth and a bad taste in her mouth and her daughter notices that her breath stinks. Barb has limited mobility and for the last 2 weeks has not left her bed.

Reference: Ref 57-1

Open and read the attached case to answer the following question. The term for the dry mouth Barb describes is:
- saliva substitutes
- xerostomia
- candidiasis
- oral malodor
A: xerostomia

Q: Case Study 1
Barb is a 90-year-old patient who has been referred to the practice by her hospice nurse to receive dental hygiene care. When the hygienist receives and reviews her medical history, it states that Barb is terminally ill with lung cancer and is currently receiving hospice care. Her past medical history and list of medications are included with the medical history form. Barb's daughter and hospice workers do most of the caregiving. Lately Barb has been complaining of a constantly dry mouth and a bad taste in her mouth and her daughter notices that her breath stinks. Barb has limited mobility and for the last 2 weeks has not left her bed.

Reference: Ref 57-1

Open and read the attached case to answer the following question. How often should the caregivers clean Barb's mouth?
- Daily
- Weekly
- When they have time
- Monthly
A: Daily

Q: A homebound patient who requires extensive scaling should be scheduled for how many visits?
- None: extensive scaling is too difficult without the use of power instruments
- One: all treatment should be completed at one time
- Two or more, even if it is difficult to make arrangements
- One each year
A: Two or more, even if it is difficult to make arrangements

Q: All of the following are reasons to schedule more than one visit for a patient who is homebound who needs extensive scaling except:
- need to avoid tiring the patient
- treatment is completed as soon as possible
- need to observe tissue response
- provide encouragement and reinforce biofilm control procedures
A: treatment is completed as soon as possible

Q: In order to provide dental hygiene treatment for a patient who is homebound and uses a wheelchair, which of the following techniques can be used?
- The patient should be moved to a straight chair
- Adjust the bed to a desirable height
- Dental hygiene treatment cannot be completed if the patient must stay in a wheelchair
- Attach a portable headrest to back of wheelchair
A: Attach a portable headrest to back of wheelchair

Q: What provides the foundation for planning treatment and prevention strategies that meet individualized patient needs?
- Intraoral assessments
- Medical history
- Dental hygiene diagnosis
- Caregiver in-services
A: Dental hygiene diagnosis

Q: Poor oral health for patients who are homebound can be prevented by all of the following except:
- training caregivers
- lack of interest in oral hygiene by nursing home facilities
- dental hygiene interventions
- consulting with interdisciplinary healthcare teams
A: lack of interest in oral hygiene by nursing home facilities

Q: A main role of the dental hygienist in the care of a patient who is unconscious is to:
- train and motivate caregivers
- provide daily dental hygiene therapy
- remove all biofilm twice a day
- make recommendations on products that should be used
A: train and motivate caregivers

Q: How many times a day should caregivers be instructed to clean the mouth of their unconscious patients?
- Daily
- Twice a day
- Three times a day
- Weekly
A: Three times a day

Q: What is contraindicated for patients with xerostomia?
- Daily fluoride
- Lemon and glycerin swabs
- Saliva substitutes
- Toothbrushes with suction
A: Lemon and glycerin swabs

Q: Daily examination of oral tissues should be done on patients who are terminally ill because:
- there is minimal discomfort
- lesions change quickly
- it could develop into a secondary infection
- it may be a sign of oral cancer
A: it could develop into a secondary infection

Q: Why may the dentures of a patient who is terminally ill no longer fit?
- Severe weight loss
- Change in bone composition
- Not wearing them for an extended period of time
- Lesions have developed under denture
A: Severe weight loss