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Chapter 02: Dental Hygiene Metaparadigm Concepts and Conceptual Models Appliedto
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Practice
Bowen: Darby and Walsh Dental Hygiene: Theory and Practice, 5th Edition
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MULTIPLEjCHOICE
1. EachjofjthejfollowingjisjajparadigmjconceptjofjthejdentaljhygienejdisciplinejEXCEPTjone.jWhi
chjisjthejEXCEPTION?
a. Dentaljhygienejactions
b. Healthjandjoraljhealth
c. Environment
d. Patient
e. Client
ANS:j D
Thejtermjclientjwasjselectedjasjajparadigmjconcept,jratherjthanjthejtermjpatient,jbecausejthejtermj
clientjisjbroad,jsuggestsjwellnessjratherjthanjillness,jandjrepresentsjanjactivejratherjthanjpassivejre
lationshipjwithjthejdentaljhygienist.
DIF: Application REF:jjj12 OBJ:j 1
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygien
ejCare
2. Thejsurroundingsjinjwhichjthejclientjandjdentaljhygienistjarejinteractingjisjthejconceptjof
a. dentaljhygienejactions.
b. environment.
c. healthjandjoraljhealth.
d. client.
ANS:j B
Thisjconceptjincludesjsocial,jethno-
cultural,jfinancial,jpolitical,jandjeducationaljfactorsjthatjcanjbejbarriersjorjfacilitatorsjtojhealth,jor
aljhealth,jandjdentaljhygienejactions.jThejenvironmentjaffectsjthejclientjandjthejdentaljhygienist,j
andjthejclientjandjthejdentaljhygienistjalsojinfluencejthejenvironment.
DIF: Comprehension REF:jjj12 OBJ:j 1
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygien
ejCare
3. Whichjconceptjincludesjthejsurroundingsjwherejthejclientjandjdentaljhygienistjinteract?
a. health/oraljhealth.
b. environment.
c. dentaljhygienejactions.
d. client.
ANS:j C
Thejconceptjofjdentaljhygienejactionjisjdefinedjasjthejinterventionsjprovidedjbyjajdentaljhygie
nistjforjthejbenefitjof,jandjinjcollaborationjwith,jthejclientjtojpromotejoraljhealthjandjwellnessja
ndjpreventjoraljdisease.
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j j j j j j j j j j j j
DIF: Comprehension REF:jjj13 OBJ:j 1
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygien
ejCare
4. “Biologicallyjsoundjandjfunctionaljdentition”jisjajfeaturejofjthe
a. DentaljHygienejHumanjNeedsjConceptualjModel.
b. OraljHealth-RelatedjQualityjofjLifejModel.
c. ClientjSelf-CarejCommitmentjModel.
d. paradigmjconceptjofjthejdentaljhygienejdiscipline.
ANS:j A
ItjisjonejofjthejeightjhumanjneedsjrelatedjtojdentaljhygienejcarejinjthejDentaljHygienejHumanjNeed
sjConceptualjModel.jItjdrawsjuponjthejfourjdentaljhygienejdisciplinaryjconceptsjtojdevelopjanjund
erstandingjofjclientjhumanjneedsjthroughoutjthejdentaljhygienejprocessjofjcare.
DIF: Comprehension REF:jjj19 OBJ:j 2
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygien
ejCare
5. Whichjclinicaljdentaljhygienejconceptualjpracticejmodeljemphasizesjthejclient’sjperceptionsjofja
ndjreactionsjtojtheirjownjhealthjstatus?
a. Paradigmjconceptjofjthejdentaljhygienejdiscipline
b. OraljHealth-RelatedjQualityjofjLifejModel
c. DentaljHygienejHumanjNeedsjConceptualjModel
d. ClientjSelf-CarejCommitmentjModel
ANS:j B
ThejOraljHealth-RelatedjQualityjofjLifejModeljwasjdevelopedjbyjdentaljhygiene
educator-researchersjatjthejUniversityjofjMissouri-
KansasjCity.jItjspecificallyjassessesjthejdomainsjofjsymptomjstatus,jfunctionaljstatus,jandjoralj
healthjperceptions.
DIF: Recall REF:jjj20 OBJ:j 2
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygien
ejCare
6. Thejmodeljthatjinvolvesjclientsjasjco-therapistsjinjtheirjownjoraljhealthjdecisionsjisjthe
a. DentaljHygienejHumanjNeedsjConceptualjModel.
b. OraljHealth-RelatedjQualityjofjLifejModel.
c. ClientjSelf-CarejCommitmentjModel.
d. paradigmjconceptjofjthejdentaljhygienejdiscipline.
ANS:j C
Thejmodeljisjbasedjonjthejpremisejthatjeffectivelyjinvolvingjclientsjasjco-
therapistsjinjtheirjoraljhealthjdecisions,jenhancesjmotivation,jcommitment,jandjcompliancejwith
joraljself-care.
DIF: Comprehension REF:jjj23 OBJ:j 2
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygien
ejCare
7. InjthejDentaljHygienejHumanjNeedsjConceptualjModel,jthejclientjisjviewedjasjhavingjhowjman
yjhumanjneedsjespeciallyjrelatedjtojdentaljhygienejcare?
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a. Two
b. Four
c. Six
d. Eight
ANS:j D
Thejneedsjarejprotectionjfromjhealthjrisks,jfreedomjfromjfearjandjstress,jfreedomjfromjpain,jwho
lesomejfacialjimage,jskinjandjmucousjmembranejintegrityjofjthejheadjandjneck,jbiologicallyjsou
ndjandjfunctionaljdentition,jconceptualizationjandjproblemjsolving,jandjresponsibilityjforjoraljh
ealth.
DIF: Recall REF:jjj17 OBJ:j 2
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygie
nejCare
8. ThejpresencejofjchronicjperiodontaljdiseasejforjfictionaljclientjEdwardjGillyjindicatesjajdeficitjofjwhi
chjneedjaccordingjtojthejDentaljHygienejHumanjNeedsjConceptualjModel?
a. Protectionjfromjhealthjrisks
b. Responsibilityjforjoraljhealth
c. Skinjandjmucousjmembranejintegrityjofjthejheadjandjneck
d. Wholesomejfacialjimage
ANS:j C
DentaljhygienistjSiobhanjMcNicoljwouldjlikelyjfindjajhumanjneedjdeficitjforjskinjandjmuc
ousjmembranejintegrityjofjthejheadjandjneckjgivenjthejchronicjperiodontaljdiseasejconditio
n.
DIF: Application REF:jjj15 OBJ:j 2
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygie
nejCare
9. WhenjPiajTranjinformsjdentaljhygienist,jMarkjRosenberg,jthatjshejdoesjnotjsupportjthejusejofjfluor
ide,jMarkjwouldjlikelyjbeginjtojengagejPiajinjconceptualizationjandjproblemjsolvingjasjwelljasjres
ponsibilityjforjoraljhealthjwithjrespectjtojherjchildren’sjdentitionjfromjthejperspectivejof
a. humanjneeds.
b. qualityjofjlife.
c. clientjself-care.
d. dentaljhygienejaction.
ANS:j A
Markjwouldjlikelyjinitiatejthisjconversationjfromjajhumanjneedsjperspectivejgivenjthejpresencej
ofjpotentialjcariousjlesionsjandjPia’sjconcernjaboutjthem.jDentaljhygienejactionjisjonejofjthejpar
adigmjconcepts.
DIF: Comprehension REF:jjj14-15 OBJ:j 2
TOP:j NBDHE,jProvisionjofjClinicaljDentaljHygienejServices,j3.0jPlanningjandjManagingjDentaljHygien
ejCare
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