What is the exception? You are encouraging a patient who is very addicted to nicotine and smokes their first cigarette as soon as they get up in the morning. They are frustrated with their attempt to use nicontine replacement gum because they feel “it’s not working” for them. What is NOT an appropriate suggestion to give them?

Case #2 – Your patient is a 59-year-old male who presents to have his “teeth cleaned”. He is of average height and visibly overweight. His medical history indicates the patient had an operation eight (8) years ago to repair a hiatal hernia, has diabetes that is “fairly well controlled” by diet and medication, has high blood pressure, and smokes 1 1/2 packs of cigarettes a day. Medications taken are Glucophage (oral med for diabetes), Lasix and Dyazide for high blood pressure. The patient stated he checked his blood sugars which were normal. The patient was late for the appointment but still had to wait on you and says he’s now “very upset”. He has not had his teeth cleaned in over 15 years and wants to “get this over with”.Question: What should you ask upon seating the patient and beginning to review his health history? SELECT ALL THAT APPLY (multiple answers)

As a dental hygienist in your practice trying to help patients be tobacco free, which of the following would NOT be considered an effective way to success?

Of the four processes of Motivational Interviewing, the one that involves eliciting and drawing out the patient’s own motivations for a change in a behavior (tobacco use, oral hygiene practice, etc.) and lies at the heart of motivational interviewing is:

SELECT ALL THAT APPLY:  Therapeutic agents are ingredients in toothpastes that assist with:

CHOOSE ALL THAT APPLY:  Dietary factors that may affect the ability to cause dental caries (cariogenicity) include

Which is NOT one of the “Five (5) As” used in the National Cancer Institute’s tobacco intervention program?

A patient revealed a condition that requires a prophylactic antibiotic. In order to proceed, the hygienist asks the dentist for a prescription.  The patient is administered an oral antibiotic and 45 minutes after administration complains of difficulty breathing, with rash and itching of their skin. His blood pressure is 80/40 and pulse is 120. The most likely problem is (1.)__________ and the treatment would be (2.) ____________.

Case #1 – Your patient is new to your practice. He is a 46 year old white male of average height and weight. He indicates on the health history that he has sinus problems due to allergies and had a knee replacement done 10 years ago in another state after chronic issues related to a football injury. He has a history of irregular dental care, and has not had his teeth cleaned “in a few years”, explaining that he had a prosthetic joint infection in his knee seven (7) years ago after having a dental procedure done. He is concerned about it happening again and is”just one of the reasons” he has avoided keeping up with regular dental care. His vital signs are pulse 88, respirations 20, and blood pressure 156 / 86. He says he is noticing bleeding of his gums when he brushes, but tries “not to brush too hard so it doesn’t happen”. He has a three unit bridge in the UR anterior area involving #6, 7, 8 and several other amalgam and composite restorations. There is an obvious cavitated lesion adjacent to an amalgam filling on #3 occlusal.Question: Based on the previous information, what should be your response?

Choose the question or statement that is least effective if doing Motivational Interviewing.