A nonverbal cue like folding arms and avoiding eye contact could suggest:

Match the dental hygiene process of care steps (ADPIE) of an individual to a community/population.

You are participating in an outdoor health fair at a local park. You ask each of the adult participants that visit your booth to complete a 10 question questionnaire in order to be registered to win an electric toothbrush. In your questionnaire, you ask demographic questions like sex, age, race, education level, and income range and then ask questions about oral hygiene habits, smoking, and how often they visit the dentist. You also conduct open mouth exams using a light to look for signs of oral cancer. Use this information to answer questions #42-47    Which group of individuals would you expect to have the highest risk for periodontal disease?

A dental hygienist employed by a dental clinic at a federal prison would like to implement a program to reduce plaque for the female prisoners. She has worked at the prison for three years and has noticed a very high prevalence of gingivitis and periodontal disease in the prisoners. The warden has given her permission to conduct a pilot program with funding for additional supplies and increased working hours. One of the first steps the dental hygienist performed was to distribute a survey to the 75 female prisoners in the pilot program. The survey data indicated that 65% brush daily, 10% floss on a regular basis, and 80% of dental emergencies are due to toothaches. Use this information to answer questions 16-20 What is the purpose of implementing a pilot program?

Your group is interested in measuring the oral health of inmates at a local jail and following the population group over time because you theorize that they will develop worsening periodontal health due to lack of preventive care while incarcerated. You are not allowed to bring in sharp metal items like probes or explorers, so you choose an oral hygiene index and bleeding index that do not use them. You choose every 5th person from an alphabetical list of inmates’ names and conduct open mouth exams on these 100 men. Then you have an educational program and give everyone brushes and toothpaste. You will return in 2 weeks and everyone who has improved their oral hygiene and gingivitis by an established amount will be eligible for a prize. You then will return in 6 months and 12 months to evaluate each of these 100 men again to compare their periodontal health to the baseline you established. Use this information to answer questions #48-51   Which combination of indices would work for this situation given the limitations?

You are asked to be an advisory resource for a children’s hospital to provide education for improved oral care for critically ill children that are there for extended periods of time. You conduct weekly educational programs for the clinic patients, their parents, and the hospital staff. In addition, you also give the children fluoride varnish treatments once per month. Use this information to answer questions #37-41   What education would be beneficial to share at the training sessions?

You are participating in an outdoor health fair at a local park. You ask each of the adult participants that visit your booth to complete a 10 question questionnaire in order to be registered to win an electric toothbrush. In your questionnaire, you ask demographic questions like sex, age, race, education level, and income range and then ask questions about oral hygiene habits, smoking, and how often they visit the dentist. You also conduct open mouth exams using a light to look for signs of oral cancer. Use this information to answer questions #42-47   With your oral screenings, you recognize that some individuals from different ethnic groups are more tentative about showing you their tongue than others. What would not be culturally sensitive for you do?

You are interested in studying the caries experience at a Head Start program. The Columbus school you visit is composed of primarily Hispanic children who speak English as a second language. You want to implement a prevention program and get the parents more involved. The parents are mainly uninsured, but the children are eligible for Medicaid and SCHIP. Use this information to answer questions #52-56  Which of the following would be the most effective approach to gain support for your program?

A dental hygienist, new to the community, learns from friends and clients of the popularity of sports teams for children from age 3 through 12. Noticing the apparent lack of preventive measures to protect against oral and head injuries, she becomes particularly concerned about the child and adolescent population within this community. As a first step toward developing a community-based plan to prevent sports injuries for all participants in this target group, the dental hygienist consults with the high school athletic coach. While researching community resources she learns of a school-based nutrition program, but also discovers that no funding for oral health exists. Use this information for #66-67Seven hospitals and walk-in clinics report the following numbers of emergency department visits for sports-related injuries for children and adolescents aged 18 and younger: 24, 28, 42, 26, 35, and 30. What is the median number of emergency department visits reported? 

A high school class of ten physically challenged students, 14-19 years of age, shows a need for improved oral hygiene. The high school nurse has asked the districts dental hygienist to assess their needs and to work with the nurse to implement a dental public health program for these students. The dental hygienist plans to set up a portable dental unit to orally screen the students and to implement an evaluative tool to understand the dental health knowledge of the group. Additionally, the hygienist plans to provide oral hygiene instruction each month during the remainder of the school year and the nurse will follow up with the instructions once a week.  The O’Learys plaque score at the initial assessment of the class was:  25%, 25%, 50%, 50%, 60%, 60%, 60%, 75%, 75%, and 100% The mean score for OHI-S score of the ten students was 4.8 Use this information to answer questions 22 – 27. Based on the severity of the physical disabilities, the dental hygienist may need to make accommodations for all of the following EXCEPT one. Which one is the EXCEPTION?