Deck 41: Persons With Disabilities

Question 1

All of the following are signs and symptoms of autonomic dysreflexia except which one?

A) Disorientation
B) Profuse sweating
C) Low blood pressure
D) Severe headache

Answer 1

Low blood pressure

Question 2

An impaired client who is unable to hold a toothbrush in the hand would benefit from which of the following?

A) Universal cuff
B) Irrigation device
C) Powered toothbrush
D) Handle that is wide and bulky

Answer 2

Universal cuff

Question 3

The primary reason why most disabled people do not have access to dental care is which of the following?

A) They are unable to pay for their dental work.
B) They don't care about their dental health.
C) They are unable to travel to a dental office.
D) They are unable to find a dentist who will treat them.

Answer 3

They are unable to pay for their dental work.

Question 4

An example of someone who is classified as having a medical disability would be an individual who has which of the following?

A) Anorexia
B) Cerebral palsy
C) Paralysis
D) Rheumatoid arthritis

Question 5

Which of the following oral devices can be used to prevent self-inflicted trauma to the mouth by children with behavioral problems?

A) Obturators
B) Mouthsticks
C) Palatal lifts
D) Custom mouth protectors

Question 6

What kind of custom-made oral self-care device is needed by an impaired person with a limited range of arm and hand motion?

A) A powered toothbrush
B) An oral self-care device with a thick,built-up handle
C) An oral self-care device with an extended handle
D) An oral self-care device that has a bent handle

Question 7

What level of functional limitation would a client who uses adaptive equipment,such as an augmentative and alternative communication device,be classified as exhibiting?

A) Level I
B) Level II
C) Level III
D) Level IV

Question 8

When fabricating a mouthstick for a tetraplegic,the clinician should make sure that the:

A) Appliance has a bright color so it can be easily seen
B) Appliance is stable when held in place
C) Appliance impedes the client's line of vision
D) Biting forces are distributed primarily on the anterior teeth

Question 9

A client who exhibits swallowing difficulties,should be placed in a sitting or semi-inclined position during the placement of an amalgam restoration.In order to prevent aspiration of any amalgam particles,the client should have a rubber dam placed in his mouth.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 10

Which of the following legislative acts introduced the concept of mainstreaming disabled individuals into society?

A) Rehabilitation Act of 1973
B) Education for All Children Act of 1975
C) Americans with Disabilities Act of 1990
D) Civil Rights of Institutionalized Persons Act of 1997

Question 11

The dental hygienist is assessing a new client in the practice.The client suffered a stroke about 8 months ago.What is the dental hygienist trying to evaluate when she is watching the client brush his teeth with his current technique?

A) The client's skill level
B) The client's grip strength
C) The client's range of motion
D) The client's ability to understand and follow directions

Question 12

A mouthstick may be used by a tetraplegic for all the following reasons except which one?

A) Typing on a computer keyboard
B) Operating home appliances
C) Using a touchpad of a telephone
D) Cleaning the mouth

Question 13

When a client is transferred from a wheelchair,a transfer belt is securely fastened just under the client's armpit.Transfer belts provide a place to hold the client in the event that the person begins to fall during the transfer process.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 14

All of the following are examples of instrumental activities of daily living (IADLs)except which one?

A) Client can cook dinner for himself.
B) Client can brush his teeth.
C) Client can clean his house.
D) Client can drive a van adapted for his impairment.

Question 15

According to the Americans with Disabilities Act (ADA),in public facilities both architectural and communication barriers must be removed.A dentist who leases an office is not responsible for ensuring that the office is accessible to people with disabilities.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 16

To assess a client's grip strength,the dental hygienist should have the client grasp which of the following?

A) Golf ball
B) Tennis ball
C) Softball
D) Foam cylinders of various sizes

Question 17

If the client is ambulatory,fully functional,and without cognitive impairment,consent to speak with other caregivers and providers as well as permission to proceed with care must be obtained directly from the client.If the client is under the care of a legal guardian,the guardian must provide informed consent for planned interventions and consultations with other providers.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.

Question 18

Acquired disabilities occur after the age of 22 and are caused by disease,trauma,or injury.A client who has a traumatic brain injury as a result of a car accident would fall under this classification.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true

Question 19

All of the following client risks except one are associated with persons who are paralyzed from the waist down and who require wheelchair transfers into the dental chair.Which one is the exception?

A) Aspiration
B) Muscle spasms
C) Decubitus ulcers
D) Disruption of bladder and bowel elimination

Question 20

In order to prevent decubitus ulcers from forming,clients who are paralyzed and use a wheelchair should shift their weight every _____ minutes.

A) 10
B) 20
C) 45
D) 60

Question 21

Behavioral management techniques that use numerous short appointments or visits to the dental office in order to instill familiarity with the dental environment are termed:

A) Modeling
B) Desensitization
C) Distraction
D) Guided imagery

Question 22

A client who is unable to put thoughts into words or to comprehend words is exhibiting which type of communication disorder?

A) Dysarthria
B) Apraxia
C) Aphasia
D) Autism

Question 23

A client who has cerebral palsy is someone who has an impairment;therefore when referring to this client,the hygienist should use the phrase "he is my cerebral palsy case."

A) Both the statement and the reason are correct,and they are related.
B) Both the statement and the reason are correct,and they are not related.
C) The statement is correct,but the reason is not.
D) The statement is not correct,but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 24

Impairments occur as a result of pathology or disease and include any loss of or abnormality in physiologic,anatomic,or mental function;therefore a client who has a broken leg would not be considered to have an impairment because it is a temporary condition.

A) Both the statement and the reason are correct,and they are related.
B) Both the statement and the reason are correct,and they are not related.
C) The statement is correct,but the reason is not.
D) The statement is not correct,but the reason is correct.
E) Neither the statement nor the reason is correct.

Question 25

In preparing for a wheelchair transfer,the dental hygienist should position herself with her feet adjacent to each other for good balance and keep the knees unbent to protect against back strain.In addition,the operator should twist her back while lifting the client out of the wheelchair and into the dental chair.

A) Both statements are true.
B) Both statements are false.
C) The first statement is true;the second is false.
D) The first statement is false;the second is true.