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Flashcards in Chapter 31 Deck (43)
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Identify the cognitive/behavioral technique that is not a relaxation technique



Choose the statement that best describes progressive muscle relaxation

Alternating tensing and relaxing the muscles


Milogram et al. rank which technique as one of the easiest and most familiar to dental professionals?



What is the most cited cause of dental fear?

A direct personal experience as a result of a past traumatic or unpleasant dental episode occurring in childhood


The fight or flight syndrome is another term commonly used to describe what?

The stress response


The site of dental instrument can be an immediate threat to a dentally fearful patient. As a result of this threat, the patient may experience bradycardia

The first statement is true, the second statement is false


Many dental professionals do not discuss the patient’s fear or anxiety with the patient, because they are afraid of making it worse

Both the statement and the reason are correct and related


Which of the following is not a common physiological reaction to dental fear, anxiety, or phobia?



Adolescent and adult onset of dental anxiety is linked closer to what than to a response to a stimulus

An individual’s personality traits and overall anxiety


Inviting a younger child to observe an appropriately behaved older sibling have oral health care provided is an example of



It is possible to have physical relaxation and an anxious mind at the same time because the brain can process many feelings simultaneously

Neither the statement nor the reason is correct


The stress response

-Activates the sympathetic nervous system
-Constricts blood vessels of the skin


What distinguishes a true dentally phobic patient from the anxious or fearful patient?

A dental phobic patient will avoid seeking regular oral health care, except in emergencies


Which system of the body is responsible for releasing the stress hormones adrenaline and cortisol?

Sympathetic nervous system


The mind perceiving negative suggestions about a treatment or medicine and that perception negatively affecting health and well-being is known as

Nocebo affect


Relaxation response, the opposite of the stress response, activates what system that brings the body back from the rigors of the fight or flight response?

Parasympathetic nervous system


Choose the statement that best describes progressive muscle relaxation

slow tensing of individual muscle groups for 5 to 7 seconds, followed by release of the tension and relaxation of the same set of muscles for 20 to 30 seconds.


Being in a supine position in the dental chair or holding the mouth open for the dentist or hygienist to apply instruments may contribute to what type of dental fear?



Evidence has shown how the behavior and demeanor of the dental professional greatly influences the perception a patient will have of his or her experience. A cool, skeptical, and attached manner by the dental professional goes a long way in conveying to the patient that he or she is being taken seriously and can even influence the patients experience on that visit

The first statement is true, the second statement is false


In the presence of fear and anxiety, it can be inferred that pain threshold and pain tolerance



Which of the following is not a benefit of a dental anxiety and pain control management program?

Referral of dentally phobic patients to specialists


What is the ultimate cost of avoidance and delay of treatment?

Cycle of dental fear


The dental hygienist has the opportunity to positively affect patient’s oral health care by affectively minimizing and managing fear and pain appropriately because he or she is the dental teams prevention specialist and the team member who often spends the most time with patients

Both the statement and the reason are correct and related


All of the following are considerations for using distraction to help reduce patient’s anxiety except for one. Which one is the exception?

Works best for longer procedures


Select all of the factors that are associated with dental fear and anxiety

- Direct conditioning
- vicarious learning
- personality traits


The verbal interview should include all of the following except for one. Which one is the exception?

Clinician should provide effective one way communication


Identify the behavior that the anxious or fearful patient is least likely to exhibit

Hands folded on lap


For patients who tend to gag, have the patient raise one leg while taking radiographs. This cognitive/behavioral strategy is an example of



All of the following are characteristics of guided imagery except for one. Which one is the exception?

It is a natural focused state of mind


She has the cognitive/behavioral strategy that is especially useful for teaching patients about new sensations

Tell – show – do