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2.

9 HOURS

Continuing Education
TEST

Oral Hygiene Test


1. Coleman and Watson reported 6. According to Thorstensson and 11. When brushing the teeth of
that the average toothbrushing colleagues, compared with diabetic patients who have severe disabilities
time for nursing home residents subjects who had minimal or no and are prone to gagging and chok-
during oral care delivered by nurs- periodontal disease, diabetic sub- ing, caregivers should use which of
ing assistants was jects who also had severe peri- the following on the brush?
a. 16.2 seconds. odontal disease had a significantly a. hydrogen peroxide
b. 21.4 seconds. higher prevalence of which of the b. a minty mouthwash
c. 26.6 seconds. following? c. a pea-size amount of toothpaste
d. 31.8 seconds. a. angina d. enough toothpaste to cover the
b. cancer entire brushing surface
2. According to the same study by c. heart failure
Coleman and Watson, what per- d. osteoarthritis 12. In severely debilitated patients,
centage of nursing home residents caregivers should deliver oral
received oral care? 7. The first National Health and hygiene care with a foam stick
a. 6% Nutrition Examination Survey indi- soaked in
b. 16% cated that periodontal disease is a a. normal saline solution.
c. 26% significant risk factor for b. an alcohol-based mouthwash.
d. 36% a. gout. c. a chlorhexidine mouth rinse.
b. stroke. d. lemon and glycerin.
3. According to Pyle and col- c. anemia.
leagues, nursing home executive d. endocarditis. 13. The preferred position for alert
directors rated residents’ oral patients receiving oral care is
health as 8. The gold standard of oral a. standing.
a. good. hygiene is b. side-lying.
b. fair to good. a. flossing. c. semireclining.
c. fair to poor. b. rinsing. d. sitting upright.
d. poor. c. toothbrushing.
d. swabbing. 14. Fatal asphyxiation by airway
4. Henry and colleagues’ survey of obstruction typically involves
nursing home residents indicated 9. Nursing home residents show a. food.
that what percentage of them had less resistance to oral care when b. mucus.
not seen a dentist in more than caregivers c. emphysema.
5 years? a. deliver it more frequently. d. anaphylaxis.
a. 10% b. ask family members to perform it.
b. 25% c. perform it for residents as soon as 15. Some experts recommend
c. 33% they awaken. using jejunostomy tubes instead of
d. 50% d. encourage them to perform it them- gastrostomy tubes to feed patients
selves. who have a history of
5. Terpenning and colleagues found a. dehydration.
a significant association between 10. Caregivers might have better b. pneumonia.
the presence of pathogenic oral access to the mouths of resistant c. dementia.
bacteria and the incidence of residents if they used toothbrushes d. chronic disability.
a. pulmonary embolism. that have
16. Of the following, the highest-
b. inflammatory bowel disease. a. handles bent back at about 45°.
priority aspect of oral care at the
c. gastroesophageal reflux. b. larger heads than standard
end of life is
d. aspiration pneumonia. brushes do.
a. flossing daily.
c. several bright colors.
b. assessing for gum inflammation and
d. a suction apparatus.
infection.
c. providing comfort through gentle
cleansing.
d. suctioning oral and pharyngeal
secretions. ▼

ajn@wolterskluwer.com AJN ▼ June 2009 ▼ Vol. 109, No. 6 51