Use Testlet H to Answer the Following Questions

question 37

Multiple Choice

Use Testlet H to answer The Following questions
TESTLET H
A dental hygiene U.S. Public Health Services (USPHS) -commissioned core officer is assigned to an Indian Health Service (IHS) clinic to improve the oral care of pregnant women in an American Indian rural community with a population of 26,000. Approximately 20% of the pregnant women in this population develop gestational diabetes. When a woman first sees the physician in the clinic for prenatal care, she is referred to the dental clinic for a dental examination. Only 25% of the patients referred over the previous 6 months complied with the dental referral, scheduled an appointment, and received treatment. As a result of this, the community is not classified a dental manpower shortage area. A survey of the pregnant women served by this clinic reveals poor health literacy, that is, the women do not realize their risk for diabetes, are unaware of the relationship between oral health status and diabetes, and do not understand the benefits of an oral health assessment in relation to their overall health and the health of their babies.
-Lack of compliance with the dental referral could be a result of all the following factors EXCEPT one. Which one is the EXCEPTION?

• A)Cost of dental care
• B)Lack of available appointments
• C)Lack of transportation to the dental clinic
• D)Low dentist-to-population ratio

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Definitions:

Central Authority

The main governing body or administrative organization that has the overarching control or oversight within a certain area or field.

Utilitarianism

An ethical theory that posits the greatest happiness of the greatest number should be the guiding principle of conduct.

Compel Citizens

Enforcing or obliging citizens to follow certain laws, regulations, or directives through legal or authoritative means.

Medical Tests

Procedures and examinations conducted to determine the presence of disease or monitor health conditions.