Synopsis of Client History

question 15

Multiple Choice

Synopsis of Client History
Age: 45
Sex: Male
Height: 6 ft
Weight: 230 lb
Race: African American
Vital Signs:
• Blood pressure: 140/90 mm Hg
• Pulse rate: 80 beats/min
• Respiration rate: 16 rpm
1. Under the care of a physician? No
2. Hospitalized within the past 5 years? Yes
• Reason: Broke arm while playing basketball
3. Has or had the following conditions:
• No report of systemic problems
4. Current medications:
• Sometimes uses a nicotine patch
5. Smokes or uses tobacco products?
• Yes (cigarettes, about one pack per day for the past 3 years)
Medical History
The client reports he has good health. He works out daily and takes care of his body. He shows a hypertension Stage 1 blood pressure and reports smoking one pack of cigarettes per day.
Dental History
The client has not been to the dentist in 5 years owing to a bad experience with his last dentist. He has 2 mm to 5 mm of clinical attachment loss in the posterior areas and no bleeding on probing. He has signs of chronic periodontitis. The dental restorations in his mouth are in very good condition, and there are no clinical signs of dental caries. His oral hygiene appears to be good.
Social History
The client reports that he is very active in sports and in the community.
Chief Complaint
The client is very anxious about dental treatment today.
-The client reports that he sometimes wears a nicotine patch. What might this suggest to the astute dental hygienist?

• A) The client has a strong addiction to cigarettes and needs additional nicotine.
• B) The client has an interest in controlling his tobacco addiction.
• C) The client may be under a great deal of emotional stress.
• D) The client is in a formal smoking-cessation program.

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Definitions:

Harvesting Season

The time of year when crops are ripe and ready to be gathered, varying according to the type of crop and geographical location.

Permanent Settlements

Communities where people reside long-term, building infrastructure and developing societies in contrast to nomadic lifestyles.

Cultural Art

Art forms that express and reflect the cultural values, traditions, and histories of specific societies or communities.

Unemployment Insurance

A government program that provides temporary financial assistance to workers who have lost their jobs through no fault of their own.