This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Dental
[{'content': 'The best mental attitude for denture acceptance: \nSelect and explain. \nA. Exacting, B. Philosophical, C. Hysterical, D. All of the Above', 'role': 'user'}, {'content': 'Answer: B \nExplanation: Mental attitude\nDr. M.M. House (1950) classified patients as philosophical, exacting, indifferent and hysterical. This is the most widely used classification.\nClass I: Philososphical patients\n\nThey are rational and composed in difficult situations.\nThey desire treatment for maintenance of health and appearance and accept the complete denture treatment as a normal procedure.\nThey learn to adjust rapidly.\nThese patients have the best mental attitude for acceptance of the treatment.\n\nClass II: Exacting patients\n\nThey are very methodical, precise and accurate, making severe demands.\nThey are comfortable when each procedure is explained and discussed with them in details.\nThey require extreme care, effort and patience on part of the dentist.\nThe intelligent and understanding category in this class can be the best type of patient, but for those lacking the same, extra time should be spent in education and treatment started only after an understanding is reached.\n\nClass III: Indifferent patients\n\nThese patients are identified by their lack of concern and motivation and apathetic attitude.\nThey may not pay any attention to instructions, will not cooperate and are prone to blame others including the dentist for their poor health. In many cases, the lack of interest on part of the patient is the reason for their edentulousness.\nA patient education programme is recommended before treatment.\nIf their interest cannot be stimulated, it may be best to refuse such patients.\nThey present a questionable or unfavourable prognosis.\n\nClass IV: Hysterical patients\n\nThey are emotionally unstable, excitable and apprehensive.\nThey may not be aware that their symptoms may be more related to their systemic health.\nThey often present an unfavourable prognosis and additional psychiatric counselling is required prior to the treatment.\n\nKey Concept:\nThe patients classified under philosophical category desire treatment for maintenance of health and appearance and accept the complete denture treatment as a normal procedure. They learn to adjust rapidly. Such patients have the best mental attitude for acceptance of the treatment.\nRef: Textbook of prosthodontics V Rangarajan Ed. 2nd', 'role': 'assistant'}]