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MN DENTAL JURISPRUDENCE EXAM Questions and Answers Latest Versions 2024 Graded A+.
Typology: Exams
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TERMS - Answer __________ person - Answer includes an individual, corporation, partnership, or any other legal entity state - Answer when used in reference to a state other than MN, means any other state of the U.S., District of Columbia, and the Commonwealth of Puerto Rico CODA stands for - Answer Commission on Dental Accreditation Dental health care personnel (DHCP) - Answer individuals who work in a dental practice who may be exposed to body fluids such as blood or saliva assistant - Answer any person who assists a dentist in carrying out the basic duties of a dental office health care facility, program, or nonprofit organization includes - Answer hospital; nursing home; home health agency; group home serving the elderly, disabled, or juveniles; state operated facility licensed by the commissioner of human health services or the commissioner of corrections; federal, state, or local public health facility, community clinic, tribal clinic, school authority, head start program, or nonprofit organization that saves individuals who are uninsured or who are MN health care public program recipients General supervision - Answer The dentist has prior knowledge and has given consent for the procedures being performed during which the dentist is not required to be present in the dental office or on the premises Indirect supervision - Answer The dentist is in the office, authorizes the procedures, and remains in the office while the procedures are being performed by the allied dental personnel Direct supervision - Answer The dentist is in the dental office, personally diagnoses the condition to be treated, personally authorizes the procedure, and before dismissal of the patient, evaluates the performance of the allied dental personnel Personal Supervision - Answer The dentist is personally operating on a patient and authorizes the allied dental personnel to aid in treatment by concurrently performing supportive procedures
Public health supervision - Answer A type of supervision in which a licensed dental hygienist may provide dental hygiene services, as specified by state law or regulations, when such services are provided as part of an organized community program in various public health settings, as designated by state law, and with general oversight of such programs by a licensed dentist designated by the state Medical emergency - Answer Medically necessary care which is immediately needed to preserve life, prevent serious impairment to bodily functions, organs, or parts, or prevent placing the physical or mental health of the patient in serious injury Patient - Answer A natural person who has received healthcare services from a provider for the treatment or examination of a medical, psychiatric, or mental condition, the surviving spouse & parents of a deceased patient or a person that the patient appoints in writing as a representative for minors: patient includes a parent or guardian or a person acting as a parent or guardian in the absence of a parent or guardian analgesia - Answer the diminution or elimination of pain as a result of the administration of an agent including but not limited to local anesthesia, nitrous oxide, & pharmacological & nonpharmalogical methods anxiolysis/minimal sedation - Answer has to do w/sedation; a relaxed state & usually the patient is awake; patient can follow directions or answer questions Deep sedation - Answer a depressed level of consciousness produced by a pharmacological or nonpharmological method or a combination of both during which patients can't be easily aroused but respond purposefully following repeated or painful stimulation; characterized by impairment of the patients ability to independently maintain ventilatory function, spontaneous ventilation potentially being inadequate to meet a patients needs & the need for assistance in maintaining a patients airway; patients cardiovascular function doesn't typically require assistance Enteral - Answer A technique of administration in which the agent is ABSORBED through the gastrointestinal tract or oral mucosa such as w/ oral, rectal, or sublingual administration General anesthesia - Answer An induced state of unconsciousness produced by a pharmacological or nonpharmacological method or combination during which patients are not arousable even by painful stimulation; characterized by the frequent impairment of the patient's need for assistance in maintaining a patent airway, the need for (+) pressure ventilation due to depressed spontaneous ventilation or drug induced depression of neuromuscular function, & potential impairment of cardiovascular function Inhalation - Answer A technique of administration in which the gaseous or volatile is introduced into the pulmonary tree & whose primary effect is due to absorption through the pulmonary bed
minimal sedation - Answer a minimally depressed level of consciousness produced by a pharmacological or nonpharmalogical method that retains the patients ability to independently & continuously maintain an airway & respond normally to tactile stimulation & verbal command; characterized by moderate impairment to the patients cognitive function & coordination but leaves unaffected the patients ventilatory & cardiovascular functions nitrous oxide inhalation analgesia - Answer the administration by inhalation of a combination of nitrous oxide & oxygen producing an altered level of consciousness that retains the patients ability to independently & continuously maintain an airway & respond appropriately to physical stimulation or verbal command parenteral - Answer a technique of administration in which the drug bypasses the gastrointestinal tract such as w/intramuscular, intravenous, intranasal, submucosal, subcutaneous, or intraocular administration transdermal/transmucosal - Answer technique of administration in which the drug is administered by a patch or iontophoresis Another term for general anesthesia is - Answer deep sedation pediatric advanced life support (PALS) - Answer an advanced life support educational course for the pediatric health care provider that teaches the current certification standards of the American academy of pediatrics or the American heart association; PALS certificate must be obtained through the American heart association Advanced cardiac life support (ACLS) - Answer an advanced educational course for a health care provider that teaches a detailed medical protocol for the provision of life saving cardiac care in settings ranging from the prehospital environment to the hospital setting ACLS course must include - Answer 1) advanced airway management skills
numbered birthdate year or the following odd numbered year for an odd numbered birthdate biennial term - Answer a properly renewed license or permit issued by the board is valid from the 1st day of the month following expiration for 24 months until renewed or terminated DUTIES/SCOPE OF PRACTICE (56% of exam) - Answer ___________ T/F a patients oxygen levels always need to be monitored w/any type of sedation - Answer true; record in patient chart! scaling - Answer removal of calculus deposits from the teeth etching - Answer roughing up the tooth surface chemically so that bond material adheres (think of the process of placing sealants) Dentist - Answer a person of good moral character who has graduated from a dental program accredited by CODA T/F it would be acceptable for a dentist to treat an emergency patient who is not their regular patient & who regularly saw a different dentist - Answer true Licensed dental practice (general duties/scope of practice-broad definition; not specific) - Answer ~uses a dental degree or designation & the person is able to diagnose, treat, prescribe or operate for any disease, pain, deformity, injury, or physical condition of the human tooth, teeth, alveolar process, gums or jaw or adjacent structures ~manager, proprietor, operator, or conductor of a place where dental operations are performed ~performs dental operations of any kind ~uses a roentgen or x-ray machine for dental treatment or diagnostic purposes ~extracts a human tooth/teeth or corrects or attempts to correct malpositions of the human teeth or jaw ~offers & undertakes by any means or methods to diagnose, treat, or remove stains or accretions from human teeth or jaw ~takes impressions or performs any phase of any operation incident to replace part of a tooth or the whole tooth or teeth or associated tissues by means of a filling, crown, bridge, inlay, or onlay ~furnishes, supplies, constructs, reproduces, repairs, or offers to furnish, supply, construct, reproduce, or repair prosthetic dentures, plates, bridges, or other substitutes for natural teeth ~performs any clinical operation included in the curricula of recognized dental schools or colleges resident dentist - Answer a person who is a graduate of a dental school & is an enrolled graduate student or student of an advanced dental education program & isn't licensed to practice dentistry in MN
requirements/scope of practice of a resident dentist - Answer ~obtain from the board a license to practice dentistry as a resident dentist (must be designated "resident license dentist") ~authorizes the licensee to practice dentistry only under the supervision of a licensed dentist ~license must be renewed annually does a resident dentist license qualify a person for licensure? - Answer no Resident dental provider scope of practice - Answer ~License is to practice as a resident hygienist or DT & license must be designated "resident dental provider license" ~licensee can only practice under the supervision of a licensed dentist or DT DT - Answer a person of good moral character who has graduated w/a bachelor or masters degree from a dental therapy education program that has been approved by the board per accredited by CODA or another board approved national accreditation organization Practice of Dental therapy (DT) - Answer 1) works under the supervision of a MN licensed dentist under a collaborative management agreement
limited faculty dental license - Answer entitles the holder to practice dentistry within the school & its affiliated teaching facilities but ONLY for the purposes of teaching or conducting research (unless the dentist was a faculty member on Aug 1, 1993) a limited faculty license must be renewed - Answer Annually full faculty dental license - Answer entitles the holder to practice dentistry w/in the school & its affiliated teaching facilities & elsewhere if the license holder is employed 50% or more by the school in the practice of teaching or research & upon successful review by the board of the applicants qualifications a full faculty license must be renewed - Answer Biennially speciality dentists - Answer the board may grant 1 or more specialty licenses in the areas of speciality defined by the board; limited to practice in their specialty as designated by their specialty license applicants for a specialty license must - Answer 1) successfully completed a postdoctoral specialty program accredited by CODA or announced a limitation of practice before 1967
The services provided by a DH shall not include _________________ & must be provided under the supervision of a licensed dentist - Answer final diagnosis or treatment plan Requirements for DA's & DH's to perform restorative procedures - Answer 1) completion of board approved course on restorative procedures
the administration of general anesthesia (program must be equivalent to a program for advanced specialty education in oral & maxillofacial surgery) OR a 1 yr residency in general anesthesia at an institution certified by the American society of anesthesiology, the American medical association, or the joint commission on hospital accreditation resulting in the dentist becoming clinically competent in the administration of general anesthesia (residency must include a minimum of 390 hrs of didactic study, 1,040 hrs of clinical anesthesiology, & 260 cases of administration of anesthesia to an ambulatory outpatient)
***must be a minimum of 12 hrs of didactic instruction; personally administering & managing at least 3 individual supervised cases of analgesia; supervised clinical experience using fail safe anesthesia equipment capable of (+) pressure respiration What is required of DT, DH, & LDA to administer nitrous oxide inhalation analgesia - Answer ~must be under the appropriate level of supervision by a dentist who is currently licensed & can administer nitrous oxide inhalation analgesia Does a dentist who is administrating general anesthesia/deep sedation, moderate sedation, or nitrous oxide inhalation analgesia need to inform the board? - Answer yes Can DH & LDA graduates prior to Sept. 2, 2004 administer nitrous oxide inhalation analgesia? - Answer yes but they must inform the board & provide the board w/ the name, address, & phone number of the accredited dental school/program in which they graduated; current CPR certification w/continued certification Can DT graduates prior to Aug. 1, 2013 administer nitrous oxide inhalation analgesia? - Answer yes but they must inform the board & provide the board w/ the name, address, & phone number of the accredited dental school/program in which they graduated; current CPR certification w/continued certification who can administer analgesia - Answer a dentist who is currently licensed to practice dentistry in MN who can administer minimal sedation - Answer a dentist who is currently licensed to practice dentistry in MN When must a dentist, DT, DH, or LDA report to the board of any incident that arises from the administration of nitrous oxide inhalation analgesia, general sedation/deep sedation, moderate sedation, local anesthesia, analgesia, or minimal sedation? - Answer ~a serious or unusual outcome that produces a temporary or permanent physiological injury, harm, or other detrimental effect to 1 or more of a patients body systems ~minimal sedation unintentionally becoming moderate sedation or deep sedation/general anesthesia when the licensee doesn't have a certificate for administering general anesthesia or moderate sedation how long does a dentist, DT, DH, or LDA have to report to the board of any incident that arises from the administration of nitrous oxide inhalation analgesia, general sedation/deep sedation, moderate sedation, local anesthesia, analgesia, or minimal sedation? - Answer with/in 10 business days of the incident T/F a dentist can not administer general anesthesia/deep sedation or moderate sedation unless the dentist possess a general anesthesia or moderate sedation certificate from the board - Answer true general anesthesia certificate from the board - Answer authorizes a dentists to administer general anesthesia/deep sedation, moderate sedation, or to provide dental services to patients under general anesthesia/deep sedation or moderate
sedation when a dentist employs or contracts another licensed health care professional w/ the qualified training & legal qualification to administer moderate sedation moderate sedation certificate from the board - Answer authorizes a dentists to administer moderate sedation, or to provide dental services to patients under moderate sedation when a dentist employs or contracts another licensed health care professional w/ the qualified training & legal qualification to administer moderate sedation Application requirements for an initial general anesthesia or moderate sedation certificate - Answer ~application & fee ~info on office facilities ~support staff training ~emergency protocols ~monitoring equipment ~record keeping procedures T/F a dentist is not required to possess an additional certificate for deep or moderate sedation if they have a valid certificate for general anesthesi - Answer true T/F a dentist does not need to undergo an inspection as part of the general anesthesia or moderate sedation certificate application - Answer false T/F a dentist can administer general anesthesia, deep sedation, or moderate sedation after their certificate expires - Answer false How long does a dentist have to renew their general anesthesia or moderate sedation certificate before it's terminated by the board - Answer 60 days T/F a certificate issued by the board must be conspicuously displayed in plain site of patients in every office in which the dentist administers general anesthesia, deep sedation, or moderate sedation - Answer true T/F a dentist shall not provide dental services to a patient who is under general anesthesia, deep sedation, or moderate at any location other than a hospital unless the dentist possesses the applicable contracted sedation provider certificate issued by the board - Answer true specialty areas in dentistry include - Answer 1) dental public health
T/F in order for a licensed dentist to advertise a speciality area, they must have completed an accredited postdoctoral course of study in the specialty area in which they advertise - Answer true unlicensed dental assistant duties (all) - Answer ~perform all duties not directly related w/performing dental treatment or services on patients ~retract during a dental operation ~assist w/placement or removal of a rubber dam & accessories as directed by an operating dentist ~remove debris by the use of vacuum devices, compressed air, mouthwash, & water that's normally accumulated during the course of treatment rendered by the licensed dentist ~provide any assistance including the placement of articles & topical medication in a patients oral cavort in response to a specific direction bu a licensed dentist who is able to provide PERSONAL supervision ~aid LDA & DH in their duties ~apply fluoride varnish in a community setting under the authorization & direction of a licensed practitioner as long as the community setting maintains appropriate patient records of treatment LDA delegated duties (all) - Answer GENERAL SUPERVISION ~cut arch wires on ortho appliances ~remove loose bands on ortho appliances ~remove loose brackets on ortho appliances ~recement intact temporary restorations ~place temporary fillings (NOT including inlays, inlays, crowns, or bridges) ~take radiographs ~take impressions & bite registrations ~deliver vacuum formed ortho retainers ~place & remove elastic ortho separators ~complete preliminary charting of the oral cavity & surrounding structures NOT periodontal probing & assessment of periodontal structures ~take extraoral & intraoral photos ~take vital signs as directed by a dentist ~obtain informed consent ~remove & place ligature ties & remove & replace existing arch wires on ortho appliances ~Apply topical fluoride, including foam, gel, or varnish INDIRECT SUPERVISION ~apply topical medications including bleaching agents & cavity varnishes ~place & remove rubber dam ~remove excess cement from inlays, crowns, bridges, & ortho appliances w HAND INSTRUMENTS ONLY ~perform mechanical polishing to clinical crowns NOT INCLUDING INSTRUMENTATION (removal of calculus by instrumentation must be done by a dentist or DH prior to polishing) ~preselect ortho bands ~place & remove periodontal dressings ~remove sutures
~monitor a patient who has been induced by a dentist into nitrous oxide inhalation analgesia ~place initial arch wires on ortho appliances ~dry root canals w/paper points ~place cotton pellets & temporary restorative materials into endodontic access openings ~etch appropriate enamel surfaces; apply & adjust pit & fissure sealants (must have completed a course on pit & fissure sealants from an accredited school) ~restorative procedures if completed a board approved course on specific procedure includes:
limited license dental assistant permit delegated duty - Answer can take dental radiographs under general supervision if completed a board approved course & passing exam in radiographs DH delegated duties (all) - Answer ****for a DH to perform ortho duties, must either have graduated a DH program prior to Sept. 1, 2019 or if graduated after Sept. 1, 2019 DH program must also have included training in Ortho procedures & received a Ortho procedure certificate from school or successfully completed a board approved course in ortho procedures & received certificate from course sponsor! GENERAL SUPERVISION ~complete preliminary charting of the oral cavity & surrounding structures including case histories, initial & periodic exams & assessments to determine periodontal status; creation of a DH treatment plan in coordination w/dentists treatment plan ~take extraoral & intraoral photos ~take vital signs as directed by a dentist ~obtain informed consent ~make referrals to dentists, physicians, & other practitioners in consultation w/ the dentist ~complete debridement, prophylaxis, & nonsurgical periodontal therapy ~etch appropriate enamel surfaces; apply & adjust pit & fissure sealants ~administer local anesthesia (must have completed a didactic & clinical program sponsored by an accredited dental or DH school & results in the DH becoming clinically competent) ~administer nitrous oxide inhalation analgesia ~take radiographs ~apply topical medications including topical fluoride, bleaching agents, cavity varnishes, & desensitizing agents ~place sub gingival medicaments ~fabrication & delivery of custom fitted trays ~nutritional counseling ~salivary analysis ~remove marginal overhangs ~remove sutures ~place & remove periodontal dressings ~place & remove isolation devices or materials for restorative purposes ~polish restorations ~remove excess cement from inlays, onlays, crowns, bridges, or ortho appliances ~fabrication, placement, replacement, cementation, & adjustment of temporary crowns or restorations ~remove temporary crowns or restorations w/ HAND INSTRUMENTS ONLY ~place & remove matrix systems & wedges ~place nonsurgical retraction material for gingival displacement (must have completed a board approved course in nonsurgical retraction material for gingival displacement) ~cut arch wires on ortho appliances ~remove loose bands on ortho appliances ~remove loose brackets on ortho appliances ~remove access bond material from ortho appliances ~preselect ortho bands
~place & remove elastic ortho separators ~remove & place ligature ties & remove & replace existing arch wires on ortho appliances ~deliver vacuum formed ortho retainers INDIRECT SUPERVISON ~restorative procedures if completed a board approved course on specific procedure includes:
T/F it would be acceptable for an LDA to place temporary fillings to provide palliative treatment under general supervision - Answer true T/F it would be acceptable for a hygienist to administer nitrous oxide under indirect supervision - Answer true; a DH can do this under general supervision T/F it would be acceptable for an LDA to scale supragingivally under direct supervision - Answer false; an LDA can not perform anything supragingivally & scaling must be done by a dentist or DH T/F it would be acceptable for an LDA to remove excess bonding material on an Ortho appliance under indirect supervision - Answer remove loose bands on ortho appliances - Answer LDA-general DH-general remove loose brackets on ortho appliances - Answer LDA-general DH-general take radiographs - Answer LDA-general DH-general DT-general ADT-general take impressions & bite registrations - Answer LDA-general DH-general deliver vacuum formed ortho retainers - Answer LDA-general DH-general place & remove elastic ortho separators - Answer LDA-general DH-general DT-general Complete preliminary charting of oral cavity and surrounding structures w/ exception of perio probing and assessment of the perio structure - Answer LDA-general preliminary charting of the oral cavity & surrounding structure - Answer LDA-general (CANNOT PROBE OR ASSESS PERIODONTAL STRUCTURE) DH-general DT-general ADT-general take extraoral & intraoral photos - Answer LDA-general DH-general take vital signs as directed by dentist - Answer LDA-general DH-general obtain informed consent - Answer LDA-general
DH-general Remove and replace ligature ties and arch wires on orthodontic appliances - Answer LDA-general DH-general Apply topical fluoride including foam, gel, or varnish - Answer LDA-general DH-general DT-general ADT-general apply topical medications including bleaching agents & cavity varnishes as prescribed by the dentist - Answer LDA-indirect DH-general DT-general ADT-general place & remove rubber dam - Answer LDA-indirect DH-general remove excess cement from inlays, crowns, bridges, & north appliances w/ HAND INSTRUMENTS ONLY - Answer LDA-indirect DH-general perform mechanical polishing to clinical crowns NOT including instrumentation - Answer LDA-indirect DH-general perform mechanical polishing including instrumentation - Answer DT-general ADT-general preselect ortho bands - Answer LDA-indirect DH-general place and remove periodontal dressings - Answer LDA-indirect DT-general DH-indirect ADT-general remove sutures - Answer LDA-indirect DT-indirect DH-general ADT-general place initial arch wires on ortho appliances - Answer LDA-indirect DH-indirect etch appropriate enamel surfaces - Answer LDA-indirect DH-general DT-general
ADT-general apply pit & fissure sealants - Answer LDA-indirect DH-general DT-general ADT-general adjust pit & fissure sealants - Answer LDA-indirect DH-general DT-general ADT-general restorative procedures if completed a board approved course on specific procedure includes: - Answer - place, contour, & adjust amalgam restorations
DH-direct initiate & place an intravenous line in preparation for intravenous medications & sedation for a dentist who holds a certificate in general anesthesia or moderate sedation (must have completed a board approved course comprised of intravenous access & general anesthesia & moderate sedation training) - Answer LDA-direct DH-direct place nonsurgical retraction material for gingival displacement (must have completed a board approved course in nonsurgical retraction material for gingival displacement)
place & remove isolation devices or materials for restorative purposes - Answer DH- general place & remove matrix bands - Answer LDA-direct place & remove matrix systems & wedges - Answer DH-general T/F An LDA can replace temporary crowns or restorations - Answer false; an LDA can only fabricate, cement, & adjust under direct supervision Replacement of temporary crowns or restorations must be done by a dentist or a DH under general supervision place temporary fillings NOT including temporization of inlays, inlays, crowns, or bridges - Answer LDA-general recement intact temporary restorations - Answer LDA-general remove temporary crowns or restorations w/hand instruments only - Answer DH- general LDA-direct remove excess cement from inlays, onlays, crowns, bridges, or ortho appliances - Answer DH-general; must have Ortho certificate or board approve course to remove excess cement from ortho appliances if graduated in 2019 or later LDA-indirect (hand instruments only) polish restorations - Answer DH-general T/F An LDA can apply desensitizing agents - Answer false T/F if the dentist holds a certificate in general anesthesia or moderate sedation & is personally treating a patient, a LDA & a DH can aid in the physical management of medications including the preparation & administration of medications into an existing intravenous line (must have completed a board approved course comprised of intravenous access & general anesthesia & moderate sedation training) under personal supervision - Answer true Administer local anesthesia - Answer DH-general (must have completed a didactic & clinical program sponsored by an accredited dental or DH school & results in the DH becoming clinically competent) DT-general ADT-general apply desensitizing agents - Answer DH-general DT-general ADT-general
nutritional counseling & dietary analysis - Answer DT-general DH-general ADT-general T/F A LDA can place a wedge matrix system - Answer false placement of temporary restorations - Answer DT-general ADT-general fabrication of soft occlusal guards & athletic mouthguard - Answer DT-general ADT-general pulp vitality testing - Answer DT-general ADT-general tissue conditioning & soft reline - Answer DT-general ADT-general Atraumatic restorative therapy - Answer DT-general ADT-general dispense & administer analgesics, anti inflammatories & antibiotics permitted by the collaborative management agreement - Answer DT-general ADT-general provide analgesics, anti inflammatories, & antibiotics - Answer ADT-general tooth reimplantation - Answer DT-general ADT-general stabilization of reimplanted teeth - Answer ADT-general DT-indirect cavity preparation & restoration of primary & permanent teeth - Answer ADT-general DT-indirect pulpotomies on primary teeth; indirect & direct pulp capping on primary & permanent teeth - Answer ADT-general DT-indirect placement & removal of space maintainer (fixed or removable) - Answer ADT- general DT-indirect brush biopsies - Answer ADT-general DT-indirect Repair of defective prosthetic devices - Answer ADT-general DT-indirect
placement of temporary crowns; prep & placement of preformed stainless steel & resin crowns - Answer ADT-general DT-indirect provide emergency palliative treatment of dental pain - Answer ADT-general DT-indirect recement permanent crowns - Answer ADT-general DT-indirect extractions of primary teeth - Answer ADT-general DT-indirect Extraction of periodontaly diseased permanent teeth with mobility of +3 to +4 as permitted by the collaborative management agreement - Answer ADT-general Oral evaluation and assessment of dental disease and the formation of an individualized treatment plan authorized by a collaborating dentist - Answer ADT- general T/F under most circumstances, allied dental professionals must wear a name tag identifying themselves & their occupation - Answer true Another name for conscious sedation is - Answer nitrous oxide who in the office can dismiss a person who was previously under conscious sedation? a) DH b) LDA c) dentist d) all of the above - Answer D all of the above who in the office can administer conscious sedation? a) DH b) LDA c) dentist d) all of the above - Answer D all of the above INFECTION CONTROL (26% of exam) - Answer ________________ blood borne disease - Answer diseases that are spread through the exposure to, inoculation of, or injection of blood; or exposure to blood contained in body fluids, tissues, or organs; include infections caused by agents such as the human immunodeficiency virus (HIV) & hepatitis B (HBV) Infection control - Answer Programs, procedures, & methods to reduce the transmission of agents of infection for the purpose of preventing or decreasing the incidence of infectious diseases
minimum conditions for a dental office - Answer 1) premises must be kept neat & clean, free of rubbish, ponded water, or other conditions that would have a tendency to create a public health nuisance