LA - Week 9
Communication, documentation, and risk reduction protocols are all necessary elements when administering a local anesthetic. This is because they help to reduce the chance of possible litigation. A. Both statements are true B. Both statements are false C. The first statement is true, and the second statement is false D. The first statement is false, and the second statement is true
A. Both statements are true
It is the responsibility of the dental hygienist to report any illegal activities regarding the administration of local anesthesia to the proper authorities as well as to educate the dentist about current regulations regarding the hygienist's scope of practice. A. Both statements are true B. Both statements are false C. The first statement is true, and the second statement is false D. The first statement is false, and the second statement is true
A. Both statements are true
Secondary prevention is when there is containment of an injury after it occurs. Tertiary prevention involves the return of the patient to a functional state and the prevention of further injuries. A. Both statements are true B. Both statements are false C. The first statement is true, and the second statement is false D. The first statement is false, and the second statement is true
A. Both statements are true
In some states, the scope of dental hygiene practice for all dental hygiene treatment, including local anesthesia, requires the physical presence of a dentist. In other states, supervision laws do not require the physical presence of the dentist for dental hygiene treatment but do require it during the administration of local anesthesia. A. Both statements are true. B. Both statements are false. C. The first statement is true; the second statement is false. D. The first statement is false; the second statement is true.
A. Both statements are true.
The primary objective of providing dental hygiene care is to assist patients in preventing disease and maintaining oral health. With the delivery of these services, the dental hygienist may experience unanticipated and problematic outcomes. A. Both statements are true. B. Both statements are false. C. The first statement is true; the second statement is false. D. The first statement is false; the second statement is true.
A. Both statements are true.
Initially patients may decline the use of local anesthesia for nonsurgical periodontal procedures because they do not fully understand the benefits of its use. A. Both the statement and reason are correct and related. B. Both the statement and reason are correct but NOT related. C. The statement is correct, but the reason is NOT. D. NEITHER the statement NOR the reason is correct.
A. Both the statement and reason are correct and related.
What guides the conduct of the health care professionals? A. Ethical principles B. State laws C. National laws D. Knowledge
A. Ethical principles
The dental hygienist should always maintain patient confidentiality in accordance with the _______ guidelines. A. HIPAA B. ADA C. ADHA D. QHPC
A. HIPAA
Which disease is NOT likely to spread through an occupational exposure to blood? A. Hepatitis A B. Hepatitis B C. Hepatitis C D. HIV
A. Hepatitis A
What is contact of the mucous membrane with blood, saliva, tissue, or other body fluids that are potentially infectious called? A. Occupational exposure B. Occupational hazard C. Primary prevention D. Tertiary prevention
A. Occupational exposure
Practicing within the legal scope of practice means? A. Practicing only within the limits set forth by your license and state's rules and regulations B. Practicing within the limits of your license, unless the dentist gives you permission to do expanded procedures C. Practicing any procedure as long the doctor is present in the office D. Performing procedures that the doctor has approved in the treatment plan
A. Practicing only within the limits set forth by your license and state's rules and regulations
Striving to utilize all protocols to prevent injury from occurring is which category of prevention and management of injury? A. Primary prevention B. Secondary prevention C. Tertiary prevention D. Risk reduction protocol
A. Primary prevention
What is the appropriate amount of anesthetic to be administered during a procedure? A. The amount necessary to complete the area that will be treated and finished in a single appointment B. The amount that covers most of the area, so that you do not have to give a second injection C. Enough for one tooth at a time; that way you can avoid the risk of toxicity D. Always give at least half the maximum recommended dose
A. The amount necessary to complete the area that will be treated and finished in a single appointment
A dental hygienist may be charged with malpractice if he/she induces harm to the patient or if a breach of duty exists. A. True B. False
A. True
Any refusal of treatment by the patient and a brief statement documenting the discussion of risks associated with refusal of treatment should be documented in the patient record. A. True B. False
A. True
For a percutaneous injury, details of the incident report should include the depth of the wound, the gauge of the needle, and whether fluid was injected. A. True B. False
A. True
Most states require the dental hygienist to apply for a local anesthesia license or certificate in addition to the regular dental hygiene license to legally administer local anesthetics. A. True B. False
A. True
Postexposure management's goal is to contain the injury to reduce the possibility of disease transmission. A. True B. False
A. True
In the event of a malpractice lawsuit, the dental hygienist's best defense is _______. A. documentation in the patient's chart B. the dental hygiene code of ethics C. appropriate physician consultations and referrals D. professional liability insurance
A. documentation in the patient's chart
The ___________ dictates the dental hygienist's continuing education requirements. A. state licensing board B. dentist C. hygienist D. American Dental Hygiene Association
A. state licensing board
How long does the qualified health care provider have to provide the employer with a written report? A. 10 days B. 15 days C. 1 month D. As long as necessary
B. 15 days
Dental hygienists who hold a current anesthesia license are always able to administer local anesthetics without the physical presence of a dentist, but only if the dentist authorizes the procedure. A. Both statements are true B. Both statements are false C. The first statement is true, and the second statement is false D. The first statement is false, and the second statement is true
B. Both statements are false
Following exposure, if there is not enough time to get tested right away it is okay to use bleach to cleanse the exposure site. However, if you are able to get tested immediately then you should just use soap and water. A. Both statements are true B. Both statements are false C. The first statement is true, and the second statement is false D. The first statement is false, and the second statement is true
B. Both statements are false
If a needlestick injury occurs, it is not necessary to report the details of what happened, only that you were possibly exposed. A. Both statements are true B. Both statements are false C. The first statement is true, and the second statement is false D. The first statement is false, and the second statement is true
B. Both statements are false
When handling a contaminated needle it is only important to avoid being exposed to the end that penetrated the tissues or fluids. The cartridge-penetrating end of the needle is not a risk for contamination. A. Both statements are true B. Both statements are false C. The first statement is true, and the second statement is false D. The first statement is false, and the second statement is true
B. Both statements are false
A dental hygienist does not necessarily need to purchase his/her own liability insurance because he/she is typically covered under the umbrella of the supervising dentist's professional liability insurance. A. True B. False
B. False
All dental facilities that employ more than 15 people must have a postexposure management protocol for occupational exposures. A. True B. False
B. False
Any dental history regarding a patient's psychologic state as related to injections or nervousness is subjective and should not be included in dental notes. A. True B. False
B. False
Due to the high standards of the dental hygiene curriculum, the licensed dental hygienist is prepared for any experience within the dental office. A. True B. False
B. False
The dental hygienist must follow the most current postexposure guidelines set by OSHA. A. True B. False
B. False
The dental hygienist should always follow the lead direction of the supervising dentist. A. True B. False
B. False
The dental hygienist should report only gross negligence by a health care provider to the responsible authorities. A. True B. False
B. False
The qualified health care provider corresponds directly with the exposed health care worker so as not to violate HIPPA. A. True B. False
B. False
Which of the following procedures always requires a dentist's physical presence? A. Dental radiography B. Local anesthesia C. Preventive prophylaxis D. Fluoride administration
B. Local anesthesia
On removing the needle from the syringe, the cartridge-penetrating end of the needle inadvertently sticks the clinician. Which of the following is an appropriate response? A. The cartridge-penetrating end of the needle is sterile: postexposure treatment is not necessary. B. The cartridge-penetrating end of the needle is contaminated: proceed with postexposure protocol. C. Check the cartridge for signs of a positive aspiration. If there is no sign of blood in the cartridge, postexposure treatment is not necessary. D. Dispose of the needle, wash the wound with soap and water, and report the incident at the end of the day.
B. The cartridge-penetrating end of the needle is contaminated: proceed with postexposure protocol.
What does the statement "A dental hygienist must meet the standard of care set by other practitioners with similar training" mean? A. The dental hygienist must pass a written and clinical board. B. The dental hygienist is expected to gain knowledge and skills throughout her career. C. The dental hygienist only has to be as good as the least-educated person on staff. D. Dental hygienists with an associate's degree are not expected to be as knowledgeable as dental hygienists with a bachelor's degree.
B. The dental hygienist is expected to gain knowledge and skills throughout her career.
The dental hygienist may only be charged with malpractice if he/she induces harm to the patient, not for a negligent act. However, the hygienist may be legally liable if he/she is unable to provide thorough treatment because the patient refuses anesthesia. A. The first statement is true; the second statement is false. B. The first statement is false; the second statement is true. C. Both statements are true. D. Both statements are false
B. The first statement is false; the second statement is true.
Risk management occurs when: A. You refuse to treat any patient with foreseeable risks B. You identify preventive methods to reduce or eliminate the risk of legal actions C. You sue the patient back if the patients sues you D. You make notes in the chart as general as possible so as to give the same treatment to every patient
B. You identify preventive methods to reduce or eliminate the risk of legal actions
In the event of malpractice litigation, the _______ bears the burden of legal responsibility for the dental hygienist. A. dentist (or employer) B. dental hygienist C. employer's insurance company D. state
B. dental hygienist
The ____________ educates and empowers the patient, while protecting the hygienist, by allowing the patient to formally accept or deny services. A. incident report form B. informed consent form C. treatment plan D. permanent chart documentation
B. informed consent form
The amount of anesthetic drug administered should be documented in the chart in _______. A. milliliters (mL) B. milligrams (mg) C. cartridges D. ccs
B. milligrams (mg)
Effective communication is an essential risk management tool. Which of the following exemplifies effective communication? A. Clearly present the benefits and risks associated with the procedure. B. Use laymen terms and simplify technical explanations. C. Avoid discussing the treatment procedures. D. Both A and B
Both A and B
Your afternoon patient arrives for nonsurgical periodontal therapy (requiring local anesthesia), but the dentist hasn't returned from lunch. Which of the following is an appropriate way to proceed? A. As long as the dentist has authorized the treatment, proceed to administer local anesthesia. B. Apply topical anesthesia and wait for the dentist to return. C. Explain the situation to the patient and wait for the dentist to return before administering anesthesia. D. Complete the treatment without local anesthesia
C. Explain the situation to the patient and wait for the dentist to return before administering anesthesia.
Which of the following statements is false regarding the administration of local anesthetics? A. Never abruptly stop treatment, or abandon the patient B. Keep the patient informed regarding the progression of treatment and results obtained C. Never inform the patient of any unanticipated occurrences during and after the administration of the local anesthetic D. Document and keep accurate records
C. Never inform the patient of any unanticipated occurrences during and after the administration of the local anesthetic
Before administering local anesthetics, the dental hygienist should describe the risks and benefits to the patient using which type of terms? A. Specific technical terms B. Phrases like "pokey thing" and "feels like an ouchie" C. Terms appropriate for the patient's education level D. Do not tell the patient anything; if you do not talk about it, then the patient will not be nervous
C. Terms appropriate for the patient's education level
Dental hygienists are accountable for their own actions and practice. However, the dentist is always liable for any legal actions taken against the hygienist. A. Both statements are true B. Both statements are false C. The first statement is true, and the second statement is false D. The first statement is false, and the second statement is true
C. The first statement is true, and the second statement is false
Always be sure to administer the appropriate volume of anesthetic for the area that can reasonably be completed during one appointment. On completion of one quadrant of nonsurgical periodontal treatment, the clinician can administer more anesthetic, even if the MRD has been reached. A. Both statements are true. B. Both statements are false. C. The first statement is true; the second statement is false. D. The first statement is false; the second statement is true.
C. The first statement is true; the second statement is false.
Due to the scope of practice for dentists, they are more at risk for litigation. Risk management identifies methods to negotiate the risk of legal actions associated with the delivery of oral care. A. Both statements are true. B. Both statements are false. C. The first statement is true; the second statement is false. D. The first statement is false; second statement is true.
C. The first statement is true; the second statement is false.
Which of the following statements is NOT true in regard to dental hygiene licensure? A. Each state sets forth individualized requirements for licensure. B. Most states require additional licensure for local anesthesia. C. The practice of dental hygiene is regulated and licensed nationally through the American Dental Board. D. Educational and examination credentials must be met prior to applying for licensure.
C. The practice of dental hygiene is regulated and licensed nationally through the American Dental Board.
In most states the dental hygienist is not required to have malpractice insurance, because the dental hygienist will be covered under the dentist's insurance. A. Both the statement and the reason are CORRECT and related B. Both the statement and the reason are correct but NOT related C. The statement is correct, but the reason is NOT D. The statement is NOT correct, but the reason is correct E. NEITHER the statement NOR the reason is correct
C. The statement is correct, but the reason is NOT
All of the following diseases are contractible if a needlestick occurs to the dental hygienist except ONE. Which one is the EXCEPTION? A. Hepatitis B virus (HBV) B. Hepatitis C virus (HCV) C. Human immunodeficiency virus (HIV) D. Adenovirus
D. Adenovirus
According to the Centers for Disease Control and Prevention, which of the following conditions constitute occupational exposures in dentistry? A. Contact of mucous membrane with body fluids that are potentially infectious B. A percutaneous injury C. When skin that is chapped, abraded, or affected by dermatitis is exposed to blood or saliva D. All options listed
D. All options listed
Dental hygienist-employer communication best practices include: A. Open discussion regarding the potential liabilities for dental personnel B. Brainstorming liability prevention strategies C. Writing or reviewing the office protocol D. All options listed
D. All options listed
What must the qualified health care professional consider when assessing the need for follow-up of occupational exposures? A. Susceptibility of exposed person B. Infectious status of source C. Amount of fluid/tissue involved in the exposure D. All options listed
D. All options listed
What should the dental hygienist do to prevent the possibility of litigation? A. Practice life-long learning B. Document accurately and thoroughly C. Obtain informed consent before treatment D. All options listed
D. All options listed
What does PPE stand for? A. Patient protective equipment B. Personal protective equipment C. Person protective equipment D. Procedure protection equipment
Personal protective equipment
During the administration of an IA block, you notice a small bruiselike mark developing intraorally. Which of the following is recommended to prevent malpractice litigation? A. Do not tell the patient. This will only alarm the patient and increase the risk of malpractice litigation. B. Wait until the appointment is complete to notify the patient. C. Immediately notify the patient during the administration of the injection, even if the syringe is still in the patient's mouth. D. Notify the patient once the needle is recapped and allow the patient to examine the hematoma. Document the incident in the patient's chart.
D. Notify the patient once the needle is recapped and allow the patient to examine the hematoma. Document the incident in the patient's chart.
When it comes to occupational exposure risks, a qualified health care professional should be experienced in all of the following EXCEPT one. Which one is the EXCEPTION? A. Conducting testing B. Providing antiretroviral therapy C. Being familiar with the unique nature of dental injuries D. Providing dental hygiene treatment
D. Providing dental hygiene treatment
Which of the following is NOT beneficial to effective communication within the dental office? A. Office protocol should be written. B. The hygienist should openly discuss potential liabilities with the dentist (or employer). C. The hygienist should discuss his/her license limitations/regulations with the dentist (or employer). D. The dentist should strategize prevention tactics and inform the staff.
D. The dentist should strategize prevention tactics and inform the staff.
Which of the following does not need to be documented in the chart following the administration of local anesthesia? A. The patient's MRD B. The gauge and type of needle C. The time of anesthetic administration D. The type of syringe
D. The type of syringe
When the complexity of nonsurgical periodontal therapy is unknown, administer the local anesthetic for ___________. A. bilateral full-mouth treatment B. unilateral half-mouth treatment and complete the treatment in that area before proceeding C. just one quadrant and complete the treatment in that area before proceeding D. just one tooth and complete the treatment in that area before proceeding
D. just one tooth and complete the treatment in that area before proceeding
The qualified health care professional must take into consideration all of the following factors when determining the need for follow-up of occupational exposures except ONE? Which one is the EXCEPTION? A. Infectious state of source B. Type and amount of tissue/fluid C. Type of exposure D. Susceptibility of exposed person E. Blood type of the source
E. Blood type of the source
All of the following should be contained in a postexposure management protocol for occupational exposures except ONE? Which one is the EXCEPTION? A. Steps for postexposure B. Training and education requirements for dental personnel C. Types of exposures that put dental personnel at risk D. Procedures for prompt reporting and evaluation E. Procedures for disinfecting the operatory
E. Procedures for disinfecting the operatory
The individual state licensing boards are responsible for making sure that dental hygienists maintain professional competency, credentials, and continuing educational requirement fulfillments. A. True B. False
False
In the event of a sharps injury, which of the following is not recommended? A. If possible, get consent from the source patient for testing. B. Wash a flesh or puncture wound with soap and water. C. Gently suck the contaminates from the wound. D. Complete the incident report form
Gently suck the contaminates from the wound.
Which statement is true regarding the handling of sharps? A. It is acceptable to throw unused needles in the regular trash B. It is acceptable to hand an uncapped needle to an assistant if you are unable to reach the cap C. It is acceptable to recap a needle with your hands as long as the needle has not been contaminated D. It is acceptable to recap a needle only using the one-handed scoop method
It is acceptable to recap a needle only using the one-handed scoop method
Which of the following legal issues pertain to the dental hygienist? a. All options listed b. Accountability if the patient's periodontal status declines c. Contractual obligation to the patient d.Assumption of own legal responsibility
a. All options listed
In some states, the scope of dental hygiene practice for all dental hygiene treatment, including local anesthesia, requires the physical presence of a dentist. In other states, supervision laws do not require the physical presence of the dentist for dental hygiene treatment but do require it during the administration of local anesthesia. a. Both statements are true. b. The first statement is true; the second statement is false. c. Both statements are false. d. The first statement is false; the second statement is true.
a. Both statements are true.
A dental hygienist does not necessarily need to purchase his/her own liability insurance because he/she is typically covered under the umbrella of the supervising dentist's professional liability insurance. a. False b.True
a. False
All dental facilities that employ more than 15 people must have a postexposure management protocol for occupational exposures. a. False b. True
a. False
Due to the high standards of the dental hygiene curriculum, the licensed dental hygienist is prepared for any experience within the dental office. a. False b. True
a. False
The dental hygienist must follow the most current postexposure guidelines set by OSHA. a. False b.True
a. False
The dental hygienist should always follow the lead direction of the supervising dentist. a. False b.True
a. False
The dental hygienist should report only gross negligence by a health care provider to the responsible authorities. a. False b. True
a. False
The individual state licensing boards are responsible for making sure that dental hygienists maintain professional competency, credentials, and continuing educational requirement fulfillments. a. False b.True
a. False
What does the statement "A dental hygienist must meet the standard of care set by other practitioners with similar training" mean? a. The dental hygienist is expected to gain knowledge and skills throughout her career. b. The dental hygienist must pass a written and clinical board. c. The dental hygienist only has to be as good as the least- educated person on staff. d. Dental hygienists with an associate's degree are not expected to be as knowledgeable as dental hygienists with a bachelor's degree.
a. The dental hygienist is expected to gain knowledge and skills throughout her career.
A dental hygienist may be charged with malpractice if he/she induces harm to the patient or if a breach of duty exists. a. True b. False
a. True
Most states require the dental hygienist to apply for a local anesthesia license or certificate in addition to the regular dental hygiene license to legally administer local anesthetics. a. True b. False
a. True
Postexposure management's goal is to contain the injury to reduce the possibility of disease transmission. a.True b. False
a. True
Which of the following is true regarding the best practice in obtaining informed consent? a. Ultimately, it is the patient's decision whether to accept a procedure or not. b. Tweens and teenagers are capable of granting their own informed consent for treatment. c. Presenting the risks of the procedure could possibly scare the patient into choosing not to have the procedure performed. d. Clearly present only the benefits associated with the procedure.
a. Ultimately, it is the patient's decision whether to accept a procedure or not.
According to the Centers for Disease Control and Prevention, which of the following conditions constitute occupational exposures in dentistry? a. Contact of mucous membrane with body fluids that are potentially infectious b. All options listed c. A percutaneous injury d. When skin that is chapped, abraded, or affected by dermatitis is exposed to blood or saliva
b. All options listed
What must the qualified health care professional consider when assessing the need for follow-up of occupational exposures? a. Susceptibility of exposed person b. All options listed c. Infectious status of source d. Amount of fluid/tissue involved in the exposure
b. All options listed
Which of the following factors may serve to decrease the risk of possible litigation? a. Minimizing misunderstandings b. All options listed c. Resolving problems as they arise d. Developing a one-on-one relationship with the patient to build trust and
b. All options listed
Whatever the situation may be, malpractice may be determined if the contractual obligations are not met by the dental hygienist. A dental hygienist may commit a negligent act during the administration of local anesthetics by causing paresthesia. a. Both statements are false. b. Both statements are true. c. The first statement is true; the second statement is false. d. The first statement is false; the second statement is true.
b. Both statements are true.
The qualified health care provider corresponds directly with the exposed health care worker so as not to violate HIPPA. a. True b. False
b. False
Always be sure to administer the appropriate volume of anesthetic for the area that can reasonably be completed during one appointment. On completion of one quadrant of nonsurgical periodontal treatment, the clinician can administer more anesthetic, even if the MRD has been reached. a. Both statements are false. b. The first statement is true; the second statement is false. c. Both statements are true. d.The first statement is false; the second statement is true.
b. The first statement is true; the second statement is false.
Any dental history regarding a patient's psychologic state as related to injections or nervousness is subjective and should not be included in dental notes. a. True b.False
b.False
Any refusal of treatment by the patient and a brief statement documenting the discussion of risks associated with refusal of treatment should be documented in the patient record. a. False b.True
b.True
For a percutaneous injury, details of the incident report should include the depth of the wound, the gauge of the needle, and whether fluid was injected. a. False b.True
b.True
Initially patients may decline the use of local anesthesia for nonsurgical periodontal procedures because they do not fully understand the benefits of its use. a. The statement is correct, but the reason is NOT. b. Both the statement and reason are correct but NOT related. c. Both the statement and reason are correct and related. d.NEITHER the statement NOR the reason is correct.
c. Both the statement and reason are correct and related.
What guides the conduct of the health care professionals? a. Knowledge b. National laws c. Ethical principles d.State laws
c. Ethical principles
Due to the scope of practice for dentists, they are more at risk for litigation. Risk management identifies methods to negotiate the risk of legal actions associated with the delivery of oral care. a. Both statements are true. b. Both statements are false. c. The first statement is true; the second statement is false. d.The first statement is false; second statement is true.
c. The first statement is true; the second statement is false.
What should the dental hygienist do to prevent the possibility of litigation? a. Obtain informed consent before treatment b. Practice life-long learning c. Document accurately and thoroughly d. All options listed
d. All options listed
Which of the following are dental hygiene considerations? a. Informed consent b. Confidentiality c. Meeting the standards set by other practitioners d. All options listed
d. All options listed
Striving to utilize all protocols to prevent injury from occurring is which category of prevention and management of injury? a. Risk reduction protocol b. Tertiary prevention c. Secondary prevention d. Primary prevention
d. Primary prevention
How long does the qualified health care provider have to provide the employer with a written report? a. As long as necessary b. 10 days c. 1 month d.15 days
d.15 days
Dental hygienist-employer communication best practices include: a. Brainstorming liability prevention strategies b. Open discussion regarding the potential liabilities for dental personnel c. Writing or reviewing the office protocol d.All options listed
d.All options listed
The primary objective of providing dental hygiene care is to assist patients in preventing disease and maintaining oral health. With the delivery of these services, the dental hygienist may experience unanticipated and problematic outcomes. a. Both statements are false. b. The first statement is false; the second statement is true. c. The first statement is true; the second statement is false. d.Both statements are true.
d.Both statements are true.
What is contact of the mucous membrane with blood, saliva, tissue, or other body fluids that are potentially infectious called? a.Occupational hazard b.Tertiary prevention c.Primary prevention d.Occupational exposure
d.Occupational exposure
Documentation of a percutaneous injury would NOT ordinarily include A. the depth of the wound. B. the gauge of the needle. C. the duration of contact. D. whether or not fluid was injected
the duration of contact.
