LA: Chapter 16

the CDC defines occupational exposure in dentistry as:

A percutaneous injury or contact of mucous membrane or nonintact skin with blood, saliva, tissue, or other body fluids that are potentially infectious.

12. 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, the second statement is false D. The first statement is false, the second statement is true

A. Both statements are true

17. 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, the second statement is false D. The first statement is false, the second statement is true

A. Both statements are true

20. 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, the second statement is false D. The first statement is false, the second statement is true

A. Both statements are true

7. 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 ay 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

11. 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, the second statement is false D. The first statement is false, the second statement is true

B. Both statements are false

19. When handling a contaminated needle it is only important to avoid being exposed to the end that penetrated the tissues of 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, the second statement is false D. The first statement is false, the second statement is true

B. Both statements are false

6. 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, the second statement is false D. The first statement is false, the second statement is true

B. Both statements are false

13. What does PPE stand for? A. patient protective equipment B. Personal protective equipment C. Person protective equipment D. Procedure protection equipment

B. Personal protective equipment

2. Practicing within the legal scope of practice means? A. Practicing within the limits of your license, unless the dentist gives you permission to do expanded procedures B. Practicing only within the limits set forth by your license and states regulations C. Practicing any procedure as long the doctor is present in the office D. Performing procedures that the doctor approved in the treatment plan

B. Practicing only within the limits set forth by your license and states regulations

15. Risk management occurs when: A. you refuse to treat any patient with forseeable risks B. you identify preventive methods to reduce or eliminate the risk of legal actions C. you sue the patient back after the patient 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 preventative methods to reduce or eliminate the risk of legal actions

1. 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 "feel like an ouchie" C. terms appropriate for the patients education level D. Do not tell the patient anything; if you do not talk about it, then the patient will no be nervous

C. Terms appropriate for the patients education level

5. 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, 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

4. 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 or reason is correct

C. The statement is correct, but the reason is not

3. 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

Post-exposure steps to follow?

Complete the incident report form and record in the exposed person's confidential medical record: °Date and time of exposure °Details of procedure performed ° Details of exposure °Details about exposure source °Details about exposed person °Details about counseling, postexposure management, and follow-up

8. 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. HIV D. adenovirus

D. Adenovirus

10. Which statement is true regarding the handling of sharps? A. it is acceptable to throw unused needles in the regular trash B. Is is acceptable to hand an uncapped needle to an assistant if you are unable to recap it 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

D. It is acceptable to recap a needle only using the one handed scoop method

14. 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

16. 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, the second statement is false D. The first statement is false, the second statement is true

D. The first statement is false, the second statement is true

18. 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

9. 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

What type of diseases are dental professionals at a risk for contacting?

Hepatitis B virus (HBV) hepatitis C virus (HCV) human immunodeficiency virus (HIV)

The dental hygienist must follow the most current postexposure guidelines set by the ______________.

U.S. Public Health Service.

What is nonintact skin?

exposed skin that is chapped, abraded, or with dermatitis

What is a Percutaneous injury?

needlestick or cut with a sharp object