California RDH Law and Ethics exam

If someone practices dental hygiene without a license, what is the punishment?-Imprisonment in a state prison for up to one year & fined $500-$1,500-Imprisonment in a county jail for up to one year & fined $100-$1,500-Imprisonment in a federal penitentiary for up to 6 months & fined $1,500-Imprisonment in a state jail for 5 years & fined $100-$500

Imprisonment in a county jail for up to one year & fined $100-$1,500.

A person who is found guilty of unprofessional conduct is guilty of a _____________ and shall be fined _______________ or imprisoned for ____________ days and/or fined and imprisoned. -misdemeanor; $500-$100; 90-180 -felony; $100-$600; 60-180 -felony; $500-$1000; 90-180 -misdemeanor; $100-$600; 60-180

misdemeanor; $100-$600; 60-180

Unprofessional conduct includes all of the following EXCEPT one. Which one is the EXCEPTION? -Aid or abet a licensed person to practice dentistry unlawfully -Follow infection control guidelines -Alter patient records with intent to deceive -Advertising of professional superiority -Repeated violations of poor recording keeping

Follow infection control guidelines

If a potential licensee violates the integrity of the licensing examination, through copying the exam, removing it from the testing site, etc., and this is witnessed by another, what action needs to be taken?-Report it by written report within a week -Report it by phone and written report within 2 days -Report it by phone immediately and written report within 2 days -Report by telephone within 2 days

Report it by phone immediately and written report within 2 days

A license may be revoked or suspended, or may be reprimanded or placed on probation by the committee for unprofessional conduct, incompetence, gross negligence, or repeated negligence or receiving a license by mistake. If the licensee is convicted of a crime related to the licensee's qualification, functions or duties, it may be revoked, suspended or reprimanded or placed on probation-The first statement is FALSE, the second statement is TRUE-Both statements are TRUE-Both statements are FALSE-The first statement is TRUE, the second statement is FALSE

Both statements are TRUE

Each renewal cycle, the licensee is required to obtain 25 continuing education units (CEU's). These units may have 20% of the 25 CEU's based on patient care and up to 80% in other categories related to dentistry (office production, practice management, etc.)-The first statement is FALSE, the second statement is TRUE-Both statements are TRUE-Both statements are FALSE-The first statement is TRUE, the second statement is FALSE

The first statement is TRUE, the second statement is FALSE

It is a criminal offense to perform licensed duties with an expired, cancelled or inactive license.-True-False

true

A registered dental hygienist (RDH) or a registered dental hygienist in alternative practice (RDHAP) is permitted to perform, which of the following, as long as the appropriate level of supervision is followed: (choose as many as you like) -Take impressions for bleaching trays -Aerosol topical anesthesia -Dental hygiene assessment -Apply non-caustic topical agents -Supra and subgingival scaling

All except Aerosol topical anesthesia

In a public health setting, the registered dental hygienist may apply fluoride treatments and dental sealants in addition to oral screenings, without supervision. The registered dental hygienist may submit or allow to submitted, any insurance or third-party claims for patient services performed in the public health care setting.-The first statement is FALSE, the second statement is TRUE-Both statements are TRUE-Both statements are FALSE-The first statement is TRUE, the second statement is FALSE

Both statements are TRUE

If a hygienist is licensed in California, he/she may perform the duties of a registered dental assistant (RDA). The practice of dental hygiene includes assessment and development, planning, and implementation of a dental hygiene care plan.-The first statement is FALSE, the second statement is TRUE-Both statements are TRUE-Both statements are FALSE-The first statement is TRUE, the second statement is FALSE

The first statement is FALSE, the second statement is TRUE

An oral prophylaxis includes scaling supra and subgingival calculus to obtain a smooth root surface, which includes root planing of pockets. The dentist is not required to be on the premises when the registered dental hygienist is performing an oral prophylaxis-The first statement is FALSE, the second statement is TRUE-Both statements are TRUE-Both statements are FALSE-The first statement is TRUE, the second statement is FALSE

The first statement is FALSE, the second statement is TRUE

Dentists and dental auxillaries are required to complete all of the following continuing education courses(s) for each 2-year renewal period EXCEPT one. Which one is the EXCEPTION? -Infection control -California Dental Law -Law and ethics exam -Healthcare provider Basic Life Support

Law and ethics exam

According to the California Dental Practice Act, it is within legal limits to write a prescription for a controlled substance to one's self-True-False

False

A board approved course in infection control is a requirement of all dental auxiliary and need to be at least ____ hours in length-3 -4 -2 -8

2

The range of activities that can be performed legally by a dentist or dental auxiliary is referred to as:-Scope of practice -Practice Act -Supervision -Extended function

Scope of practice

A registered dental hygienist is authorized to perform all of the following procedures under general supervision EXCEPT one. Which one is the exception?-Preventive and therapeutic interventions, including oral prophylaxis, scaling, and root planing-The taking of impressions for bleaching trays and application and activation of agents with nonlaser, light-curing devices-Application of topical, therapeutic, and subgingival agents used for the control of caries and periodontal disease-Apply laser, light curing devices for whitening

Apply laser, light curing devices for whitening

Malpractice is an example of-A breach of contract -A CRIMINAL action -An intentional CIVIL tort -An unintentional CIVIL tort

An unintentional CIVIL tort

Self-governance is included under this California Dental Association code of ethics principle-Beneficence -Autonomy -Tolerance -Veracity -Professionalism

Professionalism

Acts of kindness and a sympathetic ear for the patient are included in the California Dental Association code of ethics principle ______________-Compassion -Integrity -Professionalism -Beneficence -Competence

Compassion

An RDH who performs a service on a patient in a dental office shall identify himself or herself in the patient record by signing his or her name or identification number and initials next to the service performed, and shall date those treatment entries in the record-True-False

true

In the interest of preserving the patients continuity of care, a dentist who treats a patient, not of record, is not obligated to recommend the patient continue treatment with the original treating dentist in all cases-True-False

false

Use of the name of a dentist no longer actively associated with the practice may be continued for a period not to exceed ________-120 days -Six months -one year -Two years

one year

A licensee must comply with a request for a patient's dental hygiene records that is accompanied by that patient's written authorization for release of the records to the DHCC, within ________ days of receiving the request and authorization.-15 days -90 days -60 days -30 days

15 days

This principle expresses the concept that professionals have a duty to be fair in their dealings with patients, colleagues and society-Nonmaleficence -Justice -Autonomy -Veracity -Beneficence

Justice

Dental hygienists are not obliged to report suspected child abuse cases to the proper authorities-True-False

False

Dentists with first-hand knowledge that a colleague is practicing dentistry when chemically impaired have an ethical responsibility to report such evidence to the professional assistance committee/drug diversion committee of a dental society-True-False

True

In its broadest sense this principle expresses the concept that the dental profession should actively seek allies throughout society on specific activities that will help improve access to care for all-Justice -Nonmaleficence -Autonomy -Veracity -Beneficence

Justice

Registered dental hygienists are permitted, under direct supervision, to place antimicrobial or antibiotic medicaments, which do not later have to be removed-True-False

false

Registered dental hygienists are permitted, under general supervision, to irrigate subgingivally with antimicrobials and/or antibiotic solution-True-False

true

In the " Code of Ethics for Dental Hygienists" this principle states that if two or more people consider the same action or trait in the same situation, the same conclusion would be drawn-Universality -Responsibility -Community -Complementarity -Ethics

Universality

A dentist is not permitted to make payments to another person or entity for the referral of a patient for professional services-True-False

true

Different ethical considerations apply whether the dentist engages in fee-for-service, managed care or some other practice arrangement-True-False

False

A dentist may not advertise or offer discounts on a dental procedure-True-False

False

All dentists have the obligation of keeping their knowledge and skill current. This falls under the principle of-Justice -Nonmaleficence -Autonomy -Veracity -Beneficence

Nonmaleficence

Unprofessional conduct includes which of the following violations:- Making use of any deceiving or misleading advertising statements-Obtaining of any fee by fraud or misrepresentation -Employment of any student or suspended or unlicensed dentist to practice dentistry -All of the answers are correct-Practice of accepting or receiving any commission or the rebating in any form or manner of fees for professional services supplied to patients

-All of the answers are correct

A dentist is not liable for failing to obtain informed consent in each situation EXCEPT one. Which one is the EXCEPTION?-It is reasonably believed that the dental treatment should be done immediately and there is not time to inform the patient completely-The patient is unconsciousness -Consent for a minor is obtained from the babysitter -Emergency treatment is performed on a patient that is not capable of giving consent and there is not enough time to obtain it from someone who can

Consent for a minor is obtained from the babysitter

If licenses are posted in view of the public, dental hygiene licensees do NOT need to wear name tags with credentials (RDH)-True-False

True

The California Dental Association (CDA) principle that requires dentists to recognize that cultural differences exist and challenges dentists to understand how these differences may affect patient choices and treatment is:-Beneficence -Autonomy -Tolerance -Veracity -Professionalism

Tolerance

A person guilty of unprofessional conduct is guilty of a misdemeanor and can be punished by:-Imprisonment for any length of time deemed by court-Imprisonment for a term of not less than 60 days nor more than 180 days -Imprisonment for a term of not less than 30 days nor more than 180 days-Fine only

Imprisonment for a term of not less than 60 days nor more than 180 days

A person guilty of unprofessional conduct is guilty of a misdemeanor and can be punished by a fine of not less than _____ or more than ______:-600; 1500-50; 600 -100; 300-100; 600

100; 600

Unprofessional conduct by a person licensed under the Dental Practice Act (DPA) is defined as, but is not limited to, all of the following EXCEPT one. Which one is the EXCEPTION?:-The practice of accepting or receiving any commission or the rebating in any form or manner of fees for professional services-The advertising of professional superiority-The aiding or abetting of any unlicensed person to practice dentistry-All of the answers are unprofessional conduct

All of the answers are unprofessional conduct

Participation in a community activity and.or being a member of your professional organization is an example of:-nonmaleficence -integrity -autonomy -professionalism (beneficence if professionalism is not listed)

professionalism (beneficence if professionalism is not listed)

Brenda has 3 years of experience and recently took a job with Dr. Kettner, who has another hygienist, Lena. Brenda and Lena have a good relationship and often go to lunch together. Brenda has noticed that some of the patients of Lena's have significant subgingival calculus remaining even after 3 or 4 month recalls. The patients also comment that Brenda "cleans deeper" than Lena. What is the primary ethical principle in this case?-Veracity -Beneficience -Autonomy -Nonmaleficience

Nonmaleficience

Marie, a registered dental assistant and long time dental assistant with Dr. Morton, just graduated from dental hygiene school and plans to take her clinical exam in August. In the meantime, she assists Dr. Morton as in the past. One of functions she performs for Dr. Morton is to polish the patients teeth prior to the doctors exam. Recently, she has started removing supragingival calculus and provide periodontal probe readings. Susan, the dental hygienist is recently aware of the change in her duties and is concerned. What is the primary ethical principle in this case?-Practicing outside scope of practice; veracity-Practicing without a license; nonmaleficience-Practicing outside scope of practice; autonomy-Practicing without a license; beneficience

Practicing without a license; nonmaleficience

A 35-year old woman is scheduled for a routine oral prophylaxis after her initial exam with the doctor. On her medical history she notes she is HIV positive. She is direct about it and discusses her medications related to her medical condition. You discuss possible oral manifestations of HIV. Three months later, you attend a family social function. Your brother comes in with this patient and seems to be physically intimate with her What is the primary ethical concern?-Confidentiality -Veracity -Nonmaleficience -Autonomy

Confidentiality

A long term patient (Russell) presents to the office to complete his 3rd quadrant of scaling and root planing. Prior to starting the appointment, he states he will lose his job in two weeks, has many expenses (mortgage, daughter in college, alimony, & child support) and cannot complete the scaling and root planing. He notices his maxillary fixed bridge (#6-9) is loose. When Dr. Adams examines him, he has caries around #6 & needs a new bridge. Dr. Adams instructs Maya (receptionist) to pre-date the insurance form so his dental insurance will cover the cost of the new bridge. What is the primary ethical concern?-Nonmaleficience -Autonomy -Veracity -Beneficience

Veracity

Cheryl provided a child prophylaxis and fluoride treatment to an 8-year old pediatric patient who was shy and reserved. She was very well mannered. She had good oral hygiene and health, but her maxillary centrals were fractured. When asked about them, the patient said she fell off her bike. When she returned two weeks later, the 8-year old had bruises around her eyes. What is the primary concern in this case?-possible child abuse -child is clumsy -child may have MS -neurological disorder

possible child abuse

Tanya is a recent graduate and obtained a job from Dr. Swann. This is the first RDH for Dr. Swann's office. After a few weeks, Tanya discovered that several patients were taking premedication for mitral valve prolapse or rheumatic heart disease. Tanya is aware that this is no longer the standard of care. When she discussed this with Dr. Swann, he became angry and questioned whether he needed an RDH who was questioned his ethics and practices. What is the primary ethical concern?-Beneficience -Nonmaleficience -Autonomy -Paternalism

Nonmaleficience

The cost to renew your RDH license is ___________.-No more than $500 -No less than $80 -No more than $100 -No more than $250

No more than $500

The DHCC may not deny a license to anyone who is required to register as a sex offender.-True-False

False

Any examinee for an RDH license who fails the California state or WREB or CRDTS clinical exam in four or more attempts or who fails as a result of imposing gross trauma on a patient, is not eligible for further examination until they successfully complete remedial education in a setting approved by the DHCC.-True-False

False

Registered dental hygienists licensed in another state can teach in a California dental hygiene college without obtaining a California license if they are issued a special permit by the DHCC.New educational programs in dental hygiene must provide a feasibility study to the DHCC demonstrating the need for a new program before seeking approval for accreditation from the Commission on Dental Accreditation.-The first statement is FALSE, the second statement is TRUE-Both statements are TRUE-Both statements are FALSE-The first statement is TRUE, the second statement is FALSE

Both statements are true

A dental professional must provide the necessary service at the same standard of care to all patients, regardless of a patient's long-term health status or prognosis. This represents which ethical principle?-Autonomy & societal trust-Justice & fairness-Veracity & confidentiality-No answer text provided.

Justice & fairness

If a patient requests more nitrous oxide than is safe, the dental professional is obligated to refuse this treatment in an effort to do no harm. Which ethical principle is upheld in this instance?-Beneficence -Veracity -Autonomy -Confidentiality

Autonomy

If a patient arrives late, cutting into the limited appointment time, the dental professional is ethically bound to still provide all levels of infection control.This demonstrates which ethical principle?-Veracity -Autonomy -Beneficence -Confidentiality

Beneficence

Excessive treatment or inferior treatment or inappropriate care violates which ethical principles?-Nonmaleficence -Beneficence -Autonomy

Autonomy

When employees are to work in unsafe work environment that does not meet specific standards putting staff at risk, what ethical principles are lacking?-No answer text provided. -Autonomy & confidentiality-Veracity & justice-Beneficence & nonmaleficence

Beneficence & nonmaleficence

If a patient's confidential information is violated, what does it violate?-Autonomy -Nonmaleficence -OSHA -HIPAA

HIPAA

Insurance fraud is not only illegal but unethical. Which ethical principle is not followed?-Beneficence -Veracity -Autonomy -Confidentiality

Veracity

If employees are treated unfair, in terms of compensation, assignment of work hours, benefits, etc., what ethical principle is lacking?-Nonmaleficence -Beneficence -Justice -Autonomy

Justice

Dental unit water lines shall be anti-retractive. At the beginning of each workday, dental unit lines and devices shall be purged with air or flushed with water for at least two (2) minutes prior to attaching handpieces, scalers, air water syringe tips, or other devices. The dental unit lines and devices shall be flushed between each patient for a minimum of twenty (20) seconds.-True-False

True

If you have exudative lesions or weeping dermatitis you shall refrain from all direct patient care and from handling patient care equipment until the condition resolves.-True-False

True

Healthcare workers shall wear surgical facemasks in combination with chin length plastic face shields or protective eyewear whenever there is...-potential for splashing or spattering of the following: droplet nuclei, blood, chemical or germicidal agents or OPIM-impression tray insertion -fluoride varnish application -radiographic exposures

potential for splashing or spattering of the following: droplet nuclei, blood, chemical or germicidal agents or OPIM

Standard precautions include a group of infection prevention practices that apply to all patients, regardless of suspected or confirmed infection status, in any setting in which healthcare is delivered. These include: hand hygiene, use of gloves, gown, mask, eye protection, or face shield, depending on the anticipated exposure, and safe handling of sharps. Standard precautions shall be used for care of all patients regardless of their diagnoses or personal infectious status.-True-False

True

Unprofessional conduct that is punishable by 60 day-180 days imprisonment in jail and fined $100-$1500 are all of the following except one. Which one is EXCEPTION?-Intentionally represents oneself falsely, through alteration of his/her name, to be have received a degree in dental hygiene or licensure as a dental hygienist.-Is under the influence of alcohol or a controlled substance while treating patients and it impairs his/her ability to practice safely.-advertising of either professional superiority or advertising of performance of services that are superior.-commits any act or acts of sexual abuse, misconduct, or relations with a patient that are related to the practice of dental hygiene.-None; all are considered unprofessional with these punishments possible.

-None; all are considered unprofessional with these punishments possible.

It is unprofessional conduct if a dental professional is convicted of more than one misdemeanor or felony involving the use or consumption of alcohol or drugs, if it is related to the practice authorized by his/her license.-True-False

True

A person who is found guilty of unprofessional conduct has committed a misdemeanor, which is considered criminal activity.-True-False

True

Excessive use of treatment procedures beyond what is customary practice and standards of a dental hygiene professional is considered to be unethical.-True-False

True; and unprofessional conduct

As a mandated reporter you suspect child abuse, you must immediately report it. A written report is due within ___ hours.-72 -24 -36 -48

36

Abuse of an elder or a dependent adult includes all of the following except one. Which one is the EXCEPTION? -abandonment -neglect (lack of care) -appropriate housing -care by another that lacks goods or services that are needed to avoid physical or mental suffering

appropriate housing

If a person engages in or attempts to engage in actions that subvert ("cheating") of any licensing examination, it is considered to be a felony.-True-False

False; it is a misdemeanor

If not renewed every 2 years, your RDH license expires at midnight on the _____________ .-same day as you received your license -first day of your birth month -your actual birth date -last day of your birth month

last day of your birth month

DHCC must be notified within 10 days when you have a change in your name.-True-False

true

An RDA is permitted to perform all of the procedures except one. Which one is the EXCEPTION?-ultrasonically remove supragingival calculus -activate bleaching agents with a nonlaser light-curing device -apply bleaching agents -apply pit and fissure sealants

ultrasonically remove supragingival calculus

A RDA is permitted to perform all of the following procedures except one. Which one is the EXCEPTION? -take impressions for bleaching trays -apply topical fluoride -polish coronal surfaces of teeth -apply aerosol and noncaustic topical agents

apply aerosol and noncaustic topical agents

A licensed RDH, without supervision, is permitted to apply fluorides and pit and fissure sealants and bill for these services in which setting?- public health program created by federal, state, county or local government entity -private practice -none -hospital setting

public health program created by federal, state, county or local government entity

A licensed RDH may provide, without supervision, oral health screenings.-True-False

True

A licensed RDH is not permitted to provide therapeutic interventions to control periodontal diseases.-True-False

False; RDH may apply therapeutic agents

A licensed RDH is permitted to take impressions for bleaching trays and apply the whitening agents with non-laser, light-curing devices.-True-False

True

A licensed RDH is permitted to apply topical, therapeutic and subgingival agents to control dental caries.-True-False

True

Which of the following are permitted duties of a licensed dental hygienist in California?-none of the choices are correct-writing a prescription for an antibiotic on behalf of a dentist -administering local anesthesia under general supervision -placing or removing of permanent restorations -diagnosis and comprehensive treatment planning -suturing of soft tissue

-none of the choices are correct

As a registered dental hygienist, licensed after January 1, 2006, you are permitted to perform all the duties of a registered dental assistant.-True-False

False; you may NOT perform all the duties of an RDA unless an RDA is obtained

Providing preventive and therapeutic dental procedures that include bacterial debridements with complete removal supra and subgingivally, of calculus, soft deposits, plaque, and stains, and the smoothing of tooth surfaces" is the definition of ___________.-soft tissue curettage -root planing -oral prophylaxis -general debridement

oral prophylaxis

It is considered ethical to obtain a fee by fraud or misrepresentation and punishable by fine and/or imprisonment.-True-False

False; it is also considered unprofessional conduct

The employment of a student or suspended or unlicensed dental hygienist to practice dental hygiene is considered to be unprofessional; the consequence is a felony.-True-False

False; Guilty of a misdemeanor not a felony

As a licensed dental hygienist, you must notify DHCC of any change in your ________ within 30 days.-failure to obtain 25 CE -name change -residence address -mailing & email address

mailing & email address

Melody enjoys her job as an RDH. She works in a pediatric practice. Dr. Smart traditionally performs an enameloplasty before Melody places sealants. One day Dr Smart teaches Melody how to perform an enameloplasty as he wants her to do the entire procedure: enameloplasty and selants. What is the concern with this situation?-practicing outside scope of practice; unprofessional -practicing outside scope of practice; beneficience-practicing within scope of practice as Dr. Smart taught her the new technique; beneficience-practicing within scope of practice; nonmaleficience

practicing outside scope of practice; unprofessional