Deck 10: Risk Management

Question 1

Good risk management practice may call for keeping a dental record beyond the mandated retention date because dental records are the best defense in any legal action.

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) The statement is NOT correct, but the reason is correct.
E) NEITHER the statement NOR the reason is correct.

Answer 1

Both the statement and reason are correct and related.

Question 2

Each of the following is true for a system of incident reporting EXCEPT one. Which one is the EXCEPTION?

A) Complete a report for all accidents or unusual incidents.
B) Reporting should include patient care problems, patient management issues, and patient complaints.
C) The report should focus on facts rather than subjective assessments and provide details of the event.
D) The reports should be retained in the patient record.

Answer 2

The reports should be retained in the patient record.

Question 3

Which of the following is a component of the process dimension of quality improvement?

A) Facilities
B) Technical skill
C) Oral health improvement
D) Organization
E) General health improvement

Answer 3

Technical skill

Question 4

Which of the following is a characteristic of a quality improvement program rather than incident reporting system?

A) A systemic tracking of adverse events
B) An ongoing evaluation system that focuses on patterns of behavior
C) A system that requires members of the dental team to complete a report for all accidents or unusual incidents
D) A report that focuses on facts rather than subjective assessments

Question 5

Which of the following is the recommended method to encourage completion of patient satisfaction surveys?

A) Refuse to schedule another appointment unless the satisfaction survey has been completed.
B) Mail multiple copies until the patient complies by completing the survey.
C) Call the patient to request that the survey be completed by a particular date.
D) Compensate the patient with an incentive, such as oral health care products.

Question 6

Each of the following statements is true for electronic record keeping EXCEPT one. Which one is the EXCEPTION?

A) Electronic record keeping is a common and very acceptable method of maintaining patient information and should follow the general documentation guidelines.
B) Various types of electronic software are on the market and are not difficult to learn.
C) Steps must be in place to ensure that the record cannot be tampered with and that a valid signature is associated with each entry.
D) The guidelines for paper records are different from the guidelines for electronic records and do not apply to the electronic record.

Question 7

Documentation in the dental record as part of the provision of oral health care services is important to protect

A) both the patient and the oral health care provider.
B) the patient but not the oral health care provider.
C) the oral health care provider but not the patient.
D) neither the patient nor the oral health care provider.

Question 8

A quality improvement program should include three dimensions of health care delivery, which are

A) background, delivery, and outcome.
B) skills, application, and evaluation.
C) structure, process, and outcome.
D) methodology, process, and recapitulation.
E) structure, application, and evaluation.

Question 9

Which of the following is the proper correction to make if an error is made during an entry in a written chart?

A) Use a whitening product to cover the erroneous entry and write over it.
B) Completely ink over the incorrect entry so it is impossible for another person to read it and the person becomes confused about the entry.
C) Draw a single line through the entry, followed by a note that an error was made.
D) Throw away the page with an erroneous entry and restart with a clean sheet.

Question 10

Which of the following correctly represents the sequence of continuous quality improvement?

A) Assessment, implementation, evaluation, and planning
B) Assessment, planning, implementation, and evaluation
C) Planning, assessment, evaluation, and implementation
D) Planning, evaluation, implementation, and assessment

Question 11

If the practitioner smells alcohol on a patient's breath and suspects that the patient is drunk, the

A) patient should be described in objective terms according to the conditions observed.
B) patient should be asked directly if he or she is drunk.
C) clinician should state the obvious in the patient chart and say that the patient was drunk.
D) clinician should not make any mention of it in the patient's chart.

Question 12

Which of the following is an analysis of the process dimension of quality improvement?

A) A study to evaluate the quality of dental hygiene scaling and root planing instruments
B) A study to ensure compliance with the practice's health history policy
C) A study to evaluate the posttreatment effects of dental hygiene care
D) A study to evaluate compliance with OSHA requirements
E) A study to ensure compliance of personnel with required vaccinations

Question 13

Commonly understood acronyms should be used in the dental record so that all members of the dental office staff are familiar with the meaning of the term. Unusual or creative shorthand is encouraged as this may help ensure patient confidentiality.

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.

Question 14

Eliminating a high-risk procedure from the scope of practice is not always possible or desirable. In such cases a risk management strategy should be implemented to control the risk.

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.

Question 15

Dental record entries that are written should be made in

A) Number 2 pencil for ease of correction.
B) red ink to highlight the importance of the information.
C) blue or black permanent ballpoint ink.
D) blue of black erasable ballpoint ink to simplify correction.

Question 16

All patient contacts should be recorded in the dental record, including cancellations and oral and written communications including any requests for information. The fundamental requirement for effective and meaningful dental records is the implementation of a systematic process of accurate and complete documentation.

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.

Question 17

A general dental practice may not provide complex oral surgery procedures for patients, because the clinicians have determined that extensive risk factors are associated with those procedures.

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) The statement is NOT correct, but the reason is correct.
E) NEITHER the statement NOR the reason is correct.

Question 18

Which of the following is a term used to describe a philosophy of risk identification and system of injury prevention?

A) Risk management
B) Fiduciary relationship
C) Virtue
D) Deontology

Question 19

Which of the following is the correct sequence for the assessment of quality in a quality improvement process?

A) Design a study, collect data, report results, respond to results, and analyze data.
B) Design a study, collect data, report results, analyze data, and respond to results.
C) Design a study, collect data, analyze data, report results, and respond to results.
D) Design a study, collect data, analyze data, respond to results, and report results.
E) None of the above is the correct sequence.

Question 20

Which of the following statements is true regarding documentation in the dental record?

A) The process of documentation should be completed by the business office manager for consistency.
B) Documentation should be completed at the end of the day to avoid issues of contamination of records with saliva or blood.
C) Abbreviations and professional jargon should be used to save time and space in the record form.
D) A simple note such as "prophy" is not appropriate because it does not convey what procedures were performed.

Question 21

The same ethical and legal standards and practices applied in the dental clinical settings should be adhered to when utilizing social media. Confidentiality of patient information must be maintained and any breach of privacy could result in civil and criminal penalties.

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.

Question 22

The attitude and tone with which the spoken words are presented can have an impact on the effectiveness of the communication, because judgmental or negative attitudes and tone can influence the patient's response to the information or distract the patient from the educational message the dental hygienist is trying to convey.

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) The statement is NOT correct, but the reason is correct.
E) NEITHER the statement NOR the reason is correct.

Question 23

Dental hygienists should carry adequate professional liability insurance and be familiar with the policy and its coverage, terms, and requirements. Claims-made coverage is limited to protection for allegations that arise from treatment rendered and reported while the policy is in force.

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.

Question 24

The dental hygienist uses various levels of communication skills on a daily basis. The ultimate success of verbal communication depends on the way the material is presented, the attitude of the speaker, the tone and volume of voice, and the degree to which the dental hygienist and patient/colleague are able and ready to listen effectively.

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.

Question 25

Dental office documentation includes which of the following in addition to written entries?

A) Radiographs, models, and photographs.
B) Radiographs and models but not photographs.
C) Radiographs and photographs but not models.
D) Radiographs but neither models nor photographs.
E) Dental office documentation does not include any of these in addition to written entries.

Question 26

Patients have a legal right to their original dental records. The dental office has the legal right to refuse to transfer those records if the patient has not paid his or her bill.

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.

Question 27

Each of the following listening strategies is recommended by Purtilo and Haddad EXCEPT one. Which one is the EXCEPTION?

A) Concentrate on central themes rather than isolated statements; listen in paragraphs.
B) Listen with an open mind rather than focus on emotionally charged words.
C) Summarize in your own mind what you have heard before speaking again.
D) Clarify positions and statements before proceeding.
E) Allow vague or incomplete ideas to go unchallenged.

Question 28

Each of the following is recommended in the textbook for utilizing social media EXCEPT one. Which one is the EXCEPTION?

A) Carefully view anything and everything posted online for its communication value and tone.
B) Strive to maintain personal and professional integrity in posting.
C) Do not post any patient information.
D) Be encouraged to "Friend" or "Like" patients on social networking to enhance communication.
E) Know the rules and policies on social media of employers and related institutions.

Question 29

Most State Dental Practice Acts require that any licensed dental health care provider inform which one of the following of any address or name changes within a certain period?

A) The monitoring agency, usually the State Dental Board
B) The American Dental Hygienists' Association (ADHA)
C) The local component society of the American Dental Hygienists' Association (ADHA)
D) The dental hygiene program of graduation

Question 30

Which of the following is considered to be the key to a successful, safe, and satisfying dental hygiene practice?

A) Excellent remuneration
B) Communication
C) A good practice location
D) Extended hours for patients who are working

Question 31

Who is responsible for managing the professional competency and maintaining the appropriate credentials associated with being a licensed professional?

A) The dental hygienist
B) The employer
C) The state dental association
D) The dental hygiene program where the practitioner graduated
E) The American Dental Hygiene Association (ADHA)