Scope of Dental Hygiene Practice in Washington State, Exams of Psychology and Law

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Washington State DH Drug & Law Exam 229 Questions and Answers.  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Remove deposits and stains from teeth. - Correct answer in the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Apply topical preventive or prophylactic agents - Correct answer in the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Polish and smooth restorations - Correct answer in the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Perform root planning and soft-tissue curettage - Correct answer in the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Perform other dental services delegated by a dentist - Correct answer in the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Apply topical anesthetic under general supervision - Correct answer in the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Surgical removal of tissue of the oral cavity - Correct answer outside the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Prescription of drugs requiring the written order - Correct answer outside the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Hygienists may place antimicrobials pursuant to the order of a licensed dentist and under the dentist's required supervision. - Correct answer outside the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Diagnosis for treatment or treatment planning - Correct answer outside the scope of practice  Is the following within the scope of DH function or outside the scope of DH function in the state of Washington?  Taking an impression for the purpose of making intra-oral restoration, appliance, or prosthesis. - Correct answer outside the scope of practice  What happens if a Hygienist violates any provision of the chapter? - Correct answer Hygienist shall be guilty of a misdemeanor  Whose duty is it to prosecute all cases? - Correct answer prosecuting attorney  Who may assist in such prosecutions? - Correct answer attorney general  Who shall appear at all hearings when requested to do so by the secretary of health? - Correct answer attorney general  In order to be eligible for the dental hygiene exam:  What must a hygienist complete? - Correct answer successfully complete a dental hygiene education program  In order to be eligible for the dental hygiene exam:  What seven clock hour training must a hygienist complete? - Correct answer AIDS education  In order to be eligible for the dental hygiene exam:  Continually reevaluate client progress - Correct answer dental hygiene provision of care  Standards of dental hygiene conduct of practice:  Dental hygiene provision of care OR Professional responsibilities?  The client, guardian, or health care professionals are to be informed of the progress and results of dental hygiene care and clients' self-care - Correct answer dental hygiene provision of care  Standards of dental hygiene conduct of practice:  Dental hygiene provision of care OR Professional responsibilities?  The dental hygienist shall have knowledge of the statutes and regulations governing dental hygiene practice and shall function within the legal scope of dental hygiene practice - Correct answer professional responsibilities  In pursuant to WAC 246-815-190: Health care institutions; the chief administrator must report to the department when a dental hygienists services are? - Correct answer terminated or restricted based on a determination that the dental hygienist has either committed an act of unprofessional conduct or the hygienist may be unable to practice with reasonable skill or safety to the client by reason of a mental or physical condition.  In pursuant to WAC 246-815-220: Professional liability carriers; any organization providing professional liability insurance to hygienists shall report what to the department? - Correct answer any malpractice settlement, award, or payment in excess of $20,000  In pursuant to WAC 246-815-220: Professional liability carriers; a settlement can result from what? - Correct answer a claim or action for damages alleged to have been caused by a hygienists incompetency or negligence  In pursuant to WAC 246-815-220: Professional liability carriers; what must also be reported during a twelve month period? - Correct answer the award, settlement, or payment of three or more claims  In pursuant to WAC 246-815-250: Cooperation with investigation; the licensee must comply with requests from the secretary department of health within how many days? - Correct answer 14 days  In pursuant to WAC 246-815-250: Cooperation with investigation; if a licensee fails to comply, what happens? - Correct answer they are subpoenaed  In pursuant to WAC 246-815-250: Cooperation with investigation; if licensees comply with request after the issuance of the statement of charges, what happens? - Correct answer the secretary will decide to prosecute or settle  What does offsite supervision mean? - Correct answer that a licensed hygienist has entered into a written practice plan with a dentist licensed in Washington  What must a dentist agree to for a hygienist to have offsite supervision? - Correct answer agree to be available for contact  T/F:  Offsite supervision requires the physical presence of the supervising dentist at the treatment site - Correct answer False, the dentist does not have to be physically present at the treatment site.  When are licenses renewed? - Correct answer every year on your birthday  When might renewal fees be less than those established in the section of current level of fees? - Correct answer if there is a surplus of funds, the secretary may lower renewal fees  Who will be notified if there is an adjustment in renewal fees? - Correct answer practitioners  Where are licenses of dentists and hygienists to be displayed? - Correct answer in a place visible to individuals receiving services in the premises, and readily available for inspection by any designee of the DQAC  How long do patient X-rays, treatment plans, patient charts, patient histories, correspondence, financial data and billing must be kept for in a dental office? - Correct answer 5 years  Copies of records may be forwarded to a second party upon what? - Correct answer patients or authorized agent's written request  What must a dentist maintain of all patients? - Correct answer comprehensive written and dated record of all services rendered to patients  A complete report of patient mortality or incident physical or mental injury requiring hospitalization of patient during, or as a direct result of dental procedures or anesthesia must be reported to the DQAC within how many days of occurrence? - Correct answer 30 days  Who can write valid prescriptions to labs with whom they place orders for making artificial restorations? - Correct answer Dentists  How many prescriptions are needed for a restoration? - Correct answer each restoration requires a separate prescription  Who gets the original copy of the prescription? - Correct answer Dental lab  Who gets the duplicate copy of the prescription? - Correct answer Dentist  How long must a dentist keep the duplicate copy of the prescription? - Correct answer 3 years  What two things must a prescription contain for a dental lab? - Correct answer -duplicate copy  -the date, name, and address of the lab  What four things must the dentist place on the prescription for the dental lab? - Correct answer - name and address of the patient - Description of work to be done - Dentists signature - Dentists license certificate number  What 5 things must be recorded for all prescription drugs? - Correct answer - any medication prescribed/dispensed - Date prescribed or the date dispensed - Name of patient - Name of the medication - Dosage and amount of the medication  When Schedule II, III, IV or V drugs are stocked, what is the protocol? - Correct answer - keep an inventory control record - Records shall be available for inspection  If a dentist chooses to withdraw care to a patient of record, the dentist must do what two things? - Correct answer -Advise patient that termination of treatment is contemplated and that another dentist should be sought to complete current procedure and for future care  -Advise the patient that the dentist shall remain reasonably available under the circumstances for up to fifteen days from the date of such notice to render emergency care related to that current procedure  General supervision, close supervision, or not at all?  Oral inspection and measuring of periodontal pockets, with no diagnosis - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Patient education in oral hygiene - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Take intraday-oral and extra-oral radiographs - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Apply topical preventive or prophylactic agents - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Polish and smooth restorations - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Oral prophylaxis and removal of deposits and stains from the surfaces of teeth - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Record health histories - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Take and record blood pressure and vital signs - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Perform sub-gingival and supra-gingival scaling - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Perform root planning - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Apply sealants - Correct answer General supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Surgical removal of tissue aside from soft-tissue curettage - Correct answer not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Prescription of drugs or medications - Correct answer not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Diagnosis for treatment or treatment planning - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Impression for fabricating restorations - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Impressions solely for diagnostic and opposing models or taking wax bites - Correct answer Close supervision  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Intra-orally adjust occlusal of inlays, crowns, and bridges - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Intra-orally finish margins of inlays, crowns, and bridges - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Cement or recumbent, permanently, any cast restorations or stainless steel crowns - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Incise gingiva or other soft tissue - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Elevate soft tissue flap - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Lunate teeth - Correct answer not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Curette to server epithelial attachment - Correct answer not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Suture - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Establish occlusal vertical dimension for dentures - Correct answer Not at all  Can the Dental Hygienist perform this under?  General supervision, close supervision, or not at all?  Try-in of dentures set in wax - Correct answer Not at all  RCW 18.29.150 is related to? - Correct answer Examinations.  RCW 18.29.160 is related to? - Correct answer Immunity.  RCW 18.29.170 is related to? - Correct answer Committee meetings—Quorum—Effect of vacancy.  RCW 18.29.180 is related to? - Correct answer Exemptions from chapter.  RCW 18.29.190 is related to? - Correct answer Initial limited license.  RCW 18.29.210 is related to? - Correct answer Rules.  RCW 18.29.220 is related to? - Correct answer Community-based sealant programs in schools—Data collection.  RCW 18.29.230 is related to? - Correct answer Services at senior centers and community-based sealant programs—Dental hygienist duties.  RCW 18.29.900 is related to? - Correct answer Construction—1923 c 16.  What is the purpose of regulation of health care professions- criteria? - Correct answer the purpose of this chapter is to establish guidelines for the regulation of health professions not licensed or regulated prior to July 24, 1983, and those licensed or regulated health professions which seek to substantially increase their scope of practice  The intent of regulating health care professions is to what? - Correct answer exclusive purpose of protecting the public interest  Bills introduced to protect the public are enforced by the state to regulate health professions in what 3 scenarios? - Correct answer -Unregulated practice can clearly harm or endanger the health, safety, or welfare of the public - The public needs can be expected to benefit from an assurance of initial and continuing professional ability - The public cannot be protected by other means in a more cost-beneficial manner  What is any health professional group or organization, any individual, or any other interested party which proposes that any health professional group not presently regulated be regulated or which proposes to substantially increase the scope of practice of the profession? - Correct answer Applicant group  What is a voluntary process by which a statutory regulatory entity grants recognition to an individual who (a) has met certain prerequisite qualifications specified by that regulatory entity, and (b) may assume or use "certified" in the title or designation to perform prescribed health professional tasks? - Correct answer Certificate and Certification  What is a provision in a regulatory statute applicable to practitioners actively engaged in the regulated health profession prior to the effective date of the regulatory statute which exempts the practitioners from meeting the prerequisite qualifications set forth in the regulatory statute to perform prescribed occupational tasks? - Correct answer Grandfather clause  What is the health and health-related licensed or regulated professions and occupations? - Correct answer Health Professions  What is the periodic examination of practitioners by a state agency in order to ascertain whether the practitioners' occupation is being carried out in a fashion consistent with the public health, safety, and welfare? - Correct answer Inspection  What is the standing legislative committees designated by the respective rules committees of the senate and House of Representatives to consider proposed legislation to regulate health professions not previously regulated? - Correct answer Legislative committees of reference  What is permission to engage in a health profession which would otherwise be unlawful in the state in the absence of the permission? A license is granted to those individuals who meet prerequisite qualifications to perform prescribed health professional tasks and for the use of a particular title? - Correct answer License/ Licensing/ Licensure  What is an individual, nontransferable authorization to carry on a health activity based on qualifications which include: (a) Graduation from an accredited or approved program, and (b) acceptable performance on a qualifying examination or series of examinations? - Correct answer Professional License  What is an individual who (a) has achieved knowledge and skill by practice, and (b) is actively engaged in a specified health profession? - Correct answer Practitioner  What is an individual who is not, and never was, a member of the health profession being regulated or the spouse of a member, or an individual who does not have and never has had a material financial interest in either the rendering of the health professional service being regulated or an activity directly related to the profession being regulated? - Correct answer Public Member  What is the formal notification which, prior to rendering services, a practitioner shall submit to a state agency setting forth the name and address of the practitioner; the location, nature and operation of the health activity to be practiced; and, if required by the regulatory entity, a description of the service to be provided? - Correct answer Registration  What is any board, commission, agency, division, or other unit or subunit of state government which regulates one or more professions, occupations, industries, businesses, or other endeavors in this state? - Correct answer Regulatory entity  What is every state office, department, board, commission, regulatory entity, and agency of the state, and, where provided by law, programs and activities involving less than the full responsibility of a state agency? - Correct answer State Agency  What does "surfaces of the teeth" mean? - Correct answer the portions of the crown and root surface to which there is no periodontal membrane attached  T/F:  No person may practice as a dental hygienist in Washington State without having a license as such and, after the first year, an unexpired license renewal certificate. - Correct answer True  The department shall issue a license to any applicant who has abide by what three things? - Correct answer - successfully completed an educational program approved by the secretary that encompasses the scope of practice within WA - has successfully completed an examination administered or approved by the DH examining committee - has not engaged in unprofessional conduct or is not unable to practice with reasonable skill and safety as a result of a physical or mental impairment  If a hygienist holds a valid license and is currently working in another state, can they work in Washington without taking an exam? - Correct answer Yes, this is licensure by endorsement  When can a dental hygienist take impressions of teeth or the jaw? - Correct answer for a dental assistant or as a delegated duty for DH pursuant to rules adopted by the dental quality assurance commission  What six settings may a hygienist work in? - Correct answer - hospitals - Boards of education of public or private schools - County boards - Boards of health - Public or charitable institutions - Dental offices  A patient incapable of travel due to age or disability, is defined as what? - Correct answer homebound patient  A supervising dentist has examined and diagnosed the patient and provided subsequent instructions to be performed by the assistive personnel, but does not require that the dentist be physically present in the treatment facility, is defined as what? - Correct answer general supervision  Supervising dentist whose patient is being treated has personally diagnosed the condition to be treated and has personally authorized the procedures to be performed. The supervising dentist is continuously on-site and physically present in the treatment facility while the procedures are performed by the assistive personnel and capable of responding immediately in the event of an emergency. The term does not require a supervising dentist to be physically present in the operatory, is defined as? - Correct answer close supervision  T/F:  A dental hygienist does not need to display their license - Correct answer False, a dental hygienist must display their license in a conspicuous place in the operation room where the licensee will practice.  If a dental hygienist violates any provision of their licensure, what shall they be guilty of? - Correct answer a misdemeanor  Who makes up the Washington dental hygiene examining committee? - Correct answer three practicing dental hygienists and one public member appointed by the secretary  How many years must a practicing dental hygienist of worked in order to be on the Washington dental hygiene examining committee? - Correct answer no less than five years immediately before appointment  What are the qualifications for the public member to be on the Washington dental hygiene examining committee? - Correct answer - not be connected with any dental hygiene program - Not be engaged in any practice or business related to dental hygiene  who is in charge of regulating the Washington dental hygiene examining committee, creating rules and guidelines for continuing education, creating rules and guidelines for educational programs, and creating rules and guidelines for examinations? - Correct answer secretary  T/F  The secretary, members of the committee, and individuals acting on their behalf are immune from suit in any action, civil or criminal, based on any acts performed in the course of their duties. - Correct answer True  How many times a year must the Washington dental hygiene examination committee meet? - Correct answer at least once a year  For a dental hygienist to receive an initial limited license, they must hold what six qualities? - Correct answer - hold a valid license in another state or Canadian province - Currently engaged in active practice in another state - submit required documentation - take the Washington state law and drug exam - pay fees - meet required AIDS education  For a dental hygienist to receive an initial limited license, how many hours must they have worked in the preceding twenty four months?? - Correct answer 560 hours  T/F  A dental hygienist with an initial limited license can perform:  Oral inspection and measuring of periodontal pockets - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Patient education in oral hygiene - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Taking intra-oral and extra-oral radiographs - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Applying topical preventive or prophylactic agents - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Polishing and smoothing restorations - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Oral prophylaxis and removal of deposits and stains from the surface of the teeth - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Recording health histories - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Taking and recording blood pressure and vital signs - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Performing sub gingival and supragingival scaling - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Root planning - Correct answer true  T/F  A dental hygienist with an initial limited license can perform:  Give injections of local anesthetic - Correct answer false  T/F  A dental hygienist with an initial limited license can perform:  Place restorations into the cavity prepared by a licensed dentist and afterwards carve, contour and adjust contacts and occlusion of the restoration - Correct answer false  T/F  A dental hygienist with an initial limited license can perform:  Soft tissue curettage - Correct answer false  T/F  A dental hygienist with an initial limited license can perform: