!| !| !| !| !| !| !| !| !| !|
EDITION BY BEEMSTERBOER !| !| !|
Chapter 01: Ethics and Professionalism
!| !| !| !|
Beemsterboer: Ethics and Law in Dental Hygiene, 3rd Edition
!| !| !| !| !| !| !| !|
MULTIPLE !|CHOICE
1. When !|was !|the !|inception !|of !|the !|profession !|of !|dental !|hygiene?
a. In !|ancient !|Greece
b. In !|the !|early !|1800s
c. In !|the !|early !|1900s
d. In !|1979
ANS: ! | C
The !|scope !|of !|practice !|of !|a !|dental !|hygienist !|was !|first !|established !|by !|law !|in !|Connecticut !|in
!|1915. !|Alfred !|C. !|Fones !|taught !|his !|dental !|assistant, !|Irene !|Newman, !|to !|treat !|patients !|and !|to
!|teach !|them !|to !|maintain !|their !|mouths !|in !|a !|clean !|state. !|In !|1913, !|Fones !|established !|the !|first
!|school !|for !|dental !|hygienists !|in !|Bridgeport, !|Connecticut. !|The !|first !|oath !|written !|for !|dental
!|hygienists !|called !|upon !|Apollo !|and !|Hygeia, !|who !|were !|the !|Greek !|god !|and !|goddess !|of !|health,
!|respectively. !|A !|modernized !|version !|of !|the !|first !|oath !|was !|adopted !|by !|the !|Board !|of !|Trustees
!|of !|the !|American !|Dental !|Hygienists’ !|Association !|(ADHA) !|in !|1979.
DIF: Recall REF: ! | p. !|3 OBJ: ! | 1
TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.1 !|Ethical !|Principles, !|including !|informed !|consent
2. Which !|member !|of !|the !|dental !|team !|is !|the !|primary !|oral !|preventive !|therapist?
a. Dentist
b. Dental !|hygienist
c. Dental !|assistant
d. Receptionist
ANS: ! | B
The !|dental !|hygienist !|is !|the !|oral !|preventive !|therapist !|in !|the !|dental !|office. !|The !|dentists !|who
!|pioneered !|this !|special !|field !|of !|endeavor !|had !|a !|vision !|of !|the !|day !|when !|dental !|disease !|could
!|be !|prevented !|by !|following !|a !|system !|of !|treatment !|and !|cleanliness. !|The !|dentist !|is !|primarily
!|concerned !|with !|restorative !|treatment, !|although !|he !|or !|she !|also !|shares !|in !|preventing !|oral
!|disease. !|The !|dental !|assistant !|assists !|the !|dentist !|and !|may !|assist !|the !|dental !|hygienist !|as !|well.
!|The !|receptionist !|greets !|patients !|and !|may !|help !|with !|the !|business !|and !|financial !|aspects !|of !|the
!|practice.
DIF: Recall REF: ! | p. !|4 OBJ: ! | 1
TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
3. The !|dental !|hygiene !|oath !|is !|revised !|by !|action !|of !|which !|of !|the !|following
professional !|organizations?
!|
a. The!|American !|Dental !|Association !|(ADA)
b. The!|American !|Dental !|Hygienists’!|Association !|(ADHA)
c. The !|Occupational !|Safety !|and !|Health !|Administration !|(OSHA)
d. The !|Organization !|for !|Safety, !|Asepsis, !|and !|Prevention !|(OSAP)
e. The !|Food !|and !|Drug !|Administration !|(FDA)
ANS: ! | B
, The !|first !|dental !|hygiene !|oath !|was !|adopted !|by !|the !|Board !|of !|Trustees !|of !|the !|American !|Dental
!|Hygienists’ !|Association !|(ADHA) !|in !|1979 !|and !|is !|still !|in !|use !|today. !|The !|oath !|may !|be !|seen !|at !|the
!|following !|website !|(www.adha.org/aboutadha/dhoath.htm). !|The !|American !|Dental !|Association
!|has !|an !|oath !|for !|dentists. !|A !|copy !|of !|each !|oath !|may !|be !|found !|in !|the !|textbook.
DIF: Recall REF: ! | p. !|3 OBJ: ! | 1
TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
4. Success !|is !|measured !|by !|financial !|gain !|in !|the !|corporate !|world; !|however, !|for !|the !|health
care !|professional !|the !|patient’s !|welfare !|is !|placed !|above !|profit.
!|
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.
ANS: ! | A
Because !|the !|welfare !|of !|the !|patient !|is !|more !|important !|than !|profit, !|society !|has !|granted !|the
!|health !|care !|professional !|a !|certain !|status !|that !|carries !|prestige, !|power, !|and !|the !|right !|to !|apply
!|special !|knowledge !|and !|skills.
DIF: Comprehension REF: ! | p. !|4 OBJ: !|2
!|TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
5. Society !|recognizes !|that !|health !|care !|providers !|are !|held !|to !|a !|higher !|standard !|than
legislative !|mandate. !|These !|higher !|standards !|are !|expressed !|in !|professional !|codes !|of
!|
ethics !|and !|are !|enforced !|by !|the !|legal !|system.
!|
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.
ANS: ! | C
Health !|care !|providers !|are !|held !|to !|a !|higher !|standard !|than !|can !|be !|expressed !|exclusively !|by
!|legislative !|mandate. !|While !|it !|is !|true !|that !|these !|higher !|standards !|are !|expressed !|in !|professional
!|codes !|of !|ethics, !|they !|are !|enforced !|by !|those !|within !|the !|profession !|rather !|than !|by !|the !|legal
!|system. !|Important !|components !|of !|this !|enforcement !|include !|self-regulation !|and !|submission !|to
!|peer !|review.
DIF: Comprehension REF: ! | p. !|4 OBJ: !|1
!|TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
6. Which !|of !|the !|following !|is !|regarded !|as !|the !|most !|important !|aspect !|of !|the !|delivery !|of !|health
!| care !|services?
a. Technical !|skill
b. Appropriate !|knowledge
c. Critical !|judgment
d. Caring
ANS: ! | D
, Although !|all !|of !|the !|choices !|are !|important, !|caring !|is !|regarded !|as !|the !|most !|important. !|Patients
!|perceive !|this !|essence !|of !|caring !|and !|respond !|to !|it. !|Trust !|is !|the !|critical !|foundation !|for !|the
!|relationship !|between !|the !|person !|seeking !|services !|and !|the !|health !|care !|provider. !|The !|caring !|that
!|the !|patient !|seeks !|also !|gives !|the !|provider !|the !|greatest !|opportunity !|for !|professional !|service
!|and !|satisfaction.
DIF: Recall REF: ! | p. !|4 OBJ: ! | 2
TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
7. The !|publication !|“Medical !|Professionalism !|in !|the !|New !|Millennium: !|A !|Physician !|Charter” !|set
!|out !|three !|fundamental !|principles, !|including !|patient !|welfare, !|patient !|autonomy, !|and !|the
!|principle !|of !|social !|justice, !|because !|it !|is !|thought !|this !|will !|reinvigorate !|the !|value !|of
!|professionalism.
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.
ANS: ! | A
The !|Physician !|Charter !|sets !|out !|three !|fundamental !|principles !|that !|are !|not !|new !|but !|reinforce
!|the !|foundation !|of !|the !|medical !|profession !|as !|one !|of !|service !|to !|others. !|The !|ethical !|principles
!|of !|the !|primacy !|of !|patient !|welfare !|(beneficence !|and !|nonmaleficence) !|and !|patient !|autonomy
!|are !|listed !|first; !|the !|principle !|of !|social !|justice !|is !|the !|third !|main !|tenet. !|The !|desired !|goal !|was !|to
!|reinvigorate !|the !|value !|of !|professionalism !|that !|includes !|social !|responsibility, !|the !|ethic !|of !|care,
!|and !|access !|to !|that !|care, !|for !|all !|members !|of !|society.
DIF: Comprehension REF: ! | p. !|5 OBJ: !|3
!|TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
8. Each !|of !|the !|following !|is !|a !|requirement !|for !|licensure !|of !|a !|dental !|hygienist !|in !|the !|United
!| States !|EXCEPT !|one. !|Which !|one !|is !|the !|EXCEPTION?
a. Completion !|of !|a !|higher !|education !|accredited !|program
b. Graduation !|from !|a !|college !|or !|university
c. Passed !|a !|written !|national !|board !|examination
d. Passed !|a !|clinical !|national !|board !|examination
ANS: ! | D
There !|is !|no !|clinical !|national !|board !|examination. !|The !|dental !|hygiene !|candidate !|for !|licensure
!|must !|pass !|a !|state !|or !|regional !|clinical !|examination. !|Examples !|of !|regional !|boards !|include !|the
!|Council !|of !|Interstate !|Testing !|Agencies !|(CITA), !|the !|Central !|Regional !|Dental !|Testing !|Services,
!|Inc. !|(CRDTS), !|the !|Commission !|on !|Dental !|Competency !|Assessments !|(CDCA), !|the !|Southern
!|Regional !|Testing !|Agency, !|Inc. !|(SRTA), !|and !|the !|Western !|Regional !|Examining !|Board !|(WERB).
DIF: Comprehension REF: ! | p. !|5 OBJ: !|3
!|TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
9. Which !|of !|the !|following !|characteristics !|is !|used !|to !|separate !|the !|professional !|from !|the
layperson?
!|
a. Competency
b. Quality !|performance
c. A !|specialized !|body !|of !|knowledge !|and !|skill !|of !|value !|to !|society
, d. A !|code !|of !|ethics
ANS: ! | C
To !|be !|considered !|a !|profession, !|a !|specific !|field !|or !|area !|of !|study !|traditionally !|must !|have
!|several !|characteristics. !|These !|include !|a !|specialized !|body !|of !|knowledge !|and !|skill !|of !|value !|to
!|society, !|an !|intensive !|academic !|course !|of !|study, !|set !|standards !|of !|practice !|determined !|and
!|regulated !|by !|the !|group, !|external !|recognition !|by !|society, !|a !|code !|of !|ethics, !|an !|organized
!|association, !|and !|a !|service !|ethic. !|What !|separates !|the !|professional !|from !|the !|layperson !|is
!|specialized !|knowledge, !|which !|is !|exclusive !|to !|the !|professional !|group.
DIF: Recall REF: ! | p. !|5 OBJ: ! | 3
TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
10. Each !|of !|the !|following !|is !|considered !|to !|be !|a !|true !|profession !|EXCEPT !|one. !|Which !|one !|is
the !|EXCEPTION?
!|
a. Law
b. Medicine
c. Dentistry
d. Culinary !|chef
e. Ministry
ANS: ! | D
Because !|being !|a !|professional !|is !|desirable, !|many !|careers !|and !|occupations !|aspire !|to !|this !|level.
!|Real !|estate !|agents, !|auto !|mechanics, !|and !|culinary !|chefs !|all !|use !|the !|term !|professional !|to
!|indicate !|a !|desired !|level !|of !|competency !|and !|quality !|performance. !|However, !|the !|true
!|professions !|are !|still !|considered !|to !|be !|medicine, !|dentistry, !|ministry, !|and !|law !|because !|they
!|possess !|all !|the !|characteristics !|previously !|listed, !|including !|a !|specialized !|body !|of !|knowledge
!|and !|skill !|of !|value !|to !|society, !|an !|intensive !|academic !|course !|of !|study, !|set !|standards !|of
!|practice !|determined !|and !|regulated !|by !|the !|group, !|external !|recognition !|by !|society, !|a !|code !|of
!|ethics, !|an !|organized !|association, !|and !|a !|service !|ethic.
DIF: Recall REF: ! | p. !|6 OBJ: ! | 3
TOP: ! | 7.0 !|Professional !|Responsibility !|| !|7.4 !|General
11. Professionalism !|is !|demonstrated !|through !|a !|foundation !|of !|clinical !|competence,
communication !|skills, !|and !|ethical !|and !|legal !|understanding. !|Upon !|this !|foundation !|is !|built
!|
!|the !|aspiration !|to !|and !|wise !|application !|of !|the !|principles !|of !|professionalism.
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.
ANS: ! | A
The !|principles !|of !|professionalism !|are !|excellence, !|humanism, !|accountability, !|and !|altruism.
!|Highlights !|of !|the !|Standards !|for !|Clinical !|Dental !|Hygiene !|Practice !|include !|assessment,
!|dental !|hygiene !|diagnosis, !|planning, !|implementation, !|evaluation, !|and !|documentation.
!|Professional !|traits !|of !|the !|dental !|h ygienist !|include !|honesty !|and !|integrity, !|caring !|and
!|compassion, !|reliability !|and !|responsibility, !|maturity !|and !|self-analysis, !|loyalty, !|interpersonal
!|communication, !|respect !|for !|others, !|and !|respect !|for !|self.
DIF: Recall REF: ! | p. !|6 OBJ: ! | 3