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Chapter 01: Ethics and Professionalism
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Beemsterboer: Ethics and Law in Dental Hygiene, 3rd Edition
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MULTIPLE CHOICE u1
1. When was the inception of the profession of dental hygiene?
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a. In ancient Greece u1 u1
b. In the early 1800s u1 u1 u1
c. In the early 1900s u1 u1 u1
d. In 1979 u1
ANS: u 1 C
The scope of practice of a dental hygienist was first established by law in Connecticut in 1
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915. Alfred C. Fones taught his dental assistant, Irene Newman, to treat patients and to teac
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h them to maintain their mouths in a clean state. In 1913, Fones established the first schoo
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l for dental hygienists in Bridgeport, Connecticut. The first oath written for dental hygienist
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s called upon Apollo and Hygeia, who were the Greek god and goddess of health, respecti
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vely. A modernized version of the first oath was adopted by the Board of Trustees of the
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American Dental Hygienists’ Association (ADHA) in 1979.
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DIF: Recall REF: p. 3 OBJ: 1 u1u1 u1 u 1 u 1
TOP: 7.0 Professional Responsibility | 7.1 Ethical Principles, including informed consent
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2. Which member of the dental team is the primary oral preventive therapist?
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a. Dentist
b. Dental hygienist u1
c. Dental assistant u1
d. Receptionist
ANS: u 1 B
The dental hygienist is the oral preventive therapist in the dental office. The dentists who p
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ioneered this special field of endeavor had a vision of the day when dental disease could be
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prevented by following a system of treatment and cleanliness. The dentist is primarily con
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cerned with restorative treatment, although he or she also shares in preventing oral disease.
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The dental assistant assists the dentist and may assist the dental hygienist as well. The rece
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ptionist greets patients and may help with the business and financial aspects of the practice.
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DIF: Recall REF: p. 4 OBJ: 1 u1u1 u1 u 1 u 1
TOP: 7.0 Professional Responsibility | 7.4 General
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3. The dental hygiene oath is revised by action of which of the following profession
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al organizations?
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a. The American Dental Association (ADA)
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b. The American Dental Hygienists’ Association (ADHA)
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c. The Occupational Safety and Health Administration (OSHA)
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d. The Organization for Safety, Asepsis, and Prevention (OSAP)
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e. The Food and Drug Administration (FDA)
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ANS: u 1 B
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The first dental hygiene oath was adopted by the Board of Trustees of the American Dental
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Hygienists’ Association (ADHA) in 1979 and is still in use today. The oath may be seen at th
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e following website (www.adha.org/aboutadha/dhoath.htm). The American Dental Associatio
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n has an oath for dentists. A copy of each oath may be found in the textbook.
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DIF: Recall REF: p. 3 OBJ: 1 u1u1 u1 u 1 u 1
TOP: 7.0 Professional Responsibility | 7.4 General
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4. Society recognizes that health care providers are held to a higher standard than legislati
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ve mandate. These higher standards are expressed in professional codes of ethics and a
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re enforced by the legal system.
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a. Both statements are true. u1 u1 u1
b. Both statements are false. u1 u1 u1
c. The first statement is true, the second statement is false.
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d. The first statement is false, the second statement is true.
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ANS: u 1 C
Health care providers are held to a higher standard than can be expressed exclusively by leg
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islative mandate. While it is true that these higher standards are expressed in professional co
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des of ethics, they are enforced by those within the profession rather than by the legal syste
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m. Important components of this enforcement include self-
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regulation and submission to peer review. u1 u1 u1 u1 u1
DIF: Comprehension REF: p. 4 u 1 u1
OBJ: 1 TOP: u 1 u1 u 1 7.0 Professional Responsibility | 7.4 General
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5. Success is measured by financial gain in the corporate world; however, for the health ca
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re professional the patient’s welfare is placed above profit.
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a. Both the statement and reason are correct and related.
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b. Both the statement and reason are correct but NOT related.
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c. The statement is correct, but the reason is NOT.
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d. The statement is NOT correct, but the reason is correct.
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e. NEITHER the statement NOR the reason is correct. u1 u1 u1 u1 u1 u1 u1
ANS: u 1 A
Because the welfare of the patient is more important than profit, society has granted the healt
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h care professional a certain status that carries prestige, power, and the right to apply specia
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l knowledge and skills.
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DIF: Comprehension REF: p. 4 u 1 u1
OBJ: 2 TOP: u 1 u1 u 1 7.0 Professional Responsibility | 7.4 General
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6. Which of the following is regarded as the most important aspect of the delivery of health c
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are services?
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a. Technical skill u1
b. Appropriate knowledge u1
c. Critical judgment u1
d. Caring
ANS: u 1 D
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Although all of the choices are important, caring is regarded as the most important. Patients
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1perceive this essence of caring and respond to it. Trust is the critical foundation for the rela
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tionship between the person seeking services and the health care provider. The caring that the
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patient seeks also gives the provider the greatest opportunity for professional service and sa
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tisfaction.
DIF: Recall REF: p. 4 OBJ: 2 u1u1 u1 u 1 u 1
TOP: 7.0 Professional Responsibility | 7.4 General
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7. The publication ―Medical Professionalism in the New Millennium: A Physician Charter‖ s
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et out three fundamental principles, including patient welfare, patient autonomy, and the
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principle of social justice, because it is thought this will reinvigorate the value of professi
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onalism.
a. Both the statement and reason are correct and related.
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b. Both the statement and reason are correct but NOT related.
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c. The statement is correct, but the reason is NOT.
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d. The statement is NOT correct, but the reason is correct.
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e. NEITHER the statement NOR the reason is correct. u1 u1 u1 u1 u1 u1 u1
ANS: u 1 A
The Physician Charter sets out three fundamental principles that are not new but reinforce t
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he foundation of the medical profession as one of service to others. The ethical principles o
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f the primacy of patient welfare (beneficence and nonmaleficence) and patient autonomy are
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listed first; the principle of social justice is the third main tenet. The desired goal was to rei
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nvigorate the value of professionalism that includes social responsibility, the ethic of care, a
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nd access to that care, for all members of society.
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DIF: Comprehension REF: p. 5 u 1 u1
OBJ: 3 TOP: u 1 u1 u 1 7.0 Professional Responsibility | 7.4 General
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8. Each of the following is a requirement for licensure of a dental hygienist in the United Sta
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tes EXCEPT one. Which one is the EXCEPTION?
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a. Completion of a higher education accredited program u1 u1 u1 u1 u1 u1
b. Graduation from a college or university u1 u1 u1 u1 u1
c. Passed a written national board examination u1 u1 u1 u1 u1
d. Passed a clinical national board examination u1 u1 u1 u1 u1
ANS: u 1 D
There is no clinical national board examination. The dental hygiene candidate for licensure
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must pass a state or regional clinical examination. Examples of regional boards include the
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Council of Interstate Testing Agencies (CITA), the Central Regional Dental Testing Services
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, Inc. (CRDTS), the Commission on Dental Competency Assessments (CDCA), the Souther
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n Regional Testing Agency, Inc. (SRTA), and the Western Regional Examining Board (WERB
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).
DIF: Comprehension REF: p. 5 u 1 u1
OBJ: 3 TOP: u 1 u1 u 1 7.0 Professional Responsibility | 7.4 General
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9. Which of the following characteristics is used to separate the professional from the layperson
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?
a. Competency
b. Quality performance u1
c. A specialized body of knowledge and skill of value to society
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