Question 1

Expected outcomes of treatment and description of possible complications are recorded on the:

Accepted Answer

A) treatment plan. 
B) informed consent form. 
C) clinical examination. 
D) progress notes. 
A) treatment plan. 
B) informed consent form. 
C) clinical examination. 
D) progress notes. B

Question 2

The most graphic and detailed form in the patient record is the:

Accepted Answer

A) patient registration form. 
B) clinical examination form. 
C) treatment plan. 
D) progress notes. 
A) patient registration form. 
B) clinical examination form. 
C) treatment plan. 
D) progress notes. B

Question 3

The patient record consists of:

Accepted Answer

A) the patient registration form and HIPAA form. 
B) the medical-dental health history form, the medical alert information form, and radiographic examination. 
C) the clinical examination form and consent forms. 
D) all of the above. 
A) the patient registration form and HIPAA form. 
B) the medical-dental health history form, the medical alert information form, and radiographic examination. 
C) the clinical examination form and consent forms. 
D) all of the above. D

Question 4

The patient record is not considered a legal document.

Accepted Answer

A) True 
 B)False

Question 5

The written medical-dental health history form:

Accepted Answer

A) eliminates the need for a face-to-face conversation with the patient. 
B) should be regarded as minimal information. 
C) does not need to be signed and dated by the patient to certify that the information is correct. 
D) is considered to be part of the treatment plan. 
A) eliminates the need for a face-to-face conversation with the patient. 
B) should be regarded as minimal information. 
C) does not need to be signed and dated by the patient to certify that the information is correct. 
D) is considered to be part of the treatment plan.

Question 6

The patient record is:

Accepted Answer

A) a temporary document. 
B) a permanent document. 
C) not considered a legal document. 
D) not sufficient enough to be used as a reference tool in a forensic case. 
A) a temporary document. 
B) a permanent document. 
C) not considered a legal document. 
D) not sufficient enough to be used as a reference tool in a forensic case.

Question 7

Progress notes should document the:

Accepted Answer

A) date, tooth number, and treatment. 
B) different treatment alternatives. 
C) payment method. 
D) use of insurance benefits for the current calendar or contract year. 
A) date, tooth number, and treatment. 
B) different treatment alternatives. 
C) payment method. 
D) use of insurance benefits for the current calendar or contract year.

Question 8

A patient's medical-dental history should be updated:

Accepted Answer

A) once a year. 
B) every time the patient comes into the office. 
C) every 6 months. 
D) only after a major illness. 
A) once a year. 
B) every time the patient comes into the office. 
C) every 6 months. 
D) only after a major illness.

Question 9

The dental assistant should offer to help the patient to complete the medical-dental history form:

Accepted Answer

A) to be sure the patient is truthful. 
B) because there may be a language barrier. 
C) because the patient may not understand the terminology used. 
D) for both b and C 
A) to be sure the patient is truthful. 
B) because there may be a language barrier. 
C) because the patient may not understand the terminology used. 
D) for both b and C

Question 10

After patients review the HIPAA written policy,they sign a form that:

Accepted Answer

A) states that the patient understands the privacy policy. 
B) acknowledges the patient's receipt of the privacy policy. 
C) states that the patient understands the Patient Bill of Rights. 
D) states that the patient understands OSHA. 
A) states that the patient understands the privacy policy. 
B) acknowledges the patient's receipt of the privacy policy. 
C) states that the patient understands the Patient Bill of Rights. 
D) states that the patient understands OSHA.

Question 11

A written privacy policy informing a patient that an office will not use or disclose Protected Health Information (PHI)for any purpose other than treatment,diagnosis,and billing is mandated by:

Accepted Answer

A) HIPAA. 
B) OSHA. 
C) NHII. 
D) ADA. 
A) HIPAA. 
B) OSHA. 
C) NHII. 
D) ADA.

Question 12

The clinical examination form includes:

Accepted Answer

A) the plan of care. 
B) charting for existing restorations and present conditions. 
C) progress notes. 
D) informed consent. 
A) the plan of care. 
B) charting for existing restorations and present conditions. 
C) progress notes. 
D) informed consent.

Question 13

To ensure patient safety,medical alerts and other precautions should be noted by:

Accepted Answer

A) posting a warning sign on the entrance to the treatment area. 
B) writing the medical condition that prompted the alert on the patient bib. 
C) affixing an "alert" sticker to the outside cover of the patient record. 
D) affixing an "alert" sticker to the inside cover of the patient record. 
A) posting a warning sign on the entrance to the treatment area. 
B) writing the medical condition that prompted the alert on the patient bib. 
C) affixing an "alert" sticker to the outside cover of the patient record. 
D) affixing an "alert" sticker to the inside cover of the patient record.

Question 14

At the completion of the diagnostic gathering process,the dentist will:

Accepted Answer

A) review all significant findings. 
B) present a diagnosis to the patient. 
C) develop and document a treatment plan with input from the patient. 
D) formulate an assessment from the findings of the patient's oral health status. 
A) review all significant findings. 
B) present a diagnosis to the patient. 
C) develop and document a treatment plan with input from the patient. 
D) formulate an assessment from the findings of the patient's oral health status.

Question 15

A treatment plan is properly sequenced to address all problems that were identified during the examination and diagnosis portion of the patient visit,and can include more than one option for treatment.

Accepted Answer

A) True 
 B)False

Question 16

The medical history section includes questions regarding the patient's past medical history,present physical condition,and:

Accepted Answer

A) insurance benefits 
B) chronic conditions, allergies, and current medications being taken 
C) chronic conditions, and allergies. 
D) and chronic conditions. 
A) insurance benefits 
B) chronic conditions, allergies, and current medications being taken 
C) chronic conditions, and allergies. 
D) and chronic conditions.

Question 17

Examples of quality assurance,vital to the delivery of dental care,include:

Accepted Answer

A) completing treatment in one appointment. 
B) timely recall of patients to address dental need and documentation of when radiographs were taken. 
C) current, up-to-date emergency standards maintained by the dental team and current and up-to-date licenses, registrations, and training of dental team members. 
D) both b and C 
A) completing treatment in one appointment. 
B) timely recall of patients to address dental need and documentation of when radiographs were taken. 
C) current, up-to-date emergency standards maintained by the dental team and current and up-to-date licenses, registrations, and training of dental team members. 
D) both b and C

Question 18

Before treatment,a patient's overall health and dental status is recorded on a:

Accepted Answer

A) patient registration. 
B) medical-dental health history. 
C) medical alert information. 
D) consent form. 
A) patient registration. 
B) medical-dental health history. 
C) medical alert information. 
D) consent form.

Question 19

A patient who reports for an initial appointment should be:

Accepted Answer

A) asked to provide a social security number. 
B) asked to complete a medical and dental history, and be told why the information is needed. 
C) asked to fill out patient forms and answer questions over the phone. 
D) notified that the form does not need to be signed. 
A) asked to provide a social security number. 
B) asked to complete a medical and dental history, and be told why the information is needed. 
C) asked to fill out patient forms and answer questions over the phone. 
D) notified that the form does not need to be signed.

Question 20

The written policy that must be provided to all patients regarding patient right to privacy is called:

Accepted Answer

A) PHI. 
B) HIPAA. 
C) medical alert information. 
D) none of the above. 
A) PHI. 
B) HIPAA. 
C) medical alert information. 
D) none of the above.

Exam 26: The Patient Record

Expected outcomes of treatment and description of possible complications are recorded on the:

The most graphic and detailed form in the patient record is the:

The patient record consists of:

The patient record is not considered a legal document.

The written medical-dental health history form:

The patient record is:

Progress notes should document the:

A patient's medical-dental history should be updated:

The dental assistant should offer to help the patient to complete the medical-dental history form:

After patients review the HIPAA written policy,they sign a form that:

A written privacy policy informing a patient that an office will not use or disclose Protected Health Information (PHI)for any purpose other than treatment,diagnosis,and billing is mandated by:

The clinical examination form includes:

To ensure patient safety,medical alerts and other precautions should be noted by:

At the completion of the diagnostic gathering process,the dentist will:

A treatment plan is properly sequenced to address all problems that were identified during the examination and diagnosis portion of the patient visit,and can include more than one option for treatment.

The medical history section includes questions regarding the patient's past medical history,present physical condition,and:

Examples of quality assurance,vital to the delivery of dental care,include:

Before treatment,a patient's overall health and dental status is recorded on a:

A patient who reports for an initial appointment should be:

The written policy that must be provided to all patients regarding patient right to privacy is called:

History of Dentistry

The Professional Dental Assistant

The Dental Healthcare Team

Dental Ethics

Dentistry and the Law

General Anatomy

General Physiology

Oral Embryology and Histology

Head and Neck Anatomy

Landmarks of the Face and Oral Cavity

Overview of the Dentitions

Tooth Morphology

Dental Caries

Periodontal Disease

Preventive Dentistry

Nutrition

Oral Pathology

Microbiology

Disease Transmission and Infection Prevention

Principles and Techniques of Disinfection

Principles and Techniques of Instrument Processing and Sterilization

Regulatory and Advisory Agencies

Chemical and Waste Management

Dental Unit Waterlines

Ergonomics

Vital Signs

Oral Diagnosis and Treatment Planning

The Special Needs and Medically Compromised Patient

Principles of Pharmacology

Assisting in a Medical Emergency

The Dental Office

Delivering Dental Care

Dental Hand Instruments

Dental Handpieces and Accessories

Moisture Control

Anesthesia and Pain Control

Foundations of Radiography, Radiographic Equipment, and Radiation Safety

Digital Imaging, Dental Film, and Processing Radiographs

Legal Issues, Quality Assurance, and Infection Prevention

Intraoral Imaging

Extraoral Imaging

Restorative and Esthetic Dental Materials

Dental Liners, Bases, and Bonding Systems

Dental Cements

Impression Materials

Laboratory Materials and Procedures

General Dentistry

Matrix Systems for Restorative Dentistry

Fixed Prosthodontics

Provisional Coverage

Removable Prosthodontics

Dental Implants

Endodontics

Periodontics

Oral and Maxillofacial Surgery

Pediatric Dentistry

Coronal Polishing

Dental Sealants

Orthodontics