11 Consent and Record-keeping

11  Consent and Record-keeping

Multiple choice questions

1. An important requirement when taking patients’ medical history is to check their medication to ensure it does not contraindicate dental treatment. Details of medications can be found in which one of the following publications?

(a) A1 advice sheet
(b) British National Formulary
(c) CQC registration document
(d) GDC Standards booklet
(e) HTM 01-05 document
2. A patient’s dental records must remain confidential except in certain permitted circumstances. This is a legal requirement under the regulations laid out in which one of the following?

(a) Data Protection Act
(b) Dentists Act
(c) GDC Standards
(d) Health and Safety Act
(e) RIDDOR
3. Patient records are legal documents that provide a wealth of information about patient attendance, treatment, personal details, and attitudes to oral healthcare. When an adult patient leaves the dental surgery, it would be ideal for the records to be kept forever. However, legally they only need to be kept for what length of time?

(a) 5 years
(b) 7 years
(c) 9 years
(d) 11 years
(e) 13 years
4. An important component of a patient’s dental records is a completed medical history form. This should be kept with the rest of the patient’s records, but only requires updating under which one of the following circumstances?

(a) After a serious illness
(b) At a dental examination
(c) At first attendance
(d) Before taking radiographs
(e) Once a year
5. An important part of the day-to-day duties of all dental team members is to record the personal and clinical details of all patients, and their treatment sessions. These records should always be contemporaneous. Which one of the following indicates the correct meaning of this term?

(a) Accurate
(b) Date ordered
(c) Legible
(d) Signed off
(e) Using correct terminology
6. Patient records are legal documents that provide a wealth of information about patient attendance, treatment, personal details, and attitudes to oral healthcare. When a child patient leaves the dental surgery, it would be ideal for the records to be kept forever. However, legally they only need to be kept until the patient is what age?

(a) 16 years old
(b) 18 years old
(c) 21 years old
(d) 25 years old
(e) 30 years old
7. As part of the regulations governing the use of ionising radiation in the dental workplace, written information about the controlled area must be kept on display at each X-ray machine. Which one of the following decribes the title of this written information?

(a) IR(ME)R
(b) IRR 99
(c) Local Rules
(d) Quality Assurance programme
(e) Radiation Protection file
8. When patients attend the dental surgery for treatment, they must be given certain information by the dental team before they can decide if they wish to proceed with the treatment or not. This is termed valid consent. Which one of the following is not necessary for consent to be valid?

(a) Agreed in writing
(b) Detail all costs
(c) Give full information
(d) Given voluntarily
(e) Specific to the treatment
9. Various regulations and legislations apply to the safe running of dental workplaces. Which one of the following applies to the COSHH regulations?

(a) Accidents at work
(b) Chemicals
(c) Fire extinguishers
(d) Pressure vessels
(e) Radiation hazards
10. Throughout their dental career, all dental personnel are required to act in the best interests of the patient. Unfortunately, a small minority of dental team members fail to follow this requirement at all times. Before statutory registration of DCPs began, only the dentist would have been held responsible for these failures. Which one of the following terms best describes this fact?

(a) Breach of confidentiality
(b) Indemnity
(c) Omission
(d) Valid consent
(e) Vicarious liability
11. From time to time, it may be necessary to release confidential information about a patient to a third party, without the patient’s consent. Which one of the following organisations is a source of advice on the legalities of this issue?

(a) Care Quality Commission
(b) Defence organisation
(c) Department of Health
(d) General Dental Council
(e) Primary Care Trust
12. From time to time, it may be necessary to share confidential information about patients without their consent, because it is in the />

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Jan 8, 2015 | Posted by in Dental Nursing and Assisting | Comments Off on 11 Consent and Record-keeping
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