13 Teamwork

13  Teamwork

Multiple choice questions

1. A key aspect in the successful working of the dental team is for the majority of patients to be seen by a dentist for a full mouth assessment first, before possibly referring to another team member. Which one of the following treatments can be provided without the input of a dentist first?

(a) Cementing of a bridge
(b) Extraction of a deciduous tooth
(c) Placement of a temporary filling
(d) Provision of full dentures
(e) Taking of a radiograph
2. A father has brought his 14-year-old son to the surgery for a dental examination, expressing concern that the teenager’s upper canine teeth have still not erupted. Which one of the following radiographs would you lay out for the dentist to use?

(a) Bitewing
(b) Dental pantomograph
(c) Lateral oblique
(d) Occlusal
(e) Periapical
3. Under the ‘Scope of Practice’ document produced by the General Dental Council (GDC), dental nurses may be able to carry out additional duties under certain circumstances. Under which one of the following circumstances would such additional duties be acceptable?

(a) During a short-staff period
(b) During a dental emergency
(c) Following competency training
(d) Instructed by employer
(e) Instructed by senior staff member
4. A key part of the dental nurse’s chairside role is to accurately record the dictated clinical findings during an oral health assessment. Which one of the following is information not recorded by the dental nurse?

(a) BPE score
(b) PAR score
(c) Required recall interval
(d) Soft tissue details
(e) Tooth charting
5. A patient has arrived for the restoration of the carious lower left second molar tooth using amalgam, and the dentist has asked you to set up the surgery for the procedure. Which one of the following items would you lay out for the dentist to use?

(a) Acetate matrix strip
(b) Air turbine handpiece
(c) Briault probe
(d) Lateral condenser
(e) Tapered diamond bur
6. When any member of the dental team is providing care for a patient, it is always advisable for a second GDC registered team member to be present. In which one of the following circumstances may this not be possible?

(a) During a sedation session
(b) Out-of-hours emergency
(c) When short staffed
(d) When treating adults
(e) When treating children
7. Before taking an impression of a tooth which has been prepared for a crown, the dentist may need to ensure that the preparation margins are clearly visible. Which one of the following items should you anticipate that the dentist will require for this purpose?

(a) Crown form
(b) Dam clamp
(c) Matrix band
(d) Retraction cord
(e) Wooden wedge
8. All members of the dental team are expected to work together in the best interests of the patient at all times. Which one of the following documents provides guidance for all members to achieve this aim?

(a) CQC Regulations
(b) Developing the Dental Team
(c) GDC Standards
(d) Local Rules
(e) The First Five Years
9. The dentist is carrying out root canal therapy on the upper left second premolar tooth. All the caries has been removed and the dentist now needs to gain access to the root canal. Which one of the following items should you anticipate that the dentist will require?

(a) Barbed broach
(b) Finger spreader
(c) Gates Glidden drill
(d) Hand file
(e) Rotary paste filler
10. A newly qualified and registered dental nurse begins work at your dental surgery, and is appointed as your mentor during your training towards qualification. You are then asked to carry out tasks for which you have received no training. Which one of the following is responsible for your possible errors while carrying out these tasks?

(a) General Dental Council
(b) National Health Service
(c) Your employer
(d) Your mentor
(e) Yourself
11. 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
12. Patients have a right to expect that their dental records remain confidential to the dental surgery and that information is not released to a third party without their permission. The dental team are legally obliged to comply with this requirement, under all except which one of the following regulations?

(a) Access to Health Records
(b) Amendment Order 2005
(c) Caldicott Regulations
(d) Data Protection Act 1998
(e) Freedom of Information Act
13. At the fit stage of denture construction, the patient will attend for the final insertion of the completed dentures and be given advice on care and wear instructions. Which one of the following items would you anticipate the dentist to require at this stage of denture construction?

(a) Articulator
(b) Carborundum stone
(c) Gas burner
(d) Mixing spatula
(e) Plaster knife
14. The dentist is completing root canal therapy on the lower right lateral incisor tooth. You have mixed a suitable root filling material. Which one of the following items should you anticipate that the dentist will require so that the material can be inserted into the canal?

(a) Barbed broach
(b) Finger spreader
(c) Gates Glidden drill
(d) Hand file
(e) Rotary paste filler
15. If a dental nurse believes that another team member’s actions may put a patient at risk, he or she has a duty to raise a concern. Which one of the following GDC Standards key principles does this relate to?

(a) Be trustworthy
(b) Cooperate with other team members
(c) Protect patient confidentiality
(d) Put patients’ interests first
(e) Respect patients’ dignity and choices
16. A 50-year-old patient attends the surgery for an apicectomy procedure on the upper left central incisor. Once local anaesthesia has been applied and taken effect, the dentist will need to gain access to the root apex to carry out the procedure. Which one of the following instruments should you anticipate that the dentist will use to raise the mucoperiosteal flap?

(a) Bone rongeurs
(b) Periosteal elevator
(c) Scalpel outfit
(d) Tissue dissecting forceps
(e) Tissue rake
17. When a dental nurse has raised a concern about a serious matter, he or she is protected from retaliation in some circumstances under the Public Interest Disclosure Act 1998. Which one of the following circumstances describes where this protection will not apply?

(a) Acting in good faith
(b) Allegation involves a crime
(c) Believe the allegation to be true
(d) Will gain personally from the outcome
(e) Working outside the NHS
18. An elderly patient attends the surgery for an alveolectomy procedure of the lower alveolar ridge. Once a periosteal flap has been raised, the dentist will carry out the removal of any sharp spicules of bone, so that any future denture can be worn comfortably. Which one of the following instruments should you anticipate that the dentist will use for this procedure?

(a) Austin retractor
(b) Bone rongeurs
(c) Coupland’s chisel
(d) Periosteal elevator
(e) Tissue dissecting forceps
19. When various members of the dental team are required to communicate with patients, it is important that they all give the same message so that the patient does not become confused. Which one of the following methods is used to achieve this?

(a) Check on the internet
(b) Copy what the dentist says
(c) Have a written protocol
(d) Learn the message by rote
(e) Refer to a textbook
20. During the restoration of a particularly deep cavity in the upper left first premolar tooth, the dentist must carefully remove the caries overlying the pulp chamber, without causing an exposure. Which one of the following instruments should you anticipate that the dentist will require?

(a) Ball-ended burnisher
(b) Enamel chisel
(c) Flat plastic instrument
(d) Friction grip diamond fissure bur
(e) Spoon excavator
21. Patients are entitled to expect that the dental team will keep any information held about them confidential – this is called the duty of confidentiality. Which one of the following is the exception to this duty?

(a) Information learned anonymously
(b) Information learned from a team member
(c) Information learned from another patient
(d) Information learned outside professional role
(e) Information learned verbally
22. When a tooth has been traumatised or attacked by cariogenic bacteria, it often results />

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Jan 8, 2015 | Posted by in Dental Nursing and Assisting | Comments Off on 13 Teamwork
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