Chapter 10 Flashcards

1
Q
A
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2
Q

Which of the following sets standards for digital radiographic system compatibility and facilitates electronic transfer of digital radiographic images between systems?

A

D) Digital Imaging and Communications in Medicine (DICOM)

The Digital Imaging and Communications in Medicine (DICOM) sets standards for digital radiographic system compatibility and facilitates electronic transfer of digital radiographic images between systems.

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3
Q

Which of the following statements is correct?

A

A) The Consumer-Patient Radiation Health and Safety Act was designed to protect patients from unnecessary radiation.

Established in 1981 and updated in 1991, the federal Consumer-Patient Radiation Health and Safety Act established guidelines regarding who can place and expose radiographs.

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4
Q

Each of the following statements regarding risk management is correct except one. Which one is the exception?

A

C) Unless required by law, personnel monitoring devices should be discouraged.

Providing all radiographers with a radiation monitoring badge, whether required by law or not, is a good risk management tool.

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5
Q

The federal Consumer-Patient Radiation Health and Safety Act

A

D) establishes standards for state certification/licensure of radiographic personnel.

The Consumer-Patient Radiation Health and Safety Act established minimum standards for state certification and licensure of personnel who administer radiation in medical and dental radiographic procedures.

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6
Q

Each of the following statements regarding informed consent is correct except one. Which one is the exception?

A

B) Allow the patient to choose who he or she wants to expose the radiographs.

The patient must be informed as to who will be exposing the radiographs, but they do not need to be provided with the option of selecting the radiographer.

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7
Q

Each of the following statements regarding patients who refuse radiographs is correct except one. Which one is the exception?

A

B) A patient who does not want radiographs may sign a document releasing the dentist from liability.

Such documents are not valid because the patient cannot legally consent to negligent care.

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8
Q

Which of these statements is false?

A

D) Ethics are laws and regulations pertaining to the behavior of the health care professional.

Ethics is defined as a sense of moral obligation regarding right and wrong behaviors. Professional ethics supplement legal guidelines and regulations regarding the behavior of health care professionals.

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9
Q

Which of the following is not a goal of the dental radiographer?

A

A) Keep retake radiographs under three per patient.

Radiation exposure should be as low as possible. If the patient cannot tolerate film placement, stop and seek assistance or apply an acceptable alternative to avoid any retakes.

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10
Q

Which of these statements is false?

A

D) Each state has a mandatory state exam or continuing education requirement for dental radiographers.

Some states without mandatory exams or continuing education requirements allow uncertified dental assistants who have received on-the-job training to take radiographs under the direct supervision of a dentist.

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11
Q

Which of these statements regarding risk management is false?

A

C) Take radiographs only if the dentist is present.

The radiographer should be aware of state laws governing the practice of professional responsibilities and take radiographs accordingly.

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12
Q

Which of the following allow storage of documents and data as well as electronic access to image viewing software and provide an option for sharing large files?

A

C) Cloud file sharing systems

Cloud file sharing systems allow storage of documents and data as well as electronic access to image viewing software and provide an option for sharing large files of data without the need to securely ship images on external portable devices.

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13
Q

Policies and procedures used to reduce the chances a patient will file legal action against the oral health care team is known as

A

B) risk management.

Risk management can be defined as the policies and procedures to be followed by the radiographer to reduce the chances that a patient will file legal action against the dentist and oral health care team.

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14
Q

To give informed consent, each of the following must be explained to the patient except one. Which one is the exception?

A

D) How the radiographs will be taken

To make a decision regarding informed consent, the patient must be informed of the purpose of taking radiographs, the benefits, the possible risks of radiation exposure, and the possible risks of refusing the radiographs.

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15
Q

Legally, radiographs are the property of

A

A) the dentist who originally prescribed the radiographs.

The courts have ruled that radiographs are the property of the dentist who originally prescribed the radiographs.

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16
Q

Who owns the radiographs?

A

The dentist who originally prescribed the radiographs.

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17
Q

When may patients have reasonable access to their radiographs?

A

When changing dentists, having a consult with a specialist, or needed for litigation against the dentist.

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18
Q

How long must dental radiographs be retained?

A

Indefinitely.

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19
Q

Who has a legal right to request copies of a patient’s radiographs?

A

The patient, another dentist, and an insurance company.

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20
Q

When does the statute of limitations for bringing a malpractice suit begin?

A

From the date that the patient discovers an injury.

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21
Q

What regulates certification and/or licensure to expose dental radiographs?

A

Individual state laws, which may vary.

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22
Q

What is the legal right of the patient to refuse radiographs called?

A

Self-determination.

23
Q

Does the State Performance Act of 1974 require all x-ray equipment to meet federal performance standards?

A

TRUE

24
Q

Do radiographers in all states have to conform to the Consumer-Patient Radiation Health and Safety Act?

A

FALSE

25
Q

Do some states require additional credentials to place and expose dental radiographs?

A

TRUE

26
Q

Are there variations between states in terms of requirements for a dental hygienist or assistant to place and expose radiographs?

A

TRUE

27
Q

Are there national guidelines regarding who can place and expose dental radiographs?

A

TRUE

28
Q

Can a dentist be sued for the actions of the radiographer in malpractice cases?

A

TRUE

29
Q

What does ‘liable’ mean?

A

To be legally obligated to make good any loss or damage that may occur.

30
Q

Are original radiographs the property of the dentist in whose practice they were made?

A

TRUE

31
Q

Must dental radiographs be retained by the dentist for 10 years after the patient leaves the practice?

A

FALSE

32
Q

Do insurance companies require original radiographs for pretreatment authorization purposes?

A

FALSE

33
Q

Do patients have the right to reasonable access to their radiographs?

A

TRUE

34
Q

Is the process of informing the patient about the risks and benefits of a treatment procedure called ‘self-determination’?

A

FALSE

35
Q

Does the Consumer-Patient Health and Safety Act provide patients with more control over their personal health information?

A

FALSE

36
Q

Is the legal right of an individual to make choices concerning health care treatment called ‘self-determination’?

A

TRUE

37
Q

Should radiographs be retained as part of a client’s record for 7 years as prudent risk management?

A

FALSE

38
Q

What is encryption in the context of digital images?

A

A process of changing the digital image into a coded file that can be read only by individuals with the credentials for decoding the data.

39
Q

Do many states consider a certified dental assistant and a registered dental hygienist competent to place and expose dental radiographs?

A

TRUE

40
Q

Do all states have certification requirements for personnel taking dental radiographs?

A

FALSE

41
Q

Is providing radiographers with a radiation monitoring device good risk management?

A

TRUE

42
Q

Can good patient relations reduce the risk of possible legal action?

A

TRUE

43
Q

How can digital images be stored?

A

Digital images can be stored on computers, laptops, hard drives, or portable wireless devices.

44
Q

What are policies and procedures to reduce the likelihood of legal action called?

A

Risk management.

45
Q

What is the discussion with a patient prior to obtaining informed consent called?

A

Disclosure.

46
Q

What is the legal right all patients have regarding choices about health care called?

A

Self-determination.

47
Q

What type of consent is given after being informed about treatment procedures?

A

Informed consent.

48
Q

Who owns a patient’s dental radiographs?

A

The dentist in whose practice they were exposed.

49
Q

What is informed consent?

A

Informed consent is the responsibility of the dentist to explain the nature and purpose of all proposed procedures, the benefits and the risks, the risk of refusing radiographs, and the role of the person performing the procedure. The dentist must accomplish this in lay terms and answer all questions before seeking informed consent from the patient.

50
Q

Who owns a patient’s dental radiographs?

A

The dentist in whose practice they were exposed owns the dental radiographs. The courts have ruled that radiographs are the property of the dentist and that patients may have reasonable access to them.

51
Q

When does the statute of limitations begin to run for children?

A

The statute of limitations begins when the child reaches the age of majority, which will vary from 18 to 21 years of age, depending on the state.

52
Q

What is negligence in dentistry?

A

Negligence occurs when failure to use reasonable care results in injury or damage to another.

53
Q

What is the statute of limitations in dental malpractice?

A

The statute of limitations is the period of time during which a patient may bring a malpractice suit against a dental radiographer. State laws govern this time period, which begins when a patient discovers or should have discovered an injury due to negligent treatment.

54
Q

Can duplicate radiographs be sent to a specialist consultant or insurance company?

A

Yes, duplicate radiographs can be sent. The courts have ruled that original radiographs are the property of the dentist. Patients may have reasonable access to their radiographs and may request a copy if they decide to change dentists or request an outside consultation. If a dentist is sending radiographs for pretreatment authorization, a copy should be sent and the originals should be kept as part of the patient’s permanent record.