The Patient Record

Question 1

the patient record contains the Critical information that the dental team must provide before providing care include

Answer 1

Patient registration
Medical-dental health history (personal information)
Medical alert information

Question 2

The permanent patient is considered a legal document that could be used for what

Answer 2

Evidence in a legal settlement of a lawsuit
Reference tool in a forensic case to identify an individual
-Reference to appropriate third parties

Question 3

All dental practices now have a written privacy policy required by who: that must inform the patient the office will not disclose protected health information

Answer 3

HIPAA

Question 4

A patients medical history should be updated how often

Answer 4

Every time a patient comes in for an appointment

Question 5

The _____ provides the patients with the expected outcome of treatment and decides any possible complication.

Answer 5

Inform consent

Question 6

The _____ address all the patients problems that were idnetify during the examation and diagnosis portion of the patient visit; may include more then one option for treatment.

Answer 6

The treatment plan

Question 7

Which of the following is a phases of the dental treatment that the dentist must follow?

Answer 7

• Assesing a patients oral condition
• Making a diagnosis as to the best type of treatment
• Scheduling appointments to provide treatment

Question 8

An efficient and effective program of quality assurance program in important in a dental office examples of quality insureance. include what

Answer 8

• Timely recall of patients for dental needs
• Documentation of when radiographs were taken
• Routine forms completed by each patient
• Up-to-date licences, registration, training, and emergency standards maintained by the dental team

Question 9

A new patient who arrives at his or her insult appointment should be what

Answer 9

Addressed using his or her name

and explain to the new patient why a health history or information update form is needed

Question 10

What information is found on a patient registration form

Answer 10

• Patient information
• Insurance information
• Responsible party
• Patient’s signature and date to verify the accuracy of the information

Question 11

The written dental health hisroty form proves all the information the dental team needs to know about the patient medical and dental history. (T/F)

Answer 11

False

Question 12

Medical history section includes questions regrading the patients past medical history and ?

Answer 12

• Present physical condition
• Chronic condition
• Allergies
• Current medication

Question 13

The dental assistant should offer to aid the patients in completing the medical history form because

Answer 13

a language barrier or the patient may not understand the terminology used on the form

Question 14

A medical alert stick should be placed on the inside cover of the patient record to alert the dental team for allergs o medication that can interfer or be life threating.

Answer 14

True

Question 15

The progress note section should include

Answer 15

Date

• Tooth number
• Treatment provided
• Dentist and or dental assistants signature for the treatment that was performed

Question 16

This form is the most graphic and detailed form in the patient record

Answer 16

Clinical examination form

Question 17

Clinical examination form provides the dental team with past, present,and future examinations; charting of

Answer 17

Existing restroations, present conditions, charting of periodontal conditions, patients chief complaint