Registered Dental Hygienist in Alternative Practice (RDHAP) Law and Ethics Practice Exam

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What should dental hygienists do when clients lack capacity for informed choice?

  1. Ignore their needs and make unilateral decisions

  2. Involve substitute decision makers in informed choices

  3. Allow the dental hygienists to decide everything

  4. Consult with the dental board on decisions

The correct answer is: Involve substitute decision makers in informed choices

When clients lack the capacity for informed choice, it is essential for dental hygienists to involve substitute decision makers in the process of informed choices. This approach ensures that the rights and best interests of the clients are respected and upheld. Substitute decision makers, such as family members or legally appointed guardians, are often in the best position to understand the client's needs and wishes, and can provide valuable insights into what the client would have wanted. Involving these decision makers helps to maintain a level of autonomy for the client, even when they cannot make decisions for themselves. This collaboration can also facilitate better communication and understanding between the healthcare provider and the client’s support system, ultimately leading to more tailored and appropriate care. Other choices like making unilateral decisions, allowing dental hygienists to decide everything, or consulting with the dental board do not prioritize the client's rights or their individual needs. The involvement of a substitute decision maker is a fundamental aspect of ethical practice when dealing with clients who lack capacity, ensuring that care decisions are made in a manner that is respectful and considerate of the client’s values and preferences.