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

Which of the following is NOT an exception to the confidentiality requirement for dental hygienists?

1. As required by law

2. In an emergency situation

3. When a client requests it

4. To the client's guardian

The correct answer is: When a client requests it

Confidentiality is a fundamental ethical obligation for dental hygienists, ensuring that all client information remains private unless specific exceptions apply. In this context, the correct response identifies when confidentiality can be appropriately waived. When considering the options, a client's request for information about their own dental record does not qualify as an exception to confidentiality in the same way as the other circumstances. When a client requests their own information, it is not about disclosing to third parties without consent—rather, they inherently have the right to access their own health information. This aspect of client autonomy is distinct from scenarios where information must be shared, such as in legal obligations, emergencies, or communication with guardians. In contrast, there are well-defined exceptions to confidentiality where patient information can be disclosed: legal requirements often compel dental hygienists to share certain information with authorities; emergencies may necessitate sharing information to provide urgent care; and guardians may need access to information regarding their dependents, particularly when those dependents cannot provide consent themselves. Thus, the understanding of confidentiality in dental practice highlights that while a client can request access to their information, this does not equate to an exception for disclosing it to others, making this the correct answer.