FL Dental Hygiene Jurisprudence study materials
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FL Dental Hygiene Jurisprudence practice questions

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Question 1Florida dental hygiene jurisprudence and shared professional responsibilities

Under Florida law, which chapter of the Florida Statutes governs dental hygiene practice?

  1. Chapter 458
  2. Chapter 466 Correct answer.
  3. Chapter 464
  4. Chapter 456

Explanation

Chapter 466 of the Florida Statutes governs dentistry, dental hygiene, and dental laboratories. Section 466.023 specifically addresses dental hygienist scope and area of practice.

Question 2Florida dental hygiene jurisprudence and shared professional responsibilities

Which entity administers dental hygienist licensing in Florida?

  1. Florida Dental Hygiene Board
  2. Florida Board of Dentistry under the Department of Health Correct answer.
  3. Florida Dental Association
  4. Florida Board of Health Professions

Explanation

The Florida Board of Dentistry, operating under the Department of Health, administers dental hygienist licensing. Florida does not have a separate dental hygiene board.

Question 3Florida dental hygiene jurisprudence and shared professional responsibilities

Under what type of supervision can a certified Florida dental hygienist administer local anesthesia?

  1. General supervision
  2. Indirect supervision
  3. Direct supervision Correct answer.
  4. No supervision required

Explanation

Florida requires direct supervision of a licensed dentist for dental hygienists administering local anesthesia. The dentist must diagnose, authorize, be present, and approve before patient dismissal.

Question 4Florida dental hygiene jurisprudence and shared professional responsibilities

What is a 'health access setting' in Florida dental hygiene law?

  1. Any private dental office
  2. A clinical setting where dental hygienists may perform remediable tasks without a dentist physically present Correct answer.
  3. A hospital emergency department
  4. A dental school clinic

Explanation

A health access setting in Florida is a clinical setting where licensed dental hygienists may perform certain remediable tasks without the physical presence, prior examination, or authorization of a dentist, improving access to care for underserved populations.

Question 5Florida dental hygiene jurisprudence and shared professional responsibilities

Which of the following tasks can a Florida dental hygienist perform in a health access setting without a dentist present?

  1. Administering local anesthesia
  2. Removing calculus, performing root planing, and applying fluoride Correct answer.
  3. Diagnosing dental disease
  4. Prescribing medications

Explanation

In a health access setting, Florida dental hygienists may remove calculus deposits, perform root planing, apply topical preventive agents, and perform other remediable tasks without a dentist being physically present.

Question 6Florida dental hygiene jurisprudence and shared professional responsibilities

What does 'direct supervision' mean under Florida dental law for dental hygienists?

  1. The dentist is available by phone
  2. The dentist diagnoses, authorizes the procedure, remains on premises, and approves work before patient dismissal Correct answer.
  3. The dentist is in the building
  4. The dentist reviews charts the next day

Explanation

Direct supervision in Florida means: (1) the dentist diagnoses the condition, (2) authorizes the procedure, (3) remains on the premises during the procedure, and (4) approves the work performed before dismissal of the patient.

Question 7Florida dental hygiene jurisprudence and shared professional responsibilities

What procedures can Florida dental hygienists perform without any supervision?

  1. All dental hygiene procedures
  2. Educational programs, fluoride application, oral hygiene instruction, and dental charting Correct answer.
  3. Scaling and root planing
  4. Local anesthesia administration

Explanation

Florida dental hygienists may, without supervision, provide educational programs, apply fluorides, instruct patients in oral hygiene care, supervise oral hygiene care, perform dental charting, and other non-diagnostic, non-treatment services approved by the Board.

Question 8Florida dental hygiene jurisprudence and shared professional responsibilities

What Florida statute section specifically addresses dental hygienist scope and area of practice?

  1. Section 466.014
  2. Section 466.023 Correct answer.
  3. Section 466.028
  4. Section 466.031

Explanation

Section 466.023 of the Florida Statutes specifically addresses dental hygienists' scope and area of practice, including delegable tasks, supervision requirements, and health access settings.

Question 9Florida dental hygiene jurisprudence and shared professional responsibilities

Under which Florida Administrative Code are Board of Dentistry rules found?

  1. 64B5 Correct answer.
  2. 64B8
  3. 64B3
  4. 64B12

Explanation

Florida Board of Dentistry rules are found in the Florida Administrative Code under 64B5. This includes regulations for dentists, dental hygienists, and dental assistants.

Question 10Florida dental hygiene jurisprudence and shared professional responsibilities

Which tasks are considered 'delegable' to dental hygienists by dentists under Florida law?

  1. Diagnosis and treatment planning
  2. Scaling, root planing, radiographs, and application of topical agents Correct answer.
  3. Surgical procedures
  4. Prescribing medications

Explanation

Under Florida law, dentists may delegate tasks to dental hygienists including removing calculus and stains, root planing, curettage, exposing dental radiographs, and applying topical preventive or prophylactic agents.

Question 11Florida dental hygiene jurisprudence and shared professional responsibilities

Can a Florida dental hygienist administer nitrous oxide?

  1. Yes, independently
  2. Yes, under dentist supervision after proper training Correct answer.
  3. No, dental hygienists cannot assist with nitrous oxide in Florida
  4. Only in hospital settings

Explanation

Florida dental hygienists may assist with nitrous oxide-oxygen inhalation analgesia under dentist supervision after completing the required training as specified by Board rule. They must comply with all provisions of the applicable rule chapter.

Question 12Florida dental hygiene jurisprudence and shared professional responsibilities

What is the function of the Florida Board of Dentistry regarding dental hygienist supervision?

  1. The Board has no role in supervision
  2. The Board determines by rule whether hygienist functions require direct, indirect, or general supervision Correct answer.
  3. Supervision is determined solely by each dentist
  4. Federal law determines supervision levels

Explanation

The Florida Board of Dentistry determines by rule whether dental hygienist functions shall be performed under direct, indirect, or general supervision of the dentist. This is specified in Section 466.023.

Question 13Florida dental hygiene jurisprudence and shared professional responsibilities

What dental charting provision applies to Florida dental hygienists?

  1. Charting is not within the hygienist's scope
  2. Dental hygienists may perform dental charting without supervision as provided in s. 466.0235 Correct answer.
  3. Charting requires direct supervision
  4. Only dental assistants may chart

Explanation

Under Section 466.0235, Florida dental hygienists may perform dental charting without supervision. This is one of the unsupervised activities permitted for licensed dental hygienists in Florida.

Question 14Florida dental hygiene jurisprudence and shared professional responsibilities

What are the consequences of violating Florida dental hygiene practice laws?

  1. Verbal warning only
  2. Disciplinary action including license revocation, suspension, fines, probation, and reprimand Correct answer.
  3. Community service only
  4. Loss of CE credits

Explanation

Violations of Florida dental hygiene practice laws can result in disciplinary action by the Board of Dentistry including license revocation, suspension, fines, probation, reprimand, and referral for criminal prosecution.

Question 15Florida dental hygiene jurisprudence and shared professional responsibilities

Can Florida dental hygienists perform curettage?

  1. No, curettage is prohibited
  2. Yes, curettage may be delegated to dental hygienists by a dentist Correct answer.
  3. Only periodontists may perform curettage
  4. Only with special certification

Explanation

Florida law allows dentists to delegate the task of curettage to dental hygienists. This is listed alongside scaling, root planing, and removal of calculus as delegable procedures under Section 466.023.

Question 16Florida dental hygiene jurisprudence and shared professional responsibilities

What is required for a Florida dental hygienist to obtain a local anesthesia certificate?

  1. Board examination only
  2. Proof of successful completion of an approved course and current BLS/ACLS certification Correct answer.
  3. Dentist recommendation letter
  4. 3 years of clinical experience

Explanation

Florida dental hygienists must submit proof of successful completion of an approved local anesthesia course (30h didactic + 30h clinical) and evidence of current certification in basic or advanced cardiac life support to obtain the certificate.

Question 17Florida dental hygiene jurisprudence and shared professional responsibilities

What section of Florida Statutes addresses dental assistant scope of practice, which dental hygienists should also know?

  1. 466.021
  2. 466.023
  3. 466.024 Correct answer.
  4. 466.028

Explanation

Section 466.024 addresses dental assistant scope of practice. Dental hygienists should know this section because hygienists may also perform any tasks delegable to dental assistants under Section 466.023.

Question 18Florida dental hygiene jurisprudence and shared professional responsibilities

A Florida dental hygienist is working in a health access setting and encounters a patient who needs a filling. What should the hygienist do?

  1. Perform the filling since it's a health access setting
  2. Refer the patient to a dentist for treatment, as restorative procedures are outside the hygienist's scope Correct answer.
  3. Perform a temporary filling
  4. Ask another hygienist to perform it

Explanation

Even in a health access setting, dental hygienists may only perform remediable tasks within their scope. Restorative procedures like fillings are outside the dental hygienist's scope and require referral to a dentist.

Question 19Florida dental hygiene jurisprudence and shared professional responsibilities

What infection control standards must Florida dental hygienists follow?

  1. Only office-specific protocols
  2. CDC guidelines, OSHA standards, and Florida Board of Dentistry infection control rules Correct answer.
  3. ADA guidelines exclusively
  4. WHO standards only

Explanation

Florida dental hygienists must follow CDC infection control guidelines, OSHA standards (Bloodborne Pathogens Standard), and any additional infection control requirements established by the Florida Board of Dentistry.

Question 20Florida dental hygiene jurisprudence and shared professional responsibilities

What does Florida law require regarding dental hygienist documentation?

  1. Documentation is optional
  2. Accurate and complete records of all services rendered must be maintained Correct answer.
  3. Only billing documentation is required
  4. Records are the dentist's sole responsibility

Explanation

Florida law requires dental hygienists to maintain accurate and complete records of all services rendered, clinical findings, and patient interactions. Proper documentation supports continuity of care and legal compliance.

Question 21Florida dental hygiene jurisprudence and shared professional responsibilities

What type of local anesthesia course must a Florida dental hygienist complete for certification?

  1. Any online anesthesia course
  2. A course offered by a CODA-accredited dental/dental hygiene program or Board-approved program Correct answer.
  3. On-the-job training from the supervising dentist
  4. A medical school anesthesiology course

Explanation

The local anesthesia course must be offered by a dental or dental hygiene program accredited by the Commission on Dental Accreditation (CODA) or approved by the Florida Board of Dentistry.

Question 22Florida dental hygiene jurisprudence and shared professional responsibilities

A Florida dental hygienist wants to supervise a fluoride rinse program at a school. Is supervision by a dentist required?

  1. Yes, direct supervision is required
  2. Yes, general supervision is required
  3. No, authorized fluoride rinse programs can be performed without supervision Correct answer.
  4. Only the school nurse must be present

Explanation

Under Florida law, dental hygienists may, without supervision, provide authorized fluoride rinse programs. This is one of several unsupervised educational and preventive activities permitted for licensed dental hygienists.

Question 23Florida dental hygiene jurisprudence and shared professional responsibilities

Under Florida law, what constitutes 'indirect supervision' for dental hygienists?

  1. The dentist is not on premises
  2. The dentist authorizes the procedure and is available on premises but not necessarily in the treatment room Correct answer.
  3. Same as direct supervision
  4. The dentist reviews work the next day

Explanation

Under Florida law, indirect supervision means the dentist has authorized the procedure and is available on premises for consultation but does not need to be in the treatment room during the procedure.

Question 24Florida dental hygiene jurisprudence and shared professional responsibilities

What is 'general supervision' for Florida dental hygienists?

  1. No supervision at all
  2. A licensed dentist has authorized the procedures but need not be on premises Correct answer.
  3. The dentist must be in the same building
  4. Phone consultation is required

Explanation

General supervision in Florida means a licensed dentist has authorized the delegable duties but does not need to be present on the premises when the procedures are performed by the dental hygienist.

Question 25Florida dental hygiene jurisprudence and shared professional responsibilities

What ethical principle requires Florida dental hygienists to maintain patient confidentiality?

  1. Veracity
  2. Autonomy and respect for patient privacy Correct answer.
  3. Justice
  4. Fidelity

Explanation

The principle of autonomy, which includes respect for patient privacy, requires dental hygienists to maintain patient confidentiality. This principle is reinforced by HIPAA regulations and Florida law.

Question 26Florida dental hygiene jurisprudence and shared professional responsibilities

What is the Florida dental hygienist's obligation regarding informed consent?

  1. Informed consent is only the dentist's responsibility
  2. Dental hygienists must ensure patients understand proposed treatments, risks, and alternatives Correct answer.
  3. Verbal consent is always sufficient
  4. Consent is only needed for surgical procedures

Explanation

Florida dental hygienists must ensure patients understand proposed treatments, risks, benefits, and alternatives. While the overall treatment plan is the dentist's responsibility, hygienists must obtain consent for procedures they perform.

Question 27Florida dental hygiene jurisprudence and shared professional responsibilities

What PPE must Florida dental hygienists wear during patient treatment?

  1. Gloves only
  2. Gloves, mask, protective eyewear, and clinical attire per OSHA and CDC guidelines Correct answer.
  3. Mask only
  4. No specific requirements

Explanation

Florida dental hygienists must wear appropriate PPE including gloves, masks, protective eyewear, and clinical attire as required by OSHA's Bloodborne Pathogens Standard and CDC infection control guidelines.

Question 28Florida dental hygiene jurisprudence and shared professional responsibilities

How should dental instruments be sterilized in a Florida dental practice?

  1. Cold sterilization only
  2. Heat sterilization (autoclave) with regular biological monitoring per CDC guidelines Correct answer.
  3. Alcohol wipe cleaning
  4. UV light sterilization

Explanation

Florida dental practices must use heat sterilization (autoclave or dry heat) for critical and semi-critical instruments, with regular biological monitoring (spore testing) to verify sterilization effectiveness, following CDC guidelines.

Question 29Florida dental hygiene jurisprudence and shared professional responsibilities

What is the standard of care for Florida dental hygienists?

  1. The highest level of care in any state
  2. Care consistent with what a reasonably prudent dental hygienist would provide under similar circumstances Correct answer.
  3. The minimum to avoid patient complaints
  4. Whatever the supervising dentist requires

Explanation

The standard of care for Florida dental hygienists is care consistent with what a reasonably prudent dental hygienist would provide under similar circumstances. Failure to meet this standard may constitute negligence.

Question 30Florida dental hygiene jurisprudence and shared professional responsibilities

What sharps disposal protocol must Florida dental hygienists follow?

  1. Regular waste containers
  2. OSHA-compliant puncture-resistant, labeled sharps containers Correct answer.
  3. Any sealed container
  4. Return sharps to the manufacturer

Explanation

Florida dental hygienists must dispose of sharps in OSHA-compliant puncture-resistant, labeled sharps containers. Containers must be replaced before they are completely full and disposed of according to regulated medical waste protocols.

Question 31Florida dental hygiene jurisprudence and shared professional responsibilities

What is the Florida dental hygienist's responsibility regarding medical emergencies?

  1. Call 911 only
  2. Maintain current BLS certification, activate emergency protocols, administer BLS as needed, and document the event Correct answer.
  3. Emergencies are solely the dentist's responsibility
  4. No specific responsibility

Explanation

Florida dental hygienists must maintain current BLS certification, be prepared to activate office emergency protocols, administer BLS/CPR as needed, assist with emergency management, and document all events.

Question 32Florida dental hygiene jurisprudence and shared professional responsibilities

How does Florida address dental hygienist practice in underserved areas?

  1. No special provisions exist
  2. Health access settings allow hygienists to perform remediable tasks without dentist presence to improve access Correct answer.
  3. Hygienists must always have dentist supervision regardless of setting
  4. Only volunteer work is allowed

Explanation

Florida's health access setting provisions allow dental hygienists to perform remediable tasks without a dentist being physically present, improving dental care access in underserved areas and populations.

Question 33Florida dental hygiene jurisprudence and shared professional responsibilities

What hand hygiene protocol must Florida dental hygienists follow?

  1. Water rinse between patients
  2. Handwashing with antimicrobial soap or alcohol-based hand rub before and after patient contact and before gloving Correct answer.
  3. Hand hygiene at start and end of day only
  4. Glove changes replace hand hygiene

Explanation

Following CDC guidelines, Florida dental hygienists must perform hand hygiene with antimicrobial soap or alcohol-based hand rub before and after patient contact and before donning new gloves for each patient.

Question 34Florida dental hygiene jurisprudence and shared professional responsibilities

Can a Florida dental hygienist place sealants?

  1. No, sealants are outside the hygienist's scope
  2. Yes, placing sealants is within the dental hygienist's scope of practice under appropriate supervision Correct answer.
  3. Only in school settings
  4. Only with a special certification

Explanation

Placing sealants is within the Florida dental hygienist's scope of practice. Sealants are considered a preventive measure and are among the delegable tasks that dentists may authorize dental hygienists to perform.

Question 35Florida dental hygiene jurisprudence and shared professional responsibilities

What must a Florida dental hygienist know about patient abandonment?

  1. Patient abandonment is not a concern for hygienists
  2. Dental hygienists must not abruptly terminate patient care without ensuring continuity of treatment Correct answer.
  3. Patients can be dismissed without notice
  4. Only dentists can commit patient abandonment

Explanation

Dental hygienists must not abruptly terminate patient care without ensuring continuity of treatment. Patient abandonment occurs when a healthcare provider ends a relationship with a patient without reasonable notice or adequate arrangement for continued care.

Question 36Florida dental hygiene jurisprudence and shared professional responsibilities

What is the role of the Florida Department of Health in dental hygienist regulation?

  1. It has no role
  2. It oversees the Board of Dentistry, processes applications, and enforces practice laws Correct answer.
  3. It only provides public health services
  4. It sets dental insurance rates

Explanation

The Florida Department of Health oversees the Board of Dentistry, processes license applications, investigates complaints, and enforces dental practice laws including those governing dental hygienists.

Question 37Florida dental hygiene jurisprudence and shared professional responsibilities

What surface disinfection protocol applies between Florida dental hygiene patients?

  1. Wipe with water
  2. Clean and disinfect all clinical contact surfaces with EPA-registered disinfectant or use barrier protection Correct answer.
  3. Disinfect at end of day
  4. No protocol exists

Explanation

Between patients, all clinical contact surfaces must be cleaned and disinfected with EPA-registered hospital-grade disinfectant or protected with disposable barriers that are replaced between patients.

Question 38Florida dental hygiene jurisprudence and shared professional responsibilities

What is the dental hygienist's role in caries risk assessment in Florida?

  1. Caries risk assessment is outside the hygienist's scope
  2. Dental hygienists may assess caries risk as part of data collection and patient education Correct answer.
  3. Only dentists can assess caries risk
  4. Caries risk assessment requires a special permit

Explanation

Florida dental hygienists may assess caries risk as part of their data collection and patient education role. They can identify risk factors and provide preventive recommendations, though diagnosis remains the dentist's responsibility.

Question 39Florida dental hygiene jurisprudence and shared professional responsibilities

What is the OSHA Bloodborne Pathogens Standard's most important requirement for Florida dental hygienists?

  1. Annual fire drill participation
  2. Written exposure control plan, PPE, hepatitis B vaccination offer, and post-exposure protocols Correct answer.
  3. Office cleanliness
  4. Equipment maintenance

Explanation

The OSHA Bloodborne Pathogens Standard requires dental offices to maintain a written exposure control plan, provide appropriate PPE, offer hepatitis B vaccination at no cost, and establish post-exposure evaluation and follow-up protocols.

Question 40Florida dental hygiene jurisprudence and shared professional responsibilities

How does Florida law define dental hygienist 'remediable tasks' in health access settings?

  1. All dental procedures
  2. Tasks that can be reversed or corrected and do not pose permanent harm, such as scaling and prophylaxis Correct answer.
  3. Only educational activities
  4. Administrative tasks

Explanation

Remediable tasks are procedures that can be reversed or corrected and do not pose permanent harm, such as scaling, root planing, prophylaxis, and fluoride application. Local anesthesia is also classified as remediable and delegable.

Question 41Florida dental hygiene jurisprudence and shared professional responsibilities

Can a Florida dental hygienist refuse to perform a procedure they believe is unsafe?

  1. No, they must follow all dentist orders
  2. Yes, dental hygienists may refuse procedures that would compromise patient safety or exceed their scope Correct answer.
  3. Only with written Board approval
  4. Only if the patient also refuses

Explanation

Florida dental hygienists have both the right and ethical obligation to refuse to perform procedures that would compromise patient safety, exceed their scope of practice, or violate professional standards.

Question 42Florida dental hygiene jurisprudence and shared professional responsibilities

What biological monitoring schedule is recommended for sterilizers in Florida dental practices?

  1. Monthly
  2. Weekly spore testing as recommended by CDC Correct answer.
  3. Quarterly
  4. Annually

Explanation

CDC guidelines recommend weekly biological monitoring (spore testing) of sterilizers. This ensures that autoclaves are achieving proper sterilization and should be part of the quality assurance program.

Question 43Florida dental hygiene jurisprudence and shared professional responsibilities

What must a Florida dental hygienist know about AED use?

  1. AED training is optional
  2. AED training is part of the required BLS certification, and hygienists should know how to use an AED in an emergency Correct answer.
  3. AEDs are only for hospital use
  4. Only the dentist may use an AED

Explanation

AED (automated external defibrillator) training is part of the BLS certification required for Florida dental hygienists. They should know how to use an AED in a cardiac emergency as part of their emergency preparedness duties.

Question 44Florida dental hygiene jurisprudence and shared professional responsibilities

What constitutes fraud in Florida dental hygiene practice?

  1. Working at multiple offices
  2. Falsifying records, billing for services not rendered, or misrepresenting credentials Correct answer.
  3. Changing employment frequently
  4. Taking additional CE hours

Explanation

Fraud in dental hygiene includes falsifying patient records, billing for services not rendered, upcoding, and misrepresenting credentials or qualifications. These violations can result in disciplinary action, fines, and criminal charges.

Question 45Florida dental hygiene jurisprudence and shared professional responsibilities

What is the dental hygienist's role in tobacco cessation in Florida?

  1. Tobacco cessation is not within the hygienist's scope
  2. Dental hygienists should provide tobacco cessation counseling as part of patient education and preventive care Correct answer.
  3. Only refer to a smoking cessation program
  4. Only mention tobacco risks if the patient asks

Explanation

Florida dental hygienists should provide tobacco cessation counseling as part of their patient education and preventive care role. Identifying tobacco use and counseling patients on cessation is a standard of care.

Question 46Florida dental hygiene jurisprudence and shared professional responsibilities

What should a Florida dental hygienist do if they disagree with a dentist's treatment plan?

  1. Always follow the dentist's plan without question
  2. Discuss concerns professionally with the dentist, documenting the conversation, and advocate for the patient's best interest Correct answer.
  3. Refuse to participate without explanation
  4. Report the dentist to the Board immediately

Explanation

A Florida dental hygienist should discuss any concerns professionally with the supervising dentist, document the conversation, and advocate for the patient's best interest. Open communication is essential for optimal patient care.

Question 47Florida dental hygiene jurisprudence and shared professional responsibilities

What is the dental hygienist's responsibility regarding patient medication allergies in Florida?

  1. Only the dentist reviews medication allergies
  2. Dental hygienists must review and update medication/allergy histories at each visit and alert the dental team Correct answer.
  3. Allergies are only documented at the first visit
  4. Only drug allergies need review

Explanation

Florida dental hygienists must review and update medication and allergy histories at each patient visit, alert the dental team to any relevant allergies, and document all information in the patient record for safety.

Question 48Florida dental hygiene jurisprudence and shared professional responsibilities

What are the requirements for a Florida dental hygienist to supervise an oral hygiene care program?

  1. A special supervisor license is required
  2. Florida dental hygienists may, without supervision, supervise the oral hygiene care of patients Correct answer.
  3. Board pre-approval is required
  4. Only in hospital settings

Explanation

Under Section 466.023, Florida dental hygienists may, without supervision, supervise the oral hygiene care of patients. This is an unsupervised function that is part of the dental hygienist's scope of practice.

Question 49Florida dental hygiene jurisprudence and shared professional responsibilities

What exposure incident protocol must Florida dental hygienists follow for a needlestick injury?

  1. Wash and continue working
  2. Immediately wash, document, follow the exposure control plan, seek medical evaluation, and report Correct answer.
  3. Apply antiseptic and return to work
  4. Report only if symptoms develop

Explanation

Following a needlestick injury, the hygienist must immediately wash the area, document the incident, follow the office exposure control plan, seek medical evaluation for potential post-exposure prophylaxis, and report as required by OSHA.

Question 50Florida dental hygiene jurisprudence and shared professional responsibilities

What is the dental hygienist's role in fluoride varnish application in Florida?

  1. Fluoride varnish is outside the scope
  2. Dental hygienists may apply fluoride varnish as part of their preventive care scope Correct answer.
  3. Only dentists can apply varnish
  4. Requires special certification

Explanation

Fluoride varnish application is within the Florida dental hygienist's scope of practice as a topical preventive or prophylactic agent. It can be applied under appropriate supervision levels.