1
NU
NU665 FINAL EXAM QUESTIONS AND
ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
Family-centered care - ANS ✓-Shared-decision making is the basis for family-
centered care with the ultimate goal of improve health and satisfaction
Referral and consultations - ANS ✓1. Referrals
-the patient will be assessed and managed by the provider referred to
2. Consultation
-the PCP wishes to continue to manage the patient's care but seeks consultation
about particular aspects of the care
National Organizations and Resources - ANS ✓-Most national organizations
provide written materials parents and children can easily understand about the
cause, management and treatment of the particular disease in question
-These materials can help parents explain their child's condition to teachers and
others
-These organizations can guide them to support groups with families and
children with similar diseases
NU665
, 2
NU
-They can help them access services that benefit their children - camps, sports,
learning about legal rights, special adaptive equipment
-PCP - National organization for rare disorders assists providers and parents and
offers information about conditions or disease processes
Good documentation and patient visit - ANS ✓1. Be alert to a complaint or
combination of complaints that are red flags for more serious illnesses -
abdominal or chest pain, headache, syncope; note pertinent positives and
negative history and physical findings relative to these complaints
2. Identify differential diagnoses and rule out serious or life-threatening illness
first. Be sure to gather enough data to either rule in or out the diagnosis based on
history, physical findings, and diagnostic studies; Rule outs are no longer
acceptable by insurance providers. Providers must use medical terms such as
RLQ pain rather than rule out appendicitis
3. Revisit an unresolved problem until it resolves. Reschedule a follow-up
examination or use telephone or email contact with the family to determine if the
complaint or illness resolved
4. Ensure there is a system in place to ensure that diagnostic studies were done,
results received, and follow-up was done by the provider
5. Follow-up on referrals to other healthcare providers or agencies and document
the recommendations or treatments from these referral sources
NU665
, 3
NU
6. Document missed clinic appointments through chart audits, which should be a
regular part of practice quality improvement. Look for such information
omissions, whether problems identified in earlier visits were addressed at
subsequent visits until resolved, and compliance with routine health
maintenance screenings
Triage questions - ANS ✓1. Description - tell me about the problem; what signs
and symptoms are present
2. Duration - how long has the problem been present
3. Clinical changes - how has the child's behavior or activity level changed -
eating, sleeping, playing, interaction with others
4. Appetite - has there been a change in eating or drinking
5. Elimination - have there been changes in bowel or bladder habits
6. Sleep pattern - has there been a change in the child's sleeping habits
7. Cause - what does the parent believe ma be contributing to the condition
8. Management - what has the parent done and the effect
9. Feelings - does the parent feel anxious about the current condition
Texting and e-mail - ANS ✓-HIPAA does not comment on messaging because
the law was created before texting
-As of 2013, all providers must have the ability to have secure healthcare
communications with an encryption protection platform as part of their mobile
NU665
, 4
NU
device assuring that if there is a loss of a mobile device, the user can be
disconnected from the system to avoid a data breach
-PHI is not allowed to be stored on personal mobile devices if a personal mobile
device is used on an open WIFI network
-SMS are used to send appointment reminders, give educational messages,
provide support to patients between visits, and track lab results
-If text messaging is used by a provider evaluating a child's condition, it is
important to ensure that the same information that would normally be asked in a
telephone conversation is in the text message before giving any
recommendations
-Parents and families must agree to SMS messaging
-Some practices have included requirements in their policy, such as encryption,
passcode protection, registration of devices, or use of third-party secure
messaging systems to avoid any breach of confidentiality
-Emailing - can have same issues as texting; limit this type of communication to
encrypted networks in which the device can be turned off if lost
Mutations vs polymorphisms - ANS ✓1. Mutations
-An allele is a mutation when its genetic variability is found in less than 1% of a
population; means a disease-causing variation
-Point mutations, nucleotide repeat expansions, copy number variants, or
chromosome mutations
2. Polymorphism
NU665
NU
NU665 FINAL EXAM QUESTIONS AND
ANSWERS UPDATED (2024/2025)
(VERIFIED ANSWERS)
Family-centered care - ANS ✓-Shared-decision making is the basis for family-
centered care with the ultimate goal of improve health and satisfaction
Referral and consultations - ANS ✓1. Referrals
-the patient will be assessed and managed by the provider referred to
2. Consultation
-the PCP wishes to continue to manage the patient's care but seeks consultation
about particular aspects of the care
National Organizations and Resources - ANS ✓-Most national organizations
provide written materials parents and children can easily understand about the
cause, management and treatment of the particular disease in question
-These materials can help parents explain their child's condition to teachers and
others
-These organizations can guide them to support groups with families and
children with similar diseases
NU665
, 2
NU
-They can help them access services that benefit their children - camps, sports,
learning about legal rights, special adaptive equipment
-PCP - National organization for rare disorders assists providers and parents and
offers information about conditions or disease processes
Good documentation and patient visit - ANS ✓1. Be alert to a complaint or
combination of complaints that are red flags for more serious illnesses -
abdominal or chest pain, headache, syncope; note pertinent positives and
negative history and physical findings relative to these complaints
2. Identify differential diagnoses and rule out serious or life-threatening illness
first. Be sure to gather enough data to either rule in or out the diagnosis based on
history, physical findings, and diagnostic studies; Rule outs are no longer
acceptable by insurance providers. Providers must use medical terms such as
RLQ pain rather than rule out appendicitis
3. Revisit an unresolved problem until it resolves. Reschedule a follow-up
examination or use telephone or email contact with the family to determine if the
complaint or illness resolved
4. Ensure there is a system in place to ensure that diagnostic studies were done,
results received, and follow-up was done by the provider
5. Follow-up on referrals to other healthcare providers or agencies and document
the recommendations or treatments from these referral sources
NU665
, 3
NU
6. Document missed clinic appointments through chart audits, which should be a
regular part of practice quality improvement. Look for such information
omissions, whether problems identified in earlier visits were addressed at
subsequent visits until resolved, and compliance with routine health
maintenance screenings
Triage questions - ANS ✓1. Description - tell me about the problem; what signs
and symptoms are present
2. Duration - how long has the problem been present
3. Clinical changes - how has the child's behavior or activity level changed -
eating, sleeping, playing, interaction with others
4. Appetite - has there been a change in eating or drinking
5. Elimination - have there been changes in bowel or bladder habits
6. Sleep pattern - has there been a change in the child's sleeping habits
7. Cause - what does the parent believe ma be contributing to the condition
8. Management - what has the parent done and the effect
9. Feelings - does the parent feel anxious about the current condition
Texting and e-mail - ANS ✓-HIPAA does not comment on messaging because
the law was created before texting
-As of 2013, all providers must have the ability to have secure healthcare
communications with an encryption protection platform as part of their mobile
NU665
, 4
NU
device assuring that if there is a loss of a mobile device, the user can be
disconnected from the system to avoid a data breach
-PHI is not allowed to be stored on personal mobile devices if a personal mobile
device is used on an open WIFI network
-SMS are used to send appointment reminders, give educational messages,
provide support to patients between visits, and track lab results
-If text messaging is used by a provider evaluating a child's condition, it is
important to ensure that the same information that would normally be asked in a
telephone conversation is in the text message before giving any
recommendations
-Parents and families must agree to SMS messaging
-Some practices have included requirements in their policy, such as encryption,
passcode protection, registration of devices, or use of third-party secure
messaging systems to avoid any breach of confidentiality
-Emailing - can have same issues as texting; limit this type of communication to
encrypted networks in which the device can be turned off if lost
Mutations vs polymorphisms - ANS ✓1. Mutations
-An allele is a mutation when its genetic variability is found in less than 1% of a
population; means a disease-causing variation
-Point mutations, nucleotide repeat expansions, copy number variants, or
chromosome mutations
2. Polymorphism
NU665
