WGU D118: Adult Primary Care – OA & PA Exam
Review/ WGU D118: Adult Primary Care Exam 2025–
2026 | Verified Questions with Correct Answers | Brand
New Version
Domain 1: Foundational Concepts & Health Literacy
Q1. What is the cognitive ability to interpret medical information?
A. Health promotion
B. Health literacy
C. Cultural competence
D. Disease management
Correct Answer: B
Rationale: Health literacy is defined as the cognitive and social skills that
determine a person's motivation and ability to gain access to, understand, and use
information in ways that promote and maintain good health .
Q2. What are the four levels of health literacy?
A. Basic, intermediate, advanced, proficient
B. Basic, communicative, critical, and holistic
C. Foundational, interpretive, analytical, evaluative
D. Reading, writing, numeracy, comprehension
Correct Answer: B
Rationale: The four levels of health literacy are basic (reading and understanding
simple information), communicative (extracting and applying information), critical
,(analyzing and evaluating information), and holistic (integrating information across
life contexts) .
Q3. What does REALM stand for?
A. Reading Evaluation Assessment for Literacy in Medicine
B. Rapid Estimate of Adult Literacy in Medicine
C. Reading and Evaluation of Adult Language in Medicine
D. Rapid Evaluation of Adult Literacy and Memory
Correct Answer: B
Rationale: REALM (Rapid Estimate of Adult Literacy in Medicine) is a screening
tool used to assess a patient's reading ability and health literacy. During the
assessment, the patient is asked to pronounce 66 medical words to determine
literacy level .
Domain 2: Value-Based Care & Geriatric Assessment
Q4. What are the five qualities of value-based care?
A. Safety, effectiveness, timeliness, efficiency, and equity
B. Quality, accessibility, affordability, consistency, and fairness
C. Prevention, diagnosis, treatment, rehabilitation, and palliation
D. Respect, compassion, communication, coordination, and continuity
Correct Answer: A
Rationale: Value-based care is built on the STEEEP
framework: Safe, Timely, Effective, Efficient, Equitable, and Patient-centered care.
This approach emphasizes achieving the best outcomes at the lowest cost .
Q5. What are the four primary skills for developing a positive therapeutic
relationship with older adults?
, A. Listening, sympathy, patience, and respect
B. Immediacy, unconditional positive regard, genuineness, and empathy
C. Communication, collaboration, compassion, and competence
D. Trust, transparency, timeliness, and teamwork
Correct Answer: B
Rationale: The four essential skills are immediacy (addressing concerns in the
"here and now"), unconditional positive regard (acceptance without
judgment), genuineness (authenticity, a precursor to trust),
and empathy (understanding the patient's perspective) .
Q6. What group is the least likely to seek medical treatment?
A. Elderly women
B. Adolescents
C. Males
D. Young adults
Correct Answer: C
Rationale: Research consistently shows that males are less likely than females to
seek medical treatment for health concerns, often due to socialization factors and
perceptions of masculinity .
Q7. What are the "3 Ds" for older adults with neurocognitive disorders?
A. Dementia, delirium, depression
B. Decline, disability, dependency
C. Distress, dysfunction, disease
D. Disorientation, delusions, dysfunction
Correct Answer: A
Rationale: The "3 Ds" of geriatric neurocognitive assessment
are Depression, Delirium, and Dementia. These conditions often present with
Review/ WGU D118: Adult Primary Care Exam 2025–
2026 | Verified Questions with Correct Answers | Brand
New Version
Domain 1: Foundational Concepts & Health Literacy
Q1. What is the cognitive ability to interpret medical information?
A. Health promotion
B. Health literacy
C. Cultural competence
D. Disease management
Correct Answer: B
Rationale: Health literacy is defined as the cognitive and social skills that
determine a person's motivation and ability to gain access to, understand, and use
information in ways that promote and maintain good health .
Q2. What are the four levels of health literacy?
A. Basic, intermediate, advanced, proficient
B. Basic, communicative, critical, and holistic
C. Foundational, interpretive, analytical, evaluative
D. Reading, writing, numeracy, comprehension
Correct Answer: B
Rationale: The four levels of health literacy are basic (reading and understanding
simple information), communicative (extracting and applying information), critical
,(analyzing and evaluating information), and holistic (integrating information across
life contexts) .
Q3. What does REALM stand for?
A. Reading Evaluation Assessment for Literacy in Medicine
B. Rapid Estimate of Adult Literacy in Medicine
C. Reading and Evaluation of Adult Language in Medicine
D. Rapid Evaluation of Adult Literacy and Memory
Correct Answer: B
Rationale: REALM (Rapid Estimate of Adult Literacy in Medicine) is a screening
tool used to assess a patient's reading ability and health literacy. During the
assessment, the patient is asked to pronounce 66 medical words to determine
literacy level .
Domain 2: Value-Based Care & Geriatric Assessment
Q4. What are the five qualities of value-based care?
A. Safety, effectiveness, timeliness, efficiency, and equity
B. Quality, accessibility, affordability, consistency, and fairness
C. Prevention, diagnosis, treatment, rehabilitation, and palliation
D. Respect, compassion, communication, coordination, and continuity
Correct Answer: A
Rationale: Value-based care is built on the STEEEP
framework: Safe, Timely, Effective, Efficient, Equitable, and Patient-centered care.
This approach emphasizes achieving the best outcomes at the lowest cost .
Q5. What are the four primary skills for developing a positive therapeutic
relationship with older adults?
, A. Listening, sympathy, patience, and respect
B. Immediacy, unconditional positive regard, genuineness, and empathy
C. Communication, collaboration, compassion, and competence
D. Trust, transparency, timeliness, and teamwork
Correct Answer: B
Rationale: The four essential skills are immediacy (addressing concerns in the
"here and now"), unconditional positive regard (acceptance without
judgment), genuineness (authenticity, a precursor to trust),
and empathy (understanding the patient's perspective) .
Q6. What group is the least likely to seek medical treatment?
A. Elderly women
B. Adolescents
C. Males
D. Young adults
Correct Answer: C
Rationale: Research consistently shows that males are less likely than females to
seek medical treatment for health concerns, often due to socialization factors and
perceptions of masculinity .
Q7. What are the "3 Ds" for older adults with neurocognitive disorders?
A. Dementia, delirium, depression
B. Decline, disability, dependency
C. Distress, dysfunction, disease
D. Disorientation, delusions, dysfunction
Correct Answer: A
Rationale: The "3 Ds" of geriatric neurocognitive assessment
are Depression, Delirium, and Dementia. These conditions often present with
