WESTERN GOVERNORS UNIVERSITY
D390 UYM2 Task 1
HHS Roles, Organizations, and
Cultural Competence
Official Practice Exam | 2026/2027 Edition
Questions Minutes Passing Score Sections
50 60 80% 4
TABLE OF CONTENTS
Section 1: HHS Roles and Responsibilities (13 questions)
Section 2: HHS Organizations and Agencies (13 questions)
Section 3: Cultural Competence in Health and Human Services (12 questions)
Section 4: Ethical and Legal Considerations in HHS (12 questions)
INSTRUCTIONS
Read each question carefully. Select the single best answer from the four options provided. Each question presents a realistic
scenario requiring application of course concepts. Review the rationale for each answer to strengthen understanding. A score
of 80% or higher (40 of 50 correct) is required to pass.
WGU D390 Task 1 -- 2026/2027 | Passing Score: 80% | Page 1
,Section 1: HHS Roles and Responsibilities | 2026/2027
Q1. Question 1 of 50
A 34-year-old social worker employed by a county health department is assigned to
coordinate care for a newly arrived refugee family with multiple chronic health
conditions. The social worker must navigate housing, medical appointments, and
school enrollment simultaneously. This coordination role best exemplifies which
HHS professional function?
A. Case management and advocacy
B. Direct service provision
C. Program administration
D. Quality assurance monitoring
Correct Answer: A
Rationale:
Case management and advocacy is the core HHS function that involves coordinating multiple
services across systems for vulnerable populations. Direct service provision focuses on a single
intervention, while program administration and quality assurance are organizational rather than
client-facing roles.
Q2. Question 2 of 50
A community health worker in a rural clinic notices that several pregnant patients
are missing prenatal appointments due to lack of transportation. The worker
organizes a volunteer driver program and partners with a local church van service.
This intervention primarily demonstrates which HHS role competency?
A. Resource mobilization and community linkage
B. Clinical assessment and diagnosis
C. Policy analysis and legislative drafting
D. Data collection and surveillance
Correct Answer: A
Rationale:
Resource mobilization and community linkage involves connecting clients with existing resources
and creating new pathways to services, which is exactly what the community health worker
accomplished. Clinical assessment, policy analysis, and data collection are different competencies
that do not describe this outreach activity.
WGU D390 Task 1 -- 2026/2027 | Passing Score: 80% | Page 2
, Q3. Question 3 of 50
A public health nurse working in a federally qualified health center is responsible for
conducting home visits for high-risk infants, providing parenting education, and
documenting developmental milestones. During a supervisory review, the nurse is
evaluated on the accuracy and timeliness of documentation. Which HHS role
dimension is being assessed?
A. Interprofessional collaboration
B. Administrative and regulatory compliance
C. Direct care delivery and documentation
D. Research and evidence-based practice
Correct Answer: C
Rationale:
The nurse's home visits, parenting education, and developmental milestone documentation all fall
under direct care delivery and documentation. While administrative compliance is related, the core
activity being evaluated is the clinical documentation of direct services provided to families.
Q4. Question 4 of 50
During an interdisciplinary team meeting at a mental health agency, a licensed
professional counselor advocates for a client to receive specialized trauma therapy
that is not currently covered by the agency's insurance contracts. The counselor
presents outcome data and negotiates with the billing department. This activity best
represents which HHS professional role?
A. Client advocate and systems navigator
B. Fiscal manager and budget analyst
C. Regulatory compliance officer
D. Health information technician
Correct Answer: A
Rationale:
Advocating for a client to receive necessary services by presenting evidence and negotiating with
administrative systems is the hallmark of a client advocate and systems navigator. The other roles
focus on financial management, regulatory oversight, or data management rather than
client-centered advocacy.
WGU D390 Task 1 -- 2026/2027 | Passing Score: 80% | Page 3
D390 UYM2 Task 1
HHS Roles, Organizations, and
Cultural Competence
Official Practice Exam | 2026/2027 Edition
Questions Minutes Passing Score Sections
50 60 80% 4
TABLE OF CONTENTS
Section 1: HHS Roles and Responsibilities (13 questions)
Section 2: HHS Organizations and Agencies (13 questions)
Section 3: Cultural Competence in Health and Human Services (12 questions)
Section 4: Ethical and Legal Considerations in HHS (12 questions)
INSTRUCTIONS
Read each question carefully. Select the single best answer from the four options provided. Each question presents a realistic
scenario requiring application of course concepts. Review the rationale for each answer to strengthen understanding. A score
of 80% or higher (40 of 50 correct) is required to pass.
WGU D390 Task 1 -- 2026/2027 | Passing Score: 80% | Page 1
,Section 1: HHS Roles and Responsibilities | 2026/2027
Q1. Question 1 of 50
A 34-year-old social worker employed by a county health department is assigned to
coordinate care for a newly arrived refugee family with multiple chronic health
conditions. The social worker must navigate housing, medical appointments, and
school enrollment simultaneously. This coordination role best exemplifies which
HHS professional function?
A. Case management and advocacy
B. Direct service provision
C. Program administration
D. Quality assurance monitoring
Correct Answer: A
Rationale:
Case management and advocacy is the core HHS function that involves coordinating multiple
services across systems for vulnerable populations. Direct service provision focuses on a single
intervention, while program administration and quality assurance are organizational rather than
client-facing roles.
Q2. Question 2 of 50
A community health worker in a rural clinic notices that several pregnant patients
are missing prenatal appointments due to lack of transportation. The worker
organizes a volunteer driver program and partners with a local church van service.
This intervention primarily demonstrates which HHS role competency?
A. Resource mobilization and community linkage
B. Clinical assessment and diagnosis
C. Policy analysis and legislative drafting
D. Data collection and surveillance
Correct Answer: A
Rationale:
Resource mobilization and community linkage involves connecting clients with existing resources
and creating new pathways to services, which is exactly what the community health worker
accomplished. Clinical assessment, policy analysis, and data collection are different competencies
that do not describe this outreach activity.
WGU D390 Task 1 -- 2026/2027 | Passing Score: 80% | Page 2
, Q3. Question 3 of 50
A public health nurse working in a federally qualified health center is responsible for
conducting home visits for high-risk infants, providing parenting education, and
documenting developmental milestones. During a supervisory review, the nurse is
evaluated on the accuracy and timeliness of documentation. Which HHS role
dimension is being assessed?
A. Interprofessional collaboration
B. Administrative and regulatory compliance
C. Direct care delivery and documentation
D. Research and evidence-based practice
Correct Answer: C
Rationale:
The nurse's home visits, parenting education, and developmental milestone documentation all fall
under direct care delivery and documentation. While administrative compliance is related, the core
activity being evaluated is the clinical documentation of direct services provided to families.
Q4. Question 4 of 50
During an interdisciplinary team meeting at a mental health agency, a licensed
professional counselor advocates for a client to receive specialized trauma therapy
that is not currently covered by the agency's insurance contracts. The counselor
presents outcome data and negotiates with the billing department. This activity best
represents which HHS professional role?
A. Client advocate and systems navigator
B. Fiscal manager and budget analyst
C. Regulatory compliance officer
D. Health information technician
Correct Answer: A
Rationale:
Advocating for a client to receive necessary services by presenting evidence and negotiating with
administrative systems is the hallmark of a client advocate and systems navigator. The other roles
focus on financial management, regulatory oversight, or data management rather than
client-centered advocacy.
WGU D390 Task 1 -- 2026/2027 | Passing Score: 80% | Page 3
