WGU D118 ADULT PRIMARY CARE OBJECTIVE ASSESSMENT FINAL
EXAM | COMPLETE QUESTIONS WITH EXPERT SOLUTIONS | 2026
LATEST UPDATED | GET A+
What is the act of examining ones own mental processes and emotions? - (answer)introspection
What does introspection play a huge role in? - (answer)cultural competence (constant awareness
of how others view us and our actions)
What are some qualities of value based care? - (answer)safety, effectiveness, timeliness,
efficiency, and equity
Give an example of value based care and economics? - (answer)very selective process for
ordering examinations, radiographs, labs (best outcome for lowest cost)
What is the cognitive ability to interpret medical information? - (answer)health literacy
What are the four levels of health literacy? - (answer)basic, communicative, critical, and holistic
What is REALM? - (answer)Rapid Estimate of Adult Literacy in Medicine
What occurs during REALM assessment? - (answer)66 words have to be pronounced by patient
to determine health literacy
What are the four primary skills for developing a positive theraputic relationship with older
adults? - (answer)immediacy, unconditional positive regard, genuineness, and empathy
What does the immediacy approach allow? - (answer)"here and now"... healthcare worker
identifies patient goals and work to resolve concerns quickly
,What does the unconditional positive regard allow? - (answer)acceptance and support of an
individual (allows more transparency)
What is a strong precursor to trust? - (answer)genuineness
What is the ability of a healthcare worker and the patient to work collaboratively together to
create bonds with one another, share goals, and carry out tasks to meet the patient's goals? -
(answer)therapeutic alliance
What are the principles of therapeutic alliance? - (answer)preparation, orientation, working stage,
termination of relationship
What occurs during the preparation stage? - (answer)immediacy, unconditional positive regard,
empathy and warmth skills are used in this stage
preparing for the first encounter by reviewing charts and possible barriers to communication and
treatment
What is the working stage divided into? - (answer)awareness and equity
What are the six main SDOH? - (answer)education, economic stability, physical environment,
food, community/social context, healthcare access
A geographical area that has little or no access to fresh food. - (answer)food desert
What group is the least likely to seek medical treatment? - (answer)males
What are some common functional changes in the reduction in ability to perform tasks? -
(answer)incontinence, vision problems, balance problems, bone weakness, decreased endurance
,What are the changes in function often resulted from? - (answer)sense of loss, distress, and social
isolation
What is an example of mild cognitive impairment? - (answer)losing items, having difficulty with
words (normal part of aging)
What is the condition that result of an abnormal shrinkage in the brain and the buildup of plaque
within the brain? - (answer)Alzheimer's
What condition results from a stroke or transient ischemic attacks (TIA or mini-stroke) that
causes damage to the brain and tissue around the area of the stroke - (answer)vascular dementia
Dementia with lewy bodies, patient behavior? - (answer)problematic behaviors, aggression, vivid
hallucinations, and sleep disorders
What disease is known as the early onset dementia? - (answer)frontotemporal dementia
When do patients show signs of frontotemporal dementia? - (answer)40-60 years old
What is a common side effect of frontotemporal dementia? - (answer)involuntary sexually
inappropriate behaviors
What does a patient with mixed dementia have? - (answer)alzheimers and vascular dementia
What are the 3 Ds for older adults-neurocognitive disorder - (answer)depression, delirium,
dementia
Two of the most common scales used to assess older adults - (answer)Karnofsky Performance
Scale (KPS) and the Eastern Cooperative Oncology Group (ECOG) scale
, What are the five parameters that both assessment scales use? - (answer)fluid/food intake, ability
to care for self, ability to engage in activities, ability to ambulate, and level of consciousness
KPS is often used for? - (answer)determining eligibility to hospice
ECOG is often used for? - (answer)determining if chemo is appropriate for patient
What are examples of reversible conditions that can cause memory loss? - (answer)cardiac
arrhythmias, high cholesterol, and high BP
What are the two assessments for dementia? - (answer)mini-mental status exam, montreal
cognitive assessment
Two weaknesses of this assessment include (mini mental status exam) - (answer)inability to
differentiate dementia types and its inability to detect the early stages of memory loss.
What is the SPICES assessment tool? - (answer)sleep disorders
problem eating
incontinence
confusion
evidence of falls
skin breakdown
theory of motivation that identifies three psychological needs of all individuals: autonomy,
relatedness, and competence (CIT). - (answer)self determination theory
What is the universal desire to interact with others in a connected way that provides a sense of
the individual caring for others and others caring for the individual. - (answer)relatedness
EXAM | COMPLETE QUESTIONS WITH EXPERT SOLUTIONS | 2026
LATEST UPDATED | GET A+
What is the act of examining ones own mental processes and emotions? - (answer)introspection
What does introspection play a huge role in? - (answer)cultural competence (constant awareness
of how others view us and our actions)
What are some qualities of value based care? - (answer)safety, effectiveness, timeliness,
efficiency, and equity
Give an example of value based care and economics? - (answer)very selective process for
ordering examinations, radiographs, labs (best outcome for lowest cost)
What is the cognitive ability to interpret medical information? - (answer)health literacy
What are the four levels of health literacy? - (answer)basic, communicative, critical, and holistic
What is REALM? - (answer)Rapid Estimate of Adult Literacy in Medicine
What occurs during REALM assessment? - (answer)66 words have to be pronounced by patient
to determine health literacy
What are the four primary skills for developing a positive theraputic relationship with older
adults? - (answer)immediacy, unconditional positive regard, genuineness, and empathy
What does the immediacy approach allow? - (answer)"here and now"... healthcare worker
identifies patient goals and work to resolve concerns quickly
,What does the unconditional positive regard allow? - (answer)acceptance and support of an
individual (allows more transparency)
What is a strong precursor to trust? - (answer)genuineness
What is the ability of a healthcare worker and the patient to work collaboratively together to
create bonds with one another, share goals, and carry out tasks to meet the patient's goals? -
(answer)therapeutic alliance
What are the principles of therapeutic alliance? - (answer)preparation, orientation, working stage,
termination of relationship
What occurs during the preparation stage? - (answer)immediacy, unconditional positive regard,
empathy and warmth skills are used in this stage
preparing for the first encounter by reviewing charts and possible barriers to communication and
treatment
What is the working stage divided into? - (answer)awareness and equity
What are the six main SDOH? - (answer)education, economic stability, physical environment,
food, community/social context, healthcare access
A geographical area that has little or no access to fresh food. - (answer)food desert
What group is the least likely to seek medical treatment? - (answer)males
What are some common functional changes in the reduction in ability to perform tasks? -
(answer)incontinence, vision problems, balance problems, bone weakness, decreased endurance
,What are the changes in function often resulted from? - (answer)sense of loss, distress, and social
isolation
What is an example of mild cognitive impairment? - (answer)losing items, having difficulty with
words (normal part of aging)
What is the condition that result of an abnormal shrinkage in the brain and the buildup of plaque
within the brain? - (answer)Alzheimer's
What condition results from a stroke or transient ischemic attacks (TIA or mini-stroke) that
causes damage to the brain and tissue around the area of the stroke - (answer)vascular dementia
Dementia with lewy bodies, patient behavior? - (answer)problematic behaviors, aggression, vivid
hallucinations, and sleep disorders
What disease is known as the early onset dementia? - (answer)frontotemporal dementia
When do patients show signs of frontotemporal dementia? - (answer)40-60 years old
What is a common side effect of frontotemporal dementia? - (answer)involuntary sexually
inappropriate behaviors
What does a patient with mixed dementia have? - (answer)alzheimers and vascular dementia
What are the 3 Ds for older adults-neurocognitive disorder - (answer)depression, delirium,
dementia
Two of the most common scales used to assess older adults - (answer)Karnofsky Performance
Scale (KPS) and the Eastern Cooperative Oncology Group (ECOG) scale
, What are the five parameters that both assessment scales use? - (answer)fluid/food intake, ability
to care for self, ability to engage in activities, ability to ambulate, and level of consciousness
KPS is often used for? - (answer)determining eligibility to hospice
ECOG is often used for? - (answer)determining if chemo is appropriate for patient
What are examples of reversible conditions that can cause memory loss? - (answer)cardiac
arrhythmias, high cholesterol, and high BP
What are the two assessments for dementia? - (answer)mini-mental status exam, montreal
cognitive assessment
Two weaknesses of this assessment include (mini mental status exam) - (answer)inability to
differentiate dementia types and its inability to detect the early stages of memory loss.
What is the SPICES assessment tool? - (answer)sleep disorders
problem eating
incontinence
confusion
evidence of falls
skin breakdown
theory of motivation that identifies three psychological needs of all individuals: autonomy,
relatedness, and competence (CIT). - (answer)self determination theory
What is the universal desire to interact with others in a connected way that provides a sense of
the individual caring for others and others caring for the individual. - (answer)relatedness
