WGU D118/ WGUD118 Exam Test Bank (Latest 2026/2027 Update) Adult Primary Care for the Advanced Practice Nurse| 800 Questions with Verified Answers | 100% Correct | Graded A+

WGU D118/ WGUD118 Exam Test Bank (Latest
2026/2027 Update) Adult Primary Care for the
Advanced Practice Nurse| 800 Questions with
Verified Answers | 100% Correct | Graded A+
Question:

What are the stages involved in Lewn's change theory and how does this
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apply to evidenced-based practice??
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Answer:
Kurt Lewin developed a change model involving three steps: unfreezing,
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changing and refreezing. For Lewin, the process of change entails creating
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the perception that a change is needed, then moving toward the new,
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desired level of behavior and, finally, solidifying that new behavior as the
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norm.




Question:

Name the domains of wellness and describe each type.?
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Answer:

Physical.

Emotional.

Intellectual.

Social.
Spiritual.

,Environmental.
Occupational.

FINANCIAL




Question:

Explain the reasons why transitions of care increase risks for adverse
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events.?

Answer:

Transitions increase the risk of adverse events due to the potential for
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miscommunication as responsibility is given to new parties. Hospital i,- i,- i,- i,- i,- i,- i,- i,- i,-


discharge is a complex process representing a time of significant
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vulnerability for patients i,- i,-




Question:
Describe different models of chronic care coordination.?
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Answer:

Several models of care have been established, including Patient-Centered
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Medical Homes (PCMHs), self-management programs, house call or home-
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based primary care programs, and distance chronic disease programs
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(telehealth)`




Question:

,Explain the difference between synchronous and asynchronous
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telemedicine and the significance of this type of healthcare delivery in the
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US.?
Answer:

Synchronous or real-time telehealth requires the presence of both parties
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at the same time and a communication link between them that allows a
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real-time interaction to take place. Videoconferencing equipment is one
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of the most common forms of technologies used in synchronous
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telehealth. There are also peripheral devices that can be attached to
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computers or the videoconferencing equipment, which can aid in an
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interactive examination. i,-




Asynchronous telehealth involves acquiring medical data (e.g., medical i,- i,- i,- i,- i,- i,- i,- i,-


images, biosignals, voice recordings) and then transmitting these data to a
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doctor or medical specialist at a convenient time for assessment offline. It
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does not require the presence of both parties at the same time.
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Question:

What are the key components of social determinants of health and why
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are they significant??
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Answer:

Social determinants of health (SDOH) are the conditions in the
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environments where people are born, live, learn, work, play, worship, and i,- i,- i,- i,- i,- i,- i,- i,- i,- i,- i,-



age that affect a wide range of health, functioning, and quality-of-life
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outcomes and risks. i,- i,-

, Question:
Identify two national initiatives to improve health care quality and patient
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care throughout the US?
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Answer:

Better CareImprove quality by making health care more person-centered,
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reliable, accessible, and safe.
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Question:
Describe the NNDSS.? i,- i,-




Answer:

The National Notifiable Disease Surveillance System (NNDSS) is a
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nationwide collaboration that enables all levels of public health (local,
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state, territorial, federal, and international) to share health information to
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monitor, control, and prevent the occurrence and spread of state-
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reportable and nationally notifiable
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Question:

What is included in palliative care??
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Answer:

Aligning treatment outcomes with the patient's values and preferences.
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Improving quality of life for both the patient and the family.
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Minimizing pain and discomfort. i,- i,- i,-




Alleviating emotional distress, anxiety, or depression.
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