WGU D118 OA Study Guide Complete Review
(2026/2027) | 100% Verified Responses | A+
• What does introspection play a huge role in? -✓✓cultural competence (constant
awareness of how others view us and our actions)
• What are some qualities of value based care? -✓✓safety, effectiveness, timeliness,
efficiency, and equity
• Give an example of value based care and economics? -✓✓very selective process for
ordering examinations, radiographs, labs (best outcome for lowest cost)
• What is the cognitive ability to interpret medical information? -✓✓health literacy
• What are the four levels of health literacy? -✓✓basic, communicative, critical, and
holistic
• What is REALM? -✓✓Rapid Estimate of Adult Literacy in Medicine
• What occurs during REALM assessment? -✓✓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? -✓✓immediacy, unconditional positive regard, genuineness, and empathy
• What does the immediacy approach allow? -✓✓"here and now"... healthcare worker
identifies patient goals and work to resolve concerns quickly
• What does the unconditional positive regard allow? -✓✓acceptance and support of an
individual (allows more transparency)
• What is a strong precursor to trust? -✓✓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? -✓✓therapeutic alliance
• What are the principles of therapeutic alliance? -✓✓preparation, orientation, working
stage, termination of relationship
• What occurs during the preparation stage? -✓✓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? -✓✓awareness and equity
• What are the six main SDOH? -✓✓education, economic stability, physical
environment, food, community/social context, healthcare access
• A geographical area that has little or no access to fresh food. -✓✓food desert
• What group is the least likely to seek medical treatment? -✓✓males
• What are some common functional changes in the reduction in ability to perform
tasks? -✓✓incontinence, vision problems, balance problems, bone weakness,
decreased endurance
• What are the changes in function often resulted from? -✓✓sense of loss, distress, and
social isolation
• What is an example of mild cognitive impairment? -✓✓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? -✓✓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 -✓✓vascular
dementia
• Dementia with lewy bodies, patient behavior? -✓✓problematic behaviors, aggression,
vivid hallucinations, and sleep disorders
• What disease is known as the early onset dementia? -✓✓frontotemporal dementia
• When do patients show signs of frontotemporal dementia? -✓✓40-60 years old
• What is a common side effect of frontotemporal dementia? -✓✓involuntary sexually
inappropriate behaviors
• What does a patient with mixed dementia have? -✓✓alzheimers and vascular
dementia
• What are the 3 Ds for older adults-neurocognitive disorder -✓✓depression, delirium,
dementia
(2026/2027) | 100% Verified Responses | A+
• What does introspection play a huge role in? -✓✓cultural competence (constant
awareness of how others view us and our actions)
• What are some qualities of value based care? -✓✓safety, effectiveness, timeliness,
efficiency, and equity
• Give an example of value based care and economics? -✓✓very selective process for
ordering examinations, radiographs, labs (best outcome for lowest cost)
• What is the cognitive ability to interpret medical information? -✓✓health literacy
• What are the four levels of health literacy? -✓✓basic, communicative, critical, and
holistic
• What is REALM? -✓✓Rapid Estimate of Adult Literacy in Medicine
• What occurs during REALM assessment? -✓✓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? -✓✓immediacy, unconditional positive regard, genuineness, and empathy
• What does the immediacy approach allow? -✓✓"here and now"... healthcare worker
identifies patient goals and work to resolve concerns quickly
• What does the unconditional positive regard allow? -✓✓acceptance and support of an
individual (allows more transparency)
• What is a strong precursor to trust? -✓✓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? -✓✓therapeutic alliance
• What are the principles of therapeutic alliance? -✓✓preparation, orientation, working
stage, termination of relationship
• What occurs during the preparation stage? -✓✓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? -✓✓awareness and equity
• What are the six main SDOH? -✓✓education, economic stability, physical
environment, food, community/social context, healthcare access
• A geographical area that has little or no access to fresh food. -✓✓food desert
• What group is the least likely to seek medical treatment? -✓✓males
• What are some common functional changes in the reduction in ability to perform
tasks? -✓✓incontinence, vision problems, balance problems, bone weakness,
decreased endurance
• What are the changes in function often resulted from? -✓✓sense of loss, distress, and
social isolation
• What is an example of mild cognitive impairment? -✓✓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? -✓✓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 -✓✓vascular
dementia
• Dementia with lewy bodies, patient behavior? -✓✓problematic behaviors, aggression,
vivid hallucinations, and sleep disorders
• What disease is known as the early onset dementia? -✓✓frontotemporal dementia
• When do patients show signs of frontotemporal dementia? -✓✓40-60 years old
• What is a common side effect of frontotemporal dementia? -✓✓involuntary sexually
inappropriate behaviors
• What does a patient with mixed dementia have? -✓✓alzheimers and vascular
dementia
• What are the 3 Ds for older adults-neurocognitive disorder -✓✓depression, delirium,
dementia
