WGU D118 ADULT PRIMARY CARE OBJECTIVE ASSESSMENT
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. What does REMAP stand for? - ANSWER reframe, expect emotion,
mapping the future, aligning values, plan
2. What model was developed by Johns Hopkins University, the Guided Care
model was meant to serve the rapidly growing population of older adults
who have increasingly complicated medical conditions as they age -
ANSWER primary care coordination
3. What type of services are provided in primary care coordination? - ANSWER
wraparound
4. This type of care coordination generally occurs within hospitals and is short
term - ANSWER acute care coordination
5. his type of care coordination occurs with patients who reside in a skilled
nursing facility (SNF). Patients go to SNFs either for rehabilitation after an
injury such as a fall or for long-term nursing home care. - ANSWER POST
ACUTE/LONG TERM CARE
,6. Organ function and medication effect - ANSWER Decreased drug
clearance as liver size decreases and blood flow to organ decreases. Kidney
shrinks, gfr and renal blood flow decreases so elimination of waste and
toxins decline leading to accumulation of medications and uric acid in body
7. Functional changes and mobility issues - ANSWER Decrease in muscle
tone, strength and endurance r/t eroded joints tendons and ligaments,
bone loss and decreased healing ability, OA and osteoporosis, high fall risk
with increased risk of fracture
8. ID alterations in nutrition metabolism and urine elimination - ANSWER
Age related changes in endocrine function include decreased hormone se
creation and breakdown of metabolites along with increase resistance to
insulin. Increased incidence of diabetes and thyroid issues. Proteins impede
metabolic process and cause trouble with getting nutrients. Metabolic
disturbances like electrolyte disturbances r/t dehydration, drug intoxication
or withdrawal or drug side effects. Amount of urine expelled by body
decreases and renal changes to urine concentration and dilution causes
electrolyte imbalance. Older people experience nocturia and BPH for males
9. GI changes - ANSWER Decreased ability to chew and taste, atrophy of
mouth and jaw, dry mouth related to drug side effects, decrease in
esophageal sphincter pressure, decreased gag reflex, increased sensitivity
to pain of esophagus, dysphagia, reflux, heartburn , increased potential for
mucosal injury in stomach, increased bacterial overgrowth in small intestine
causing malabsorption / malnutrition, vitamin D zinc and calcium
absorption decreases , increased colonic transit time, increased fibrosis on
colon, reduced recriminations ability to stretch as feces passes thru
,10.Functional assessment - ANSWER Barthel index: measures self care,
mobility, ability to feed and groom and bladder/bowel control
Get up and go test:To test the subject, give the following instructions:
• Rise from the chair
• Walk to the line on the floor (10 feet)
• Turn
• Return to the chair
• Sit down again
Gait: have you fallen in the last year
FIM: functional independence measure
11.ADLs - ANSWER Bathing, dressing, toileting, transfers, grooming and
feeding
12.IADL - ANSWER Med mgmt, shopping, cooking, using phone, driving and
transport, finances, housekeeping and laundry
13.Functional consequence theoru - ANSWER Aging leads to biophysical
and environmental consequences that impacts function
14.Nurses role in aging population - ANSWER Risk reduction to minimize
disability to enhance safety and quality of life
, 15.Nutrition interventions - ANSWER Low cal, low cholesterol, low salt,5
fruit and veg daily, eat whole grains and 8 glasses of water daily. Utilize a
nutrient screening
16.Geriatric syndromes with s/s leading to frailty - ANSWER Urinary
incontinence: stress is pee when laughing, urge is can't delay when urge
arises, overflow is no urge just involuntary pee when bladder is full, high
risk in diabetics and overweight plus women
17.Comprehensive assessment- apply knowledge of older adult to this -
ANSWER Consider older adult may not be well enough to do it in one
sitting and if memory problems exist info may not be reliable and family
members may over and under estimate elders abilities
18.Comprehensive assessment includes - ANSWER Functional ability,
mobility balance and gait and look at all systems
19.Circulatory system assess - ANSWER HR, BP, chest sounds, hx of smoking
or alcohol, family hx, chest pain with or w/o exertion, stress, medication or
herbal meds, advanced lab tests prn like EKG and stress test.
20.Respiratory assess - ANSWER Increased risk of chest infections, affected
by bed rest, smoking, environmental pollutants, cough, sputum, lung
sounds, chest X-ray and sputum culture if needed
Comprehensive Resource To Help You Ace 2026-2027
Includes Frequently Tested Questions With ELABORATED
100% Correct COMPLETE SOLUTIONS
Guaranteed Pass First Attempt!!
Current Update!!
1. What does REMAP stand for? - ANSWER reframe, expect emotion,
mapping the future, aligning values, plan
2. What model was developed by Johns Hopkins University, the Guided Care
model was meant to serve the rapidly growing population of older adults
who have increasingly complicated medical conditions as they age -
ANSWER primary care coordination
3. What type of services are provided in primary care coordination? - ANSWER
wraparound
4. This type of care coordination generally occurs within hospitals and is short
term - ANSWER acute care coordination
5. his type of care coordination occurs with patients who reside in a skilled
nursing facility (SNF). Patients go to SNFs either for rehabilitation after an
injury such as a fall or for long-term nursing home care. - ANSWER POST
ACUTE/LONG TERM CARE
,6. Organ function and medication effect - ANSWER Decreased drug
clearance as liver size decreases and blood flow to organ decreases. Kidney
shrinks, gfr and renal blood flow decreases so elimination of waste and
toxins decline leading to accumulation of medications and uric acid in body
7. Functional changes and mobility issues - ANSWER Decrease in muscle
tone, strength and endurance r/t eroded joints tendons and ligaments,
bone loss and decreased healing ability, OA and osteoporosis, high fall risk
with increased risk of fracture
8. ID alterations in nutrition metabolism and urine elimination - ANSWER
Age related changes in endocrine function include decreased hormone se
creation and breakdown of metabolites along with increase resistance to
insulin. Increased incidence of diabetes and thyroid issues. Proteins impede
metabolic process and cause trouble with getting nutrients. Metabolic
disturbances like electrolyte disturbances r/t dehydration, drug intoxication
or withdrawal or drug side effects. Amount of urine expelled by body
decreases and renal changes to urine concentration and dilution causes
electrolyte imbalance. Older people experience nocturia and BPH for males
9. GI changes - ANSWER Decreased ability to chew and taste, atrophy of
mouth and jaw, dry mouth related to drug side effects, decrease in
esophageal sphincter pressure, decreased gag reflex, increased sensitivity
to pain of esophagus, dysphagia, reflux, heartburn , increased potential for
mucosal injury in stomach, increased bacterial overgrowth in small intestine
causing malabsorption / malnutrition, vitamin D zinc and calcium
absorption decreases , increased colonic transit time, increased fibrosis on
colon, reduced recriminations ability to stretch as feces passes thru
,10.Functional assessment - ANSWER Barthel index: measures self care,
mobility, ability to feed and groom and bladder/bowel control
Get up and go test:To test the subject, give the following instructions:
• Rise from the chair
• Walk to the line on the floor (10 feet)
• Turn
• Return to the chair
• Sit down again
Gait: have you fallen in the last year
FIM: functional independence measure
11.ADLs - ANSWER Bathing, dressing, toileting, transfers, grooming and
feeding
12.IADL - ANSWER Med mgmt, shopping, cooking, using phone, driving and
transport, finances, housekeeping and laundry
13.Functional consequence theoru - ANSWER Aging leads to biophysical
and environmental consequences that impacts function
14.Nurses role in aging population - ANSWER Risk reduction to minimize
disability to enhance safety and quality of life
, 15.Nutrition interventions - ANSWER Low cal, low cholesterol, low salt,5
fruit and veg daily, eat whole grains and 8 glasses of water daily. Utilize a
nutrient screening
16.Geriatric syndromes with s/s leading to frailty - ANSWER Urinary
incontinence: stress is pee when laughing, urge is can't delay when urge
arises, overflow is no urge just involuntary pee when bladder is full, high
risk in diabetics and overweight plus women
17.Comprehensive assessment- apply knowledge of older adult to this -
ANSWER Consider older adult may not be well enough to do it in one
sitting and if memory problems exist info may not be reliable and family
members may over and under estimate elders abilities
18.Comprehensive assessment includes - ANSWER Functional ability,
mobility balance and gait and look at all systems
19.Circulatory system assess - ANSWER HR, BP, chest sounds, hx of smoking
or alcohol, family hx, chest pain with or w/o exertion, stress, medication or
herbal meds, advanced lab tests prn like EKG and stress test.
20.Respiratory assess - ANSWER Increased risk of chest infections, affected
by bed rest, smoking, environmental pollutants, cough, sputum, lung
sounds, chest X-ray and sputum culture if needed
