You would use a two-column borderless table. (Or, if you want two columns of words/definitions as in your screenshot, a four-column borderless table.) The first (and third) column would be set for left-alignment, the second (and fourth) for right-alignment.
4. Use Tables and Tabs to Arrange Text in Microsoft Word
Tables

You could use one paragraph style in the first column and another in the second. These could have the proofing language set appropriately as well as the allignment.