epn book 2 english
TRANSCRIPT
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[RevisedEdition]
Indah D. Pratiwi
SchoolofNursing|MuhammadiyahUniversityofMalang
BOOK 2 ENGLISH FOR THEPROFESSIONALNURSE
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PREFACE
Nowadays,
competence
in
Englishhas
become
an
urgent
need
for
nurses
who
are involved inmedicalservices. It isduetothe factthattheyarerequiredtohavethe
abilitytocommunicatewiththeotherpeopleintheirfieldincludingdoctorsandpatients.
EnglishforProfessionalNurseBook2ispreparedforthedemandsofprofessionalnursing
also include English Competence. This book provides nurse students to improve their
Englishskillsinlistening,reading,speakingandwriting.
Thecontents of this book are basedon the standard and fundamental nursing
procedurestaught inpreviousyear,sothatthecontentsarenotsomethingstrange for
thenurses.Thiscoursebookiscertainlyhelptofacilitatethestudenttoacquiretheability
toperformtheirdutiesinanenvironmentwhereEnglishisusedandneeded.Iwishthat
this book will be studied and practiced easily to achieve the competence of Nursing
English.
Ihopethatbytheuseofthisbook,thenursingstudentswillbeabletolearnand
practice English according to their professional skills. By mastering English for the
ProfessionalNursesBook2,itwillimprovetheirqualityofhumanresourcesandtheywill
haveadded
value
so
that
job
opportunities
will
be
widely
open
for
them
to
reach
abright
future.
Author
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CONTENT
Preface
Content
Chapter1:GeneralAssessment
Chapter2:DimensionofSymptom
Chapter3:PatientAssessment
Chapter4:CheckingVitalSign
Chapter5:DischargeInstruction
Chapter6:NCLEXRN(2)
Chapter7:IELTSListening(3)
Chapter8:IELTSListening(4)
Chapter9:IELTSSpeakingPart2
FinalProject
FinalProject
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CHAPTER 1GENERAL ASSESSMENTLearningObjectives
Aftercompletedthischapter,studentswillbeableto:
1. Useexpressionsforcollectingdemographicdata2. Usequestionstocollectcurrentandpasthealthillnessdata
Part1CollectingDemographicDataElementsVocabulary
Surname
Nextofkin
Assess
Assessment
UsefulExpression
a) ImplementationstepStudytheseexpressionstoinitiatecommunication
b) QuestiontocollectdemographicdataelementsStudyandpracticetheseusefulexpressions
QuestionToAsk
NAME Whatisyourname?
Whatisyourcompletename?
Whatis
your
surname?
AGE Howoldareyou?
ADDRESS Whatisyouraddress?
Wheredoyoulive?
PHONE Yourphonenumber,please
Whatisyourphonenumber?
Doyouhaveamobilephonenumber?
Explainingwhatyouaregoingtodoimmediately.
Itistimeformeto. Ijustwantto. Iwouldliketo. interviewyou Iamgoingto. assessyourhealthcondition Ineedto.
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MARITALSTATUS Areyoumarried?
HEALTHINSURANCE Doyouhaveanyhealthinsurance?
OCCUPPPATION&
TITLE
What
is
your
occupation?
Doyouhaveanyacademictitle?
Whatisyourtitle?
Whatdoyoudo?
NEXTOFKIN Whoisyournextofkin?
REASONFOR CONTACT*) Whatbringsyouinthishospital?
Whosendsyoutothishospital?
Whatmakesyoucometothishospital?
*)It
is
areason
that
makes
you
come
to
hospital.
It
can
be
achief
complaint,
medical
checkup.
ACTIVITY1ROLEPLAYSTask.PairWork
Interviewyourpartner Fillintheblankswithhis/herpersonaldemographicdata
Name :
Age :
Sex
:
Address :
City,State :
Phone :
Religion :
MaritalStatus :
HealthInsurance :
Current
Occupation
and
Title
:
NextofKin :
Reasonforcontact :
Date,timeofcontact :
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Part2CurrentHealthandIllnessStatusUsefulExpressions:Assessmentstep
Studythesequestions
Part3HistoryofPastHealthandIllnessesUsefulExpressions
AssessmentStep:AskingCommonCommunicableDisease
AssessmentStep:AskingaboutImmunizations
ACTIVITY2ROLEPLAYSTask.PairWork
Assessyourpartnercurrenthealthconditionbyusingquestionlistedabove
CURRENTHEALTHSTATUS
Whatdoyouthinkaboutyourhealth? Wouldyoutellmeaboutyourhealthconditionrecently?
Sampleofpatientsresponse:Imusuallyhealthy,haveusualcold,
andhavetotakemedicineforhighbloodpressure
ELIMINATIONPATTERN
Wouldyoutellmeaboutyour? Howmanytimesadaydoyoudoyour?
Do
you
have
any
problem
with
your
?
bowel movement? waterworks?
Isthestoolformedorloosed? Isyourwaterworkssluggish?
Haveyoueverhad+akindofdisease?Response:Yes,Ihave/No,Ihavent
Howoldwereyouwhenyougotit?Response:Iwasaboutyearsold
Areyouallergicto(acertainfood/medication)(Example:Areyouallergictopenicillin/antibiotic)
Kindsofdiseases:measlesmumpschickenpoxrubellarheumaticfeverdiphtheriascarlet
feverpoliotuberculosis
Haveyoueverbeenimmunizedagainst+(akindofdisease)? Haveyouevergot+(akindofdisease).immunizations?
Example:Haveyouevergotpolioimmunizations?
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CHAPTER 2DIMENSION OF SYMPTOMSLearningobjectives
Aftercompletedthischapter,studentswillbeableto:
1. Givecommunicativeresponsetopatientscomplaint2. Askthedimensionsofsymptoms
Vocabulary
Dull
Stabbing
Sharp
Aching
Aggravatingfactors
Alleviatingfactors
Usefulexpressions
Task.StudyandpracticetheseusefulexpressionsLOCATION
Wheredoyoufeelit? Doesitmovearound? Showmewhere.
QUALITYORCHARACTER
Whatisitlike?Isitsharp,dull,stabbing,aching? Doyoufeel.? Whatdoesthepainlooklike? When diditlast?
SEVERITY
Onascaleof0to10,withtentheworst,howwouldyouratewhatyoufeelrightnow?
Whatwastheworstithasbeen? Doesthisinterfereyourusualactivities?Inwhatways?
SETTING
Doesitoccurinaparticularplaceorundercertaincircumstances? Haveyoutakenanythingforit? Doesitappearinparticulartime?
TIMING
Whendidyoufirstnoticeit? Howlongdoesitlast? Howoftendoesithappen?
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TASK
1. Makeacompleteconversationtoexplorethedimensionsofsymptom2. Takeonecaseonly
Successis
climbing
amountain,
facing
the
challenge
of
obstacles,
and
reaching
the
top
ofmountain
Case1
Apatientwithanorexianervosaexpresses: Idontwanttohavealotofmeal Idontwanttobeplump Myarmsandlegsaregettingfat Ihavedifficultyinbowelmotion Ifeelnausea Iwanttovomit Foodmakesmystomachupset Iamafraidofbeingfat
Case2
Apatientsuspectedwithappendicitisexpresses: Ifeelpainaroundmynavel Ifeelpainaroundhere(inthelowerrightspotofmyabdomen) Ifeelasharppain Donttouchmystomach,itincreasesmypain Ifeelfeverish Ifeelnausea Ivomit Ilosemyappetite Ivomitfrequently aftermeals Ihaverecurrentpaininmylowerpartofmystomach ItbecomesmorepainfulifIdothesquattingbowelmotion
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CHAPTER 3PATIENT ASSESSMENT
LearningObjectives
Aftercompletedthischapter,studentswillbeableto:
Useexpressionsforassessingthehead,faceandneck
NursingNotes
Inspection, palpation, percussion and auscultation are examination techniques thatenablethenursetocollectabroadrangeofphysicaldataaboutpatients.
1. InspectionTheprocess of observation, a visual examination of thepatients bodyparts todetectnormalcharacteristicorsignificantphysicalsigns
2. PalpationInvolves the use of the sense of touch. Giving gentlepressure or deeppressureusingyourhandisthemainactivityofpalpation
3. PercussionInvolves tapping the body with fingertips to evaluate the size, borders, andconsistencyofbodyorgansanddiscoverfluidsinbodycavities.
4. AuscultationListeningtosoundsproducedbythebody
Task1
Mentionwhatactivityyoudoforeachcaselistedbelow.No Activity Technique
1 Examiningpatientsrespiratory
2 Inspectingthemouthandthroat
3 Askingpatienttostanduptofindwhetherthere isscoliosisor
not
4 Pressinghermiddlefingerofnondominanthandfirmlyagainst
the patients back. With palm and fingers remaining off the
skin,the
tip
of
the
middle
finger
of
the
dominant
hand
strikes
theother,usingquick,sharpstroke
5 Observingthecoloroftheeyes
6 Observingthemovementofairthroughthelungs
7 Testingdeeptendonreflexesusinghammer
8 Checkingthetenderareaswithherhand
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9 Pressingabdomendeeplytochecktheconditionofunderlying
organ
10 Preparingagoodlighting,thenheobservesthebodyparts
Task2.Whatkindofexaminationtechnique?
UsefulExpressions
Implementationstep
Explainingwhatyouaregoingtodoimmediately
NowIamgoingto Itstimeformeto NowIwantto
pressyour+(partsofthebody)gently
examineyour+(partsofthebody)gently
artery
cheeks
neck
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Task3.Wholeclassandpairwork
Practicetheseinstructions Listentoteachersinstructionandactthemout Then,practicetheseinpairs1. Raiseyoureyebrows2. Closeyoureyestightly3. Frown4. Smile5. Puffyourcheeks6. Shrugyourshoulder7. Flexyourneckwithchintoward8. Bendyourneck,witheartowardshoulder9. Takeasipofwaterfromthisglass
Task4.Pairwork
o Makeacompleteconversationonactsofassessinghead,faceandnecko Usetheexpressionabove
Instruction
Wouldyou? NowIwantyouto?
remove
+
your
wig
putoff hairpieces
Please+ riseyoureyebrowsfrownyourforehead
smile
puffyourcheeks
shrugyourshoulder
flex
your
neck
with
chin
toward
bendyourneck,witheartowardshoulder
takeasipofwaterfromthisglass
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CHAPTER 4CHECKING VITAL SIGN
LearningObjective
Aftercompleted
this
chapter,
students
will
be
able
to:
Communicateaboutimplementationofcheckingvitalsigns Givesomeinstructionsduringimplementationofcheckingvitalsign
Vocabulary
Pulserate
Rhythmorregularity
Tension
Beatsperminute
Patientschart
Normalpulserhythm
Bradycardia
Tachycardia
Bounding
Thread/weak
MedicalTerms Colloquialexpression
Dyspnea Breathlessness,outofbreath,shortofbreath,fightingforbreath
Expectorate
Tobringup/coughupphlegm/spitExpiration BreathingoutInspiration BreathinginRespiration Breathing
Sputum PhlegmUsefulExpression
Task1.Explainingtheprocedures
Itstimeforme
Ijust
want
Iwouldlike
Iamgoing
tomeasureyourbloodpressure
tocountyourpulse
tocheckyourrespiration
tomeasureyourtemperature
toputthiscuff(aroundyourupperarm)
toinsertthis(thermometer)intoyourarmpit
toputthis(thermometer)intoyourmouth
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Task2.Givinginstructionsandexpressionsduringtheimplementation
Task3.Nurseresponse
*)changethefollowingverbintoVingfrom
Task4.PairWork
Theillustrationbelowshowtheimplementationofcheckingvitalsigns Choose onepicture then, make a conversation exchange and give appropriate
instructions when you want to check patients vital signs according to theillustration
Takeonlyonekindimplementationofvitalsignschecking
Wouldyou
Wouldyoumind*)Please
Now,Iwantyouto
liedownonthecouch
lieflatonthebed
rollyour
sleeve
up
givemeyourright/lefthand
raiseyourarm
takeadeepbreath
breatheinbreatheout
rollyourselfintosidelyingposition
OK,fine.Thatsit Fine/good Allisdone Finished
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CHAPTER 5DISCHARGE INSTRUCTION
LearningObjective
Aftercompleted
this
chapter,
students
will
be
able
to:
Giveinstructionsandsuggestionsaccordingtothepatientshealthproblem Deliveratherapeuticcommunication
Vocabulary
Avoid
Contraindicated
Indicated
Suggest
Pus
Suture
Sponge
Splint
Swollen
Numb
Paralysis
Convulsion
Patch
Hazardousequipment
Rub
Greasy
Rash
Tightness
UsefulExpression
Pattern1:Recommendation
Pattern Example
Should
Must
Be+required
essential
important
indicated
haveto
You should take the complete (entire) doseprescribed
These tablets contain antibiotic. It is requiredyoutotakethecompletedoseprescribed
Hadbetter+bareinfinitive
Advice
Suggest
Youdbettertakeyourmedicineregularly Iadviseyoutoseeadoctorsoon Isuggestyoutodrinkalotofwater
Pattern2:Prohibition
Pattern
ExampleShouldnot
Mustnot
Maynot+
Youshouldnotdrinkthisantibioticwithmilk
Should+avoid+ing
Haveto+avoid+ing
Hadbetternot+bareinfinitive
Youshouldavoiddrinkingalcohol
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InstructionChart1
InstructionChart2
InstructionChart3
WOUNDCARE(CUTS,ABRASIONS,BURNS)
1. Keeptheareacleananddry2. Keep wound covered with a clean dressing, change
thedressingsdaily
3. Keeptheinjuredpartatrestandelevatefor12hours4. Watch for redness, pus, or increased soreness.
Contactyourdoctorifthisoccurs
5. Have your wounds checked and your suturesremovedasadvisedbytheemergencyphysicianin
days.
HEADINJURY
The first 24 hours after a head injury are the most important, although after effects may
appear much later. It is important that a responsible person awakens the patient every 2
hoursforthefirst24hoursandwatchesforthefollowingsymptoms.Ifanyoftheseoccurs,
callyourdoctororreturntotheemergencydepartment
1. Persistentheadache,nauseaorvomitingmorethantwice2. Weakness,numbnessorparalysisofthearmorlegs3. Bloodorclearfluidfromtheearsandnose4. Blurredvision,unequalpupils(onelargerthantheother)5. Convulsion
CAST/SPLINTCARE
1. Donotapplyanyweightorpressureonanewcastorsplintforthefirst2448hours
2. Keepthecast/splintcleananddry3. Elevatetheinjuredpartfor48hoursonpillowsabove
yourheart
4. Donotputforeignobjectsinsidethecast5. Wiggleyourfingersortoesinsidethecasteveryhour6. If your fingers or toes become extremely swollen,
cold, blue or numb, or the pain increases markedly,
loosentheacebandageofthesplint,orifitcast,call
yourdoctororreturntotheEmergencyDepartment.
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Task.Giveappropriatesuggestionandadvice
SIMULATION
Makeaconversationbetweenanurseandapatient.
Situation:
A patient hasjust got a medical treatment in outpatient clinic. Now you have to give
dischargeinstructiontoyourpatient.
Steps:
1. Greet the patient; tell him/her that after getting the treatment he/she may gohome.Andyoullgivesomeadvice
2. Explainthemedicalsuggestionsandadvices.
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CHAPTER 6NCLEX-RN (2)
1. Aclientisreadytobedischargedtohomehealthcareforcontinuedintravenous(IV)therapy
in
the
home.
Home
care
instructions
regarding
care
of
the
IV
have
been
given
totheclient.ThebestwaytoevaluatetheclientsabilitytocarefortheIVsiteisto:
1 AsktheclienttoverbalizeIVsitecare
2 AsktheclienttochangetheIVdressing
3 Reviewtheentiredischargeplanwiththeclientagain
4 Demonstratethedressingchangeagainfortheclientonelasttimebefore
discharge
2. Aclient isbeingdischarged fromthehospitalwithaperipheral intravenous (IV)siteforcontinuedhome IVtherapy. Inplanning forthedischarge,thenurseteachesthe
clientwhichofthefollowingtohelppreventphlebitisandinfiltration?
1
Gentlymassage
the
area
around
the
site
daily
2 Cleansethesitedailywithalcohol
3 Keepthecannulastabilizedoranchoredproperlywithtape
4 ImmobilizetheextremityuntiltheIVisdiscontinued
3. Ahomecarenurseismakinghomevisitstoanolderclientwithurinaryincontinencewho is very disturbed by the incontinence episodes. The nurse assesses the clients
home situation to determine environmental barriers to normal voiding. The nurse
determinesthatwhichitemmaybecontributingtotheclientsproblem?
1 Presenceofhandrailinginthebathroom
2 Havinganbathroomoneachfloorofthehome
3
Nightlightpresent
in
the
hall
between
the
bedroom
and
bathroom
4 Bathroomlocatedonthesecondfloor,bedroomonthefirstfloor
4. A nurse is preparing to administer continuous intravenous (IV) fluid replacementthroughaperipheralIVsitetoaclientwithadiagnosisofdehydration.Whichitemis
essentialforthenursetoassessbeforeinitiatingtheIVfluid?
1 Usualsleeppatterns
2 Abilitytoambulate
3 Bodyweight
4 Intakeandoutput
5. A home care nurse is assessing an older clients functional abilities and ability toperformactivitiesdailyliving(ADLs).Thenursefocusestheassessmenton:1 Selfcareneeds,suchastoileting,feedingandambulating
2 Thenormaleverydayroutineinthehome
3 Abilitytodolighthousework,heavyhouseworkandpaythebills
4 Abilitytodriveacar
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6. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Thenurseplansforwhichnursinginterventiontopreventinfectionintheclient?
1 Usingstrictaseptictechniqueforintravenoussitedressingchanges
2 Monitoringserumbloodureanitrogen(BUN)levels
3 Weighingtheclientdaily
4
Encouragingfluid
intake
7. Anurse ispreparingtoadministerafeedingtoaclientreceivingnutritionthroughanasogastrictube.Thenursetakeswhichmost importantactionbeforeadministering
thefeeding:p
1 Measuringintakeandoutput
2 Weighingtheclient
3 Addingbluefoodcoloringtotheformula
4 Determiningtubeplacement
8. Aclientwithaperipheralintravenous(IV)sitecallsthenursetotheroomandtellsthenurse
that
the
IV
site
is
swollen.
The
nurse
inspects
the
IV
site
and
notes
that
it
is
also
cool and pale and that the IV has stopped running. The nurse documents in the
clientsrecordthatwhichofthefollowinghasprobablyoccurred?
1 Infiltration
2 Phlebitis
3 Thrombosis
4 Infection
9. A nurse is providing home care instructions to a client who will be receivingintravenous (IV) therapy at home. The nurse teaches the client that the most
importantactiontopreventaninfectionattheIVsiteisto:
1
Assessthe
IV
site
carefully
everyday
for
redness
and
edema
2 RedresstheIVsitedaily,cleansingitwithalcohol
3 Carefullywashhandswithantibacterialsoapbeforeworkingwiththe IV
siteorequipment
4 ChangeIVtubingandfluidcontainersdaily
10.Anursepreparestoassistapostoperativeclienttoprogressfroma lyingtoasittingposition toprepare forambulation.Whichnursingaction isappropriate tomaintain
thesafetyoftheclient?
1 Assist the client to move quickly from the lying position to the sitting
position
2
Assessthe
client
for
signs
of
dizziness
and
hypotension
3 Elevatetheheadofthebedquicklytoassisttheclienttoasittingposition
4 Allowtheclienttorisefromthebedtoastandingpositionunassisted
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CHAPTER 7IELTS LISTENING (3)
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CHAPTER 8IELTS LISTENING (4)
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CHAPTER 9IELTS SPEAKING (3)
PREPARING YOUR TALK
1.
Below
is
an
example
of
a
topic
for
Part
2.
Look
at
the topic and the three mini questions which
accompany it.ThePart2 topicwillalways follow
this format with one main topic and three sub
topics, and will usually focus on a familiar or
personalarea
2. First,readtheinstructioncarefullyanddecidehowyouaregoingtoapproachthetopic. Inthiscaseyouareaskedtodescribeaplacewhereyouhave lived. Ifyou
haveonlyeverlivedinoneplace,thenyoushoulddescribethatplace.Ifyouhave
livedinanumberofdifferentplaces,thenyouwillneedtomakeaquickdecision.
3. Thinkaboutthetopicforamoment.4. Underline any key words that strike you as important, e.g.describe,particularly
liked.
5. Decidewhichplaceyouaregoingtodescribe.6. Jotdownsomekeyideasdrawingonyourownexperience.Hereisanexample.
7. Belowisalistofpossiblewaystointroducethistopic.8. Practiseusingthemallsothatyouhaveanumberofdifferent'openings'foryour
talk.
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SAMPLE OF TOPIC CARDDescribeajobthatyouwouldliketodointhe
future.
Youshouldsay:
Whyyouareattractedtothisjob Howmuchtraining,ifany,wouldbe
necessary
Whatkindofpersonalqualitiesitwouldrequire
Describeapersonwhohashadamajorinfluence
onyou.
Youshouldincludeinyouranswer:
Whothatpersonisandwhatheorshelookslike
Howyoufirstmet Hisorherspecialqualitiesandcharacteristics ...Andwhythatpersonissoimportantin
yourlife.
Describeyouridealstudyroom.
Youshouldsay:
Whereitwouldbe Whatequipmentandfurnitureitwould
contain
Howitwouldbedecorated
Describeafamilycelebrationthatyouonce
attended.
Youshouldsay:
Whereittookplace Whyitwasheld Howyoufeltaboutit
Describeachildren'sstorythatyouknow
well.
Youshouldsay:
Whenyoufirstheardorreadit Whatyouparticularlylikedaboutit Whyyouthinkitbecamepopular
Describeaninterestinghistoricplace.
Youshouldsay:
Whatitis Whereitislocated Whatyoucanseetherenow Andexplainwhythisplaceisinteresting.
Describeaninterestedhobbythatyouenjoy
Youshouldsay:
Howlongyoubecomeinterestedin Howlongyouhavebeendoingit Whyyouenjoyit Andexplainwhatbenefityougetfrom
thisinterestorhobby
Describeariver,lakeorseawhichyoulike
Youshouldsay:
Whattheriver,lakeorseaiscalled Whereitis Whatthelandnearitislike Andexplainwhyyoulikethisriver,lakeor
sea
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REFERENCES
Bosher, SD. 2008. Englishfor Nursing,Academic Skills (Michigan Series in Englishfor
Academic&
Professional
Purposes).
Michigan:
USA
Hull, Melodie. 2010. Medical English Clear & Simple: A PracticeBasedApproach to
EnglishforESLHealthcareProfessionals.
Greenan and Grice. 2009. Oxford Englishfor Careers: Nursing 2: Nursing 2: Student's
Book.OxfordUniversityPress,USA
Magnall and Arakelian. 2006. Hospital English: Brilliant Learning Workbook for
InternationalNurses
Meehanand
Grice.
2009.
Oxford
English
for
Careers:
Nursing
1:
Student's
Book.
Oxford
UniversityPress,USA
OxfordUniversityPress.2000.OxfordLearnersPocketDictionary.UK