Nurses Epn Book 2 PDF

[RevisedEdition]
ENGLISH FOR THE

BOOK 2
PROFESSIONAL NURSE
Indah D. Pratiwi

SchoolofNursing|MuhammadiyahUniversityofMalang
Book 2
English for Professional Nurse
PREFACE
Nowadays, competence in English has become an urgent need for nurses who
areinvolvedinmedicalservices.Itisduetothefactthattheyarerequiredtohavethe
abilitytocommunicatewiththeotherpeopleintheirfieldincludingdoctorsandpatients.
EnglishforProfessionalNurseBook2ispreparedforthedemandsofprofessionalnursing
also include English Competence. This book provides nurse students to improve their
Englishskillsinlistening,reading,speakingandwriting.
The contents of this book are based on the standard and fundamental nursing
procedurestaught in previous year, so that the contents are not something strange 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
haveaddedvaluesothatjobopportunitieswillbewidelyopenforthemtoreachabright
future.
Author

Page2of35
Book 2
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 1
GENERAL ASSESSMENT
LearningObjectives
Aftercompletedthischapter,studentswillbeableto:
1. Useexpressionsforcollectingdemographicdata
2. Usequestionstocollectcurrentandpasthealthillnessdata
Part1CollectingDemographicDataElements
Vocabulary
Surname
Nextofkin
Assess
Assessment

UsefulExpression
a) Implementationstep
Studytheseexpressionstoinitiatecommunication

Explainingwhatyouaregoingtodoimmediately.

Itistimeformeto.
Ijustwantto.
Iwouldliketo. interviewyou
Iamgoingto. assessyourhealthcondition
Ineedto.

b) Questiontocollectdemographicdataelements
Studyandpracticetheseusefulexpressions

QuestionToAsk
NAME Whatisyourname?
Whatisyourcompletename?
Whatisyoursurname?

AGE Howoldareyou?
ADDRESS Whatisyouraddress?
Wheredoyoulive?

PHONE Yourphonenumber,please
Whatisyourphonenumber?
Doyouhaveamobilephonenumber?
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MARITALSTATUS Areyoumarried?

HEALTHINSURANCE Doyouhaveanyhealthinsurance?

OCCUPPPATION&TITLE Whatisyouroccupation?
Doyouhaveanyacademictitle?
Whatisyourtitle?
Whatdoyoudo?

NEXTOFKIN Whoisyournextofkin?

REASONFORCONTACT*) Whatbringsyouinthishospital?
Whosendsyoutothishospital?
Whatmakesyoucometothishospital?

*) It is a reason that makes you come to hospital. It can be a chief complaint, medical
checkup.
ACTIVITY1ROLEPLAYS
Task.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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Part2CurrentHealthandIllnessStatus
UsefulExpressions:Assessmentstep
Studythesequestions
CURRENTHEALTHSTATUS

Whatdoyouthinkaboutyourhealth?
Wouldyoutellmeaboutyourhealthconditionrecently?

Sampleofpatientsresponse:Imusuallyhealthy,haveusualcold,
andhavetotakemedicineforhighbloodpressure
ELIMINATIONPATTERN

Wouldyoutellmeaboutyour?
Howmanytimesadaydoyoudoyour?
Doyouhaveanyproblemwithyour?
bowel movement?
waterworks?
Isthestoolformedorloosed?
Isyourwaterworkssluggish?
Part3HistoryofPastHealthandIllnesses
UsefulExpressions
AssessmentStep:AskingCommonCommunicableDisease
Haveyoueverhad+akindofdisease?
Response:Yes,Ihave/No,Ihavent
Howoldwereyouwhenyougotit?
Response:Iwasaboutyearsold
Areyouallergicto(acertainfood/medication)
(Example:Areyouallergictopenicillin/antibiotic)
Kindsofdiseases:measlesmumpschickenpoxrubellarheumaticfeverdiphtheriascarlet
feverpoliotuberculosis
AssessmentStep:AskingaboutImmunizations
Haveyoueverbeenimmunizedagainst+(akindofdisease)?
Haveyouevergot+(akindofdisease).immunizations?
Example:Haveyouevergotpolioimmunizations?
ACTIVITY2ROLEPLAYS
Task.PairWork
Assessyourpartnercurrenthealthconditionbyusingquestionlistedabove
Page6of35
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CHAPTER 2
DIMENSION OF SYMPTOMS
Learningobjectives
1. Givecommunicativeresponsetopatientscomplaint
2. Askthedimensionsofsymptoms
Vocabulary
Dull
Stabbing
Sharp
Aching
Aggravatingfactors
Alleviatingfactors
Usefulexpressions
Task.Studyandpracticetheseusefulexpressions
LOCATION
Wheredoyoufeelit?
Doesitmovearound?
QUALITYORCHARACTER
Showmewhere.
Whatisitlike?Isitsharp,dull,stabbing,aching?
Doyoufeel.?
Whatdoesthepainlooklike?
When diditlast?
SEVERITY
Onascaleof0to10,withtentheworst,howwouldyouratewhatyoufeel
rightnow?
Whatwastheworstithasbeen?
Doesthisinterfereyourusualactivities?Inwhatways?
TIMING
Whendidyoufirstnoticeit?
Howlongdoesitlast?
Howoftendoesithappen?
SETTING
Doesitoccurinaparticularplaceorundercertaincircumstances?
Haveyoutakenanythingforit?
Doesitappearinparticulartime?
Page7of35
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TASK
1. Makeacompleteconversationtoexplorethedimensionsofsymptom
2. Takeonecaseonly

Case1
Apatientwithanorexianervosaexpresses:
Idontwanttohavealotofmeal
Idontwanttobeplump
Myarmsandlegsaregettingfat
Ihavedifficultyinbowelmotion
Ifeelnausea
Iwanttovomit
Foodmakesmystomachupset
Iamafraidofbeingfat
Case2
Apatientsuspectedwithappendicitisexpresses:
Ifeelpainaroundmynavel
Ifeelpainaroundhere(inthelowerrightspotofmyabdomen)
Ifeelasharppain
Donttouchmystomach,itincreasesmypain
Ifeelfeverish
Ifeelnausea
Ivomit
Ilosemyappetite
Ivomitfrequentlyaftermeals
Ihaverecurrentpaininmylowerpartofmystomach
ItbecomesmorepainfulifIdothesquattingbowelmotion

Successisclimbingamountain,facingthechallengeofobstacles,andreachingthetop
ofmountain
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CHAPTER 3
PATIENT ASSESSMENT

LearningObjectives
Useexpressionsforassessingthehead,faceandneck

NursingNotes
Inspection, palpation, percussion and auscultation are examination techniques that
enablethenursetocollectabroadrangeofphysicaldataaboutpatients.
1. Inspection
The process of observation, a visual examination of the patients body parts to
detectnormalcharacteristicorsignificantphysicalsigns
2. Palpation
Involves the use of the sense of touch. Giving gentle pressure or deep pressure
usingyourhandisthemainactivityofpalpation
3. Percussion
Involves tapping the body with fingertips to evaluate the size, borders, and
consistencyofbodyorgansanddiscoverfluidsinbodycavities.
4. Auscultation
Listeningtosoundsproducedbythebody
Task1
Mentionwhatactivityyoudoforeachcaselistedbelow.
No Activity Technique
1 Examiningpatientsrespiratory
2 Inspectingthemouthandthroat
3 Askingpatienttostanduptofindwhetherthereisscoliosisor
not
4 Pressinghermiddlefingerofnondominanthandfirmlyagainst
the patients back. With palm and fingers remaining off the
skin,thetipofthemiddlefingerofthedominanthandstrikes
theother,usingquick,sharpstroke
5 Observingthecoloroftheeyes
6 Observingthemovementofairthroughthelungs
7 Testingdeeptendonreflexesusinghammer
8 Checkingthetenderareaswithherhand
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Book 2
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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Book 2
Instruction
Wouldyou?
NowIwantyouto?
remove+yourwig
putoff hairpieces

Please+ riseyoureyebrows
frownyourforehead
smile
puffyourcheeks
shrugyourshoulder
flexyourneckwithchintoward
bendyourneck,witheartowardshoulder
takeasipofwaterfromthisglass
Task3.Wholeclassandpairwork
Practicetheseinstructions
Listentoteachersinstructionandactthemout
Then,practicetheseinpairs
1. Raiseyoureyebrows
2. Closeyoureyestightly
3. Frown
4. Smile
5. Puffyourcheeks
6. Shrugyourshoulder
7. Flexyourneckwithchintoward
8. Bendyourneck,witheartowardshoulder
9. Takeasipofwaterfromthisglass

Task4.Pairwork
o Makeacompleteconversationonactsofassessinghead,faceandneck
o Usetheexpressionabove
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CHAPTER 4
CHECKING VITAL SIGN

LearningObjective
Communicateaboutimplementationofcheckingvitalsigns
Givesomeinstructionsduringimplementationofcheckingvitalsign
Vocabulary
Pulserate
Rhythmorregularity
Tension
Beatsperminute
Patientschart
Normalpulserhythm
Bradycardia
Tachycardia
Bounding
Thread/weak
MedicalTerms Colloquialexpression
Dyspnea Breathlessness,outofbreath,shortof
breath,fightingforbreath
Expectorate Tobringup/coughupphlegm/spit
Expiration Breathingout
Inspiration Breathingin
Respiration Breathing
Sputum Phlegm
UsefulExpression
Task1.Explainingtheprocedures
Itstimeforme
Ijustwant
Iwouldlike
Iamgoing
tomeasureyourbloodpressure
tocountyourpulse
tocheckyourrespiration
tomeasureyourtemperature
toputthiscuff(aroundyourupperarm)
toinsertthis(thermometer)intoyourarmpit
toputthis(thermometer)intoyourmouth
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Task2.Givinginstructionsandexpressionsduringtheimplementation
liedownonthecouch
lieflatonthebed
Wouldyou
Wouldyoumind*)Please rollyoursleeveup
Now,Iwantyouto givemeyourright/lefthand
raiseyourarm
takeadeepbreath
breatheinbreatheout
rollyourselfintosidelyingposition
Task3.Nurseresponse
OK,fine.Thatsit
Fine/good
Allisdone
Finished
*)changethefollowingverbintoVingfrom
Task4.PairWork
Theillustrationbelowshowtheimplementationofcheckingvitalsigns
Choose one picture then, make a conversation exchange and give appropriate
instructions when you want to check patients vital signs according to the
illustration
Takeonlyonekindimplementationofvitalsignschecking
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CHAPTER 5
DISCHARGE INSTRUCTION

LearningObjective
Giveinstructionsandsuggestionsaccordingtothepatientshealthproblem
Deliveratherapeuticcommunication
Vocabulary
Avoid Numb
Contraindicated Paralysis
Indicated Convulsion
Suggest Patch
Pus Hazardousequipment
Suture Rub
Sponge Greasy
Splint Rash
Swollen Tightness
UsefulExpression
Pattern1:Recommendation
Pattern Example
Should You should take the complete (entire) dose
Must prescribed
Be+required These tablets contain antibiotic. It is required
essential youtotakethecompletedoseprescribed
important
indicated
haveto
Hadbetter+bareinfinitive Youdbettertakeyourmedicineregularly
Advice Iadviseyoutoseeadoctorsoon
Suggest Isuggestyoutodrinkalotofwater
Pattern2:Prohibition
Pattern Example
Shouldnot Youshouldnotdrinkthisantibioticwithmilk
Mustnot
Maynot+
Should+avoid+ing Youshouldavoiddrinkingalcohol
Haveto+avoid+ing
Hadbetternot+bareinfinitive
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InstructionChart1
WOUNDCARE(CUTS,ABRASIONS,BURNS)

1. Keeptheareacleananddry
2. Keep wound covered with a clean dressing, change
thedressingsdaily
3. Keeptheinjuredpartatrestandelevatefor12hours
4. Watch for redness, pus, or increased soreness.
Contactyourdoctorifthisoccurs
5. Have your wounds checked and your sutures

removedasadvisedbytheemergencyphysicianin
days.
InstructionChart2

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,nauseaorvomitingmorethantwice
2. Weakness,numbnessorparalysisofthearmorlegs
3. Bloodorclearfluidfromtheearsandnose
4. Blurredvision,unequalpupils(onelargerthantheother)
5. Convulsion
InstructionChart3
CAST/SPLINTCARE

1. Donotapplyanyweightorpressureonanewcastor
splintforthefirst2448hours
2. Keepthecast/splintcleananddry
3. Elevatetheinjuredpartfor48hoursonpillowsabove
yourheart
4. Donotputforeignobjectsinsidethecast
5. Wiggleyourfingersortoesinsidethecasteveryhour
6. If your fingers or toes become extremely swollen,
cold, blue or numb, or the pain increases markedly,
loosentheacebandageofthesplint,orifitcast,call Page15of35
yourdoctororreturntotheEmergencyDepartment.
Book 2
Task.Giveappropriatesuggestionandadvice
SIMULATION
Makeaconversationbetweenanurseandapatient.
Situation:
A patient has just 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 go
home.Andyoullgivesomeadvice
2. Explainthemedicalsuggestionsandadvices.
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Book 2
CHAPTER 6
NCLEX-RN (2)
1. Aclientisreadytobedischargedtohomehealthcareforcontinuedintravenous(IV)
therapyinthehome.HomecareinstructionsregardingcareoftheIVhavebeengiven
totheclient.ThebestwaytoevaluatetheclientsabilitytocarefortheIVsiteisto:
1 AsktheclienttoverbalizeIVsitecare
2 AsktheclienttochangetheIVdressing
3 Reviewtheentiredischargeplanwiththeclientagain
4 Demonstratethedressingchangeagainfortheclientonelasttimebefore
discharge

2. Aclientisbeing discharged fromthehospitalwithaperipheralintravenous(IV)site
forcontinuedhomeIVtherapy.Inplanningforthedischarge,thenurseteachesthe
clientwhichofthefollowingtohelppreventphlebitisandinfiltration?
1 Gentlymassagetheareaaroundthesitedaily
2 Cleansethesitedailywithalcohol
3 Keepthecannulastabilizedoranchoredproperlywithtape
4 ImmobilizetheextremityuntiltheIVisdiscontinued

3. Ahomecarenurseismakinghomevisitstoanolderclientwithurinaryincontinence
who 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 Nightlightpresentinthehallbetweenthebedroomandbathroom
4 Bathroomlocatedonthesecondfloor,bedroomonthefirstfloor

4. A nurse is preparing to administer continuous intravenous (IV) fluid replacement
throughaperipheralIVsitetoaclientwithadiagnosisofdehydration.Whichitemis
essentialforthenursetoassessbeforeinitiatingtheIVfluid?
1 Usualsleeppatterns
2 Abilitytoambulate
3 Bodyweight
4 Intakeandoutput

5. A home care nurse is assessing an older clients functional abilities and ability to
performactivitiesdailyliving(ADLs).Thenursefocusestheassessmenton:
1 Selfcareneeds,suchastoileting,feedingandambulating
2 Thenormaleverydayroutineinthehome
3 Abilitytodolighthousework,heavyhouseworkandpaythebills
4 Abilitytodriveacar

Page17of35
Book 2
6. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The
nurseplansforwhichnursinginterventiontopreventinfectionintheclient?
1 Usingstrictaseptictechniqueforintravenoussitedressingchanges
2 Monitoringserumbloodureanitrogen(BUN)levels
3 Weighingtheclientdaily
4 Encouragingfluidintake

7. Anurseispreparingtoadministerafeedingtoaclientreceivingnutritionthrougha
nasogastrictube.Thenursetakeswhichmostimportantactionbeforeadministering
thefeeding:p
1 Measuringintakeandoutput
2 Weighingtheclient
3 Addingbluefoodcoloringtotheformula
4 Determiningtubeplacement

8. Aclientwithaperipheralintravenous(IV)sitecallsthenursetotheroomandtellsthe
nursethattheIVsiteisswollen.ThenurseinspectstheIVsiteandnotesthatitisalso
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 receiving
intravenous (IV) therapy at home. The nurse teaches the client that the most
importantactiontopreventaninfectionattheIVsiteisto:
1 AssesstheIVsitecarefullyeverydayforrednessandedema
2 RedresstheIVsitedaily,cleansingitwithalcohol
3 Carefully wash handswith antibacterial soap before working with the IV
siteorequipment
4 ChangeIVtubingandfluidcontainersdaily

10. Anursepreparestoassistapostoperativeclienttoprogressfromalyingtoasitting
position to prepare for ambulation. Which nursing action is appropriate to maintain
thesafetyoftheclient?
1 Assist the client to move quickly from the lying position to the sitting
position
2 Assesstheclientforsignsofdizzinessandhypotension
3 Elevatetheheadofthebedquicklytoassisttheclienttoasittingposition
4 Allowtheclienttorisefromthebedtoastandingpositionunassisted
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CHAPTER 7
IELTS LISTENING (3)
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CHAPTER 8
IELTS LISTENING (4)
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CHAPTER 9
IELTS SPEAKING (3)
PREPARING YOUR TALK

1. BelowisanexampleofatopicforPart2.Lookat
the topic and the three mini questions which
accompany it. The Part2 topic will always follow
this format with one main topic and three sub
topics, and will usually focus on a familiar or
personalarea

2. First,readtheinstructioncarefullyanddecidehowyouaregoingtoapproachthe
topic.Inthiscaseyouareaskedtodescribeaplacewhereyouhavelived.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.
Page33of35
Book 2
SAMPLE OF TOPIC CARD
Describeajobthatyouwouldliketodointhe Describeapersonwhohashadamajorinfluence
future. onyou.
Youshouldsay: Youshouldincludeinyouranswer:
Whyyouareattractedtothisjob Whothatpersonisandwhatheorshelooks
Howmuchtraining,ifany,wouldbe like
necessary Howyoufirstmet
Whatkindofpersonalqualitiesitwould Hisorherspecialqualitiesandcharacteristics
require ...Andwhythatpersonissoimportantin
yourlife.
Describeyouridealstudyroom. Describeafamilycelebrationthatyouonce
Youshouldsay: attended.
Whereitwouldbe Youshouldsay:
Whatequipmentandfurnitureitwould Whereittookplace
contain Whyitwasheld
Howitwouldbedecorated Howyoufeltaboutit
Describeachildren'sstorythatyouknow Describeaninterestinghistoricplace.
well. Youshouldsay:
Youshouldsay: Whatitis
Whenyoufirstheardorreadit Whereitislocated
Whatyouparticularlylikedaboutit Whatyoucanseetherenow
Whyyouthinkitbecamepopular Andexplainwhythisplaceisinteresting.
Describeaninterestedhobbythatyouenjoy Describeariver,lakeorseawhichyoulike
Youshouldsay: Youshouldsay:
Howlongyoubecomeinterestedin Whattheriver,lakeorseaiscalled
Howlongyouhavebeendoingit Whereitis
Whyyouenjoyit Whatthelandnearitislike
Andexplainwhatbenefityougetfrom Andexplainwhyyoulikethisriver,lakeor
thisinterestorhobby sea
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REFERENCES

Bosher, SD. 2008. English for Nursing, Academic Skills (Michigan Series in English for
Academic&ProfessionalPurposes).Michigan:USA
Hull, Melodie. 2010. Medical English Clear & Simple: A PracticeBased Approach to
EnglishforESLHealthcareProfessionals.
Greenan and Grice. 2009. Oxford English for Careers: Nursing 2: Nursing 2: Student's
Book.OxfordUniversityPress,USA
Magnall and Arakelian. 2006. Hospital English: Brilliant Learning Workbook for
InternationalNurses
MeehanandGrice.2009.OxfordEnglishforCareers:Nursing1:Student'sBook.Oxford
UniversityPress,USA
OxfordUniversityPress.2000.OxfordLearnersPocketDictionary.UK
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5. Have your wounds checked and your sutures

PREPARING YOUR TALK

SAMPLE OF TOPIC CARD

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