TEXT BOOK EXERCISES

UNIT 1 : PATIENT ADMISSIONS

TAKING A PATIENT HISTORY

1a )

1- Taking the personal details for the patient.

2- A name, contact number, the medical story and allergies .

3- Because in a medical environment all the details like allergies or medical story are important.

1b)

1- Yes, with the help of a sick

2- No

3- She is being admitted to the cardiac unit

1c)

1. Good morning, Mrs. Chad. My name is Shona .

2. Good morning, Shona .

3. How are you today?

4. Not too bad , thank you .

5. I'd like to ask you a few questions, if it's all right with you?

6. Yes, of course. That's fine

1d)

1. Because se has high blood pressure

2. She had a mild heart attack

3. No

4. Yes , her son

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1e)

1. Can you tell me your full name , please ?G

2. Can you tell me why you are here today ?E

3. Have you had any serious ilnesses in the past ? D

4. Have you ever had any operations ? B

5. Now, are you taking any medications at the moment ? F

6. Do you have any allergies to medications ? A

7. Can you tell me the name of your next of kin ? C

1f)

2- I'm here for a chest X-ray ( prueba de rayos )

3- I had pneumonia two years ago

4. I had appendix out when I was fourteen

5. I take aspirin every day for my arthritis

6- I 'm allergic to nuts ( frutos secos )

1g)

1. An elderly patient:

I think you need to talk with her /his to be very polite, using phrases like " May I help you ? "

Is important to look for the person and keep calm if he/ she can't ear correctly or if they ask you
for say another time the same

2. A young patient

They are probably scared so it’s important that we show each other affectionately and explain it to
them in a way that they can understand , without technicalities

3. A patient who has been waiting a long time

Show empathy and try not wait longer and solve your problem nicely

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COMUNICATION FOCUS: USING ACTIVE LISTENING STRATEGIES

2a )

1- Listen to everything the other person says for understand it better

2- Because the other person feels better and heard

2b )

1. I see 2. Mm /hm 3. Nodding your head 4. Eye contact

MEDICAL FOCUS : THE HEART

3a)

1- Include all the process to the heart ( include systole and diastole )

2- Contract and relax

3. Can't breathe correctly because there isn't enough oxygenated blood

4. For explain cardiac test or pathologies

PRONUCIATION : BRITH WITH VERBS , BRETH WITH NOUN

3b)

The atria : receive blood

The valves : open and close for the pass of blood

The ventricles : do the pumping action

The pulmonary vein :return the oxygenated blood to the heart for the lungs

The pulmonary artery : the oxygenated blood to the lungs

The aorta : give blood to all the body

COMMUNICATION FOCUS : PUTTING A PATIENT AT EASE

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4a )

They are talking about his life before an diagnostic of hypertension

4b)

1.Have a chat – discuss, e

2. A bit of shock – unpleasant surprise, g

3. A bit flushed – ruddy /red complexion, c

4. Watch for – take notice of ,d

5. I will just grab a chair – I am going to sit down ,b

6. Fired up- enthusiastic ,f

7. keep an eye on – monitor ,a

4c )

1- same level , d

2- positive , a

3- judgemental , b

4- rapport , 1 ( relación de compenetración)

CHARTING AND DOCUMENTATION : A NURSING HANDOVER

5a)

1. Say the process ( negative or positive ) ,symptoms that are important ...

Everything necessary for good patient care

2. Everything you have done during the shift isn't important for the other nurse

3. Horrible things because maybe he needed a kind of care or medication that the new nurse
doesn't know

5b)

1- uncontrolled hypertension
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2- She had a heart attack in June

5c)

1. T rue ,2. True , 3. False , 4.F alse, 5.True

5d)

1d, 2m, 3b, 4f, 5l, 6c, 7j, 8h, 9e, 10n, 11d, 12a, 13k, 14i

5e )

2. MI, 3. SHO, 4.BP, 5ECG, 6.GTN ,7 O2

5f)

1. complained of , 2. 10 pm , 3. SHO, 4.Oxygen , 5.two twenty over a hundred , 6.pulse , 7. one

hundred twenty,8 five past ten , 9.SHO, 10. ECG, 11. sublingual

UNIT 2 : RESPIRATORY PROBLEMS

EDUCATING PATIENTS ABOUT ASTHMA MANAGEMENT

1a )

1- The peak flow meter measure how fast a person can blow

1b)

1- Much better

2- Because she has asthma

3. At the same time

4. Take the peak at the same time every day , write the results and bring it to asthma clinic

1c)

1. would you mind

2. I’d like you

3. could you
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1d)

1-Right, first of all ,just move the red indicator to the bottom of the numbered scale , like this

2- Now ,stand up. Take a deep breath and try to fill your lunges as much as you can

3-Next, blow as hard and as fast as you can with one breath

4- Make a note of the final position of the marker

5- After that , I want you to blow into the peak flow meter two more times

6- The last thing to remember is to record the highest of the three readings on your Daily record
chart

COMMUNICATION FOCUS: GIVING INSTRUCTIONS EFFECTIVELY

2b)

2- At the same level

3- that's right

4. I am going to teach you how to

5. understood

6. firstly, secondly, fingers

7.demostrate

8.repeat

USING A NEBULISER

3b )

1- put in the medication 3. put on the mask 5. breathe in the mist

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2. connect to the oxygen 4. turn on the oxygen

3c)

1.First of all ,c 3. Next , a 5. Finally ,b

2. Now , e 4. After that ,d

MEDICAL FOCUS : THE RESPIRATORY SYSTEM

4a)

1. nasal cavity

2. oral cavity

3. voice box or larynx

4. bronchas ( pronunciación : broncas )

5. alveoli ( pronunciación : alvioli)

6. throat/ pharynx

7. epiglottis

8 windpipe or trachea ( pronuncia : traquia )

9 pleural membrane

10 intercostal space

4b )

1- Asthmatic airways are smaller than healthy airways because are inflamed , the air can't pass
correctly

2- the person can't breathe normally

4c)

1.a- Healthy, b -Asthmatic

2.a -Asthmatic, b -Healthy

3. a-Healthy, b- Asthmatic
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4. a-Asthmatic ,b – Healthy

4d )

1- becomes inflamed

2. is conducted

3. is exchanged

4. is narrowed

5. tighten

6 . breathe

UNIT 3 WOUND CARE

DISCUSSING WOUND MANAGEMENT

1a )

It can be infected , inflamed , slow process ,amputation and pain .

SIDE EFFECTS NO SECUNDARY EFFECTS

1b)

1. She is removing the wound

2. because you can pass bacterias to the wound with your hand

1c)

1. For advice on the management of wound

2. Venous ulcer
3. 2 weeks

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1d)

2. He developed ...

3. His local doctor...

4. Two weeks ago...

5. He had a Doppler...

6. We sent a wound...

7. He is started on some...

1f)

1. CNS f 2. PVD g 3. Doppler b 4. bugs a 5. Spike a temperature c

6. IV Abs d 7. VAC e

1g)

1. Because it wasn’t healing at home

2. A VAC dressing
3. To help the wound heal faster

MEDICAL FOCUS

3b)

1 . Necrosis h

2. Eschar a

3. Desiccation b

4. Inflammation g

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5. Swab d

6. Slough e

7. debridement f

8. Cellulitis c

3e)

1. eschar , c

2. cellulites , desiccation , b

3. inflammation , swab , a

4. slough ,debridement , b

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