ROLE-PLAY MOCK TEST ROLE-PLAY Card No 2

Interlocutor card - Patient Interlocutor card - Patient

Setting - Hospital Ward Setting - Hospital
Patient: – You are the parent of a 12-year-old girl. Your daughter had a convulsive seizure Patient: You are a patient who is recovering from a minor knee fracture. A nurse visits you in
(epileptic fit) earlier in the day at school and was brought to the hospital by ambulance. A the morning to deliver your breakfast. You are anxious to know when you can be discharged
nurse has just come to tell you that your daughter is about to be discharged from the hospital from the hospital as you are a student who has exams next month..
and you decide to ask him/her for information about what to do were your daughter to have
another convulsive seizure (epileptic fit). Task:-

Task:-  When you can go home

 How long it will take to recover from this knee fracture
 Ask what epilepsy is and what causes epilepsy.  If there is anything you can do to help with your recovery and improve your present
 Explain your concern that your daughter may have other convulsive seizures and that condition
you need to know what you should, or should not. do.
 Ask what you should do if your daughter appears disorientated or begins behaving
strangely.
 Ask when you should call an ambulance.
 What other support might be available?

ROLE-PLAY MOCK TEST ROLE-PLAY Card No 2

Candidate Card - Nurse Candidate Card - Nurse
Setting - Hospital Ward Setting - Hospital
Nurse: – The parent of a 12-year-old girl asks for your co-operation in answering questions Nurse: You are a nurse talking to the patient who is recovering from a minor knee fracture.
about a convulsive seizure (epilepsy) and what to do if his/her daughter had another seizure The patient asks you when he / she will be able to go home as he / she has exams next month.
following her discharge from hospital sometime later today. Listen carefully to the parent’s
questions. Do your best to answer the questions. Stress the need to stay calm, and not become Task:-
over-anxious.
 Reassure them that they will be alright soon
Task:-  Assure them that they can take their exams as well
 Explain the importance of taking their medicine on time
 Briefly explain epilepsy (disruption of electrochemical brain activity) and general  Suggest some easy exercises that will help with the recovery of their knee.
symptoms (e.g., muscle jerking, sometimes post-seizure tiredness or incontinence, etc.).
 Explain what the parent should do if the daughter has another convulsive seizure at
home (e.g., lie on side, remove harmful objects, no objects near mouth, check breathing,)
 Explain when to call an ambulance.
 Explain that there is an Epilepsy Foundation which could, on request, give the parent
more information about epilepsy. Its info will be in the telephone book or on the internet.


ROLE-PLAY Card No 1 ROLE-PLAY Card No 3
Interlocutor card - Patient Interlocutor card - Patient
Setting - Hospital Setting - Patient’s House
Patient: You are a patient who has recently undergone a thyroid gland removal operation. A Patient: You are diabetic. Recently, your doctor has suggested that you should start insulin
head nurse has now come to visit your room to examine you. You are very anxious and you injections. A district nurse has come to your house to teach you how to give yourself these
want to explain the problems you have been facing since the operation. insulin injections. You are unsure about why it is required for you to take these injections and
you are also worried about the method of performing the insulin injections on your own.
Task:-
Task:-
 Tell her about the difficulty in swallowing or speaking
 Ask the head nurse the reason for difficulty in breathing  Ask the nurse why it is necessary for you to start insulin injections.
 Ask how much time will it take to recover.  Inform her that you have been managing your diabetes with your diet and tablets
 Show your anxiousness when the nurse teaches you how to inject yourself.

ROLE-PLAY Card No 1 ROLE-PLAY Card No 3

Candidate Card - Nurse Candidate Card - Nurse
Setting - Hospital Setting - Patient’s House
Nurse: You are a head nurse. You are attending on a patient who has undergone an operation Nurse: You are a district nurse. The patient's family doctor at the hospital has asked you to go
for thyroid gland removal. The patient is unable to speak properly and she has difficulty in to the patient's house to teach him / her about how to give themselves insulin injections. The
swallowing or even breathing properly. patient is worried as he / she doesn't understand why it is necessary for him / her to start
insulin injections, as he / she thinks that he / she is able to manage his / her diabetes perfectly
Task:- Begin with warm and friendly greetings. well with diet and tablets.

 Answer questions that she may ask Task:-

 Assure her that problems related to speaking, swallowing, breathing will go away soon
(usually, go away after 2-3 weeks)
 Advise her not to pressurize her vocal chords by speaking continuously.
 Explain to the patient why insulin injections are necessary.
 Explain in detail the process of performing an insulin injection.
 Reassure the patient that it is an easy process, if you find that the patient is anxious.
 Explain the importance of using clean needles, the process of administering, general
sites for injections and the importance of needle disposal.
ROLE-PLAY Card No 4 ROLE-PLAY Card No 5
Interlocutor card - Patient Interlocutor card - Patient
Setting - Care Hospital, London Setting - Hospital
Patient: You have recently given birth to a baby girl. You want to breastfeed your baby but Patient: You are a patient who has undergone bunion surgery an hour ago. You are anxious
you are experiencing some problems.Your breasts are swollen and you are suffering from an to know how fast you will recover from this surgery. You want to speed up the healing
unusual soreness. process and would like to decrease your chances of experiencing discomfort, which can be
anything from moderate to severe.
Task:-
Task:-
 Explain that you are allergic to some antibiotics.
 Try to avoid any antibodies offered to you.  Ask the nurse what care you should take to be able to walk well without feeling any kind
 Explain that you have been given a few tips on breastfeeding but you have forgotten of pain.
some of them so would like more advice.  Ask about the duration of the pain medications.
 Ask about specific exercises that can help you get better as soon as possible.

ROLE-PLAY Card No 4 ROLE-PLAY Card No 5

Candidate Card - Nurse Candidate Card - Nurse
Setting - Care Hospital, London Setting - Hospital
Nurse: A woman who is a first-time mother is worried about soreness and engorgement. You, Nurse: You are the head nurse talking to a patient who has undergone bunion surgery an hour
as a nurse, must reassure her about this temporary engorgement and offer her your advice ago. The patient is anxious and would like to know about what they can do to recover from
about breastfeeding. this surgery and to be able to walk around without any pain.

Task:- Task:-

 Tell her about the best medicine to use  Assure the patient that they will be better soon.
 Give her a few tips on breastfeeding  Offer them some precautions or suggestions about how to speed up the process of
 Give her reassurance and confidence about how well she can cope up with the problems. recovery (avoiding showers for the first two weeks, the necessity of bed rest, the
importance of wearing a surgical shoe etc.)
 Highlight the importance of taking pain killers, if required and the use of ointment etc.
ROLE-PLAY Card No 6
Interlocutor card - Patient
Setting - Mayo Skin Care Clinic
Patient: You are a college-going student, pursuing your graduation at a university in London.
You are suffering from extreme redness of the skin. Your skin turns red when you go out
every time. You are now at skin care clinic where you have undergone an examination. You
are anxious to know that your “skin problem” is known as “Rosaceae” and that there is no
treatment for it except regular use of face-cream and some tablets. The nurse also has asked
you not to go out anywhere on hot days.
Task:-
 Express your nervousness on knowing that there is no possible treatment for this.
 Try to know more about when to apply or how to apply the cream etc or whether there
will be any side effects of it or not etc. Try to know more about what the diet shall be.
ROLE-PLAY Card No 7
Interlocutor card - By-stander
Setting - Hospital Ward
By-stander: You are a daughter of a 53 year old man who has recently been admitted to the
hospital on complaints of chest pain. You have brought your father here to the hospital. You
are very concerned about your father’s health.
Task:-
 Talk to the nurse about your father; give the details to the nurse who has come to collect
the information about the patient, that is, your father.
 Inform nurse about your father’s problem and his habit of smoking as well.
 Try to know something more about how you can stop your father from smoking as well.

ROLE-PLAY Card No 6 ROLE-PLAY Card No 7

Candidate Card - Nurse Candidate Card - Nurse
Setting - Mayo Skin Care Clinic Setting - Hospital Ward
Nurse: You are the head nurse at Mayo Skin Care Clinic. A patient has come for a skin Nurse: You are the head nurse at the hospital where Angelina’s father has been admitted. He
problem. It is noted to be Rosaceae. The patient is very nervous to know this. The doctor at is a patient who is suffering from chest pain on frequent basis. His daughter is very concerned
the clinic has sent him / her to you for further instructions to be received from you. about him.

Task:- Task:-

 Explain it to him / her that there is really no treatment for Rosaceae but it can easily be
controlled.
 Explain to him / her how and when to apply face cream or how it can reduce redness and
make him / her look normal. Explain this too that there will be no side effects of the face
cream or the tablets.
 Advice he / she to bring some changes in his / her diet as well.
 Advice him / her not to go out without applying sun screen lotion too.
 Collect information from the daughter about the patient who has been admitted at the
hospital.
 Try to collect information about past medical problems as well.
 Try to comfort her as she is very worried about her father.
 Try to advice her about what she can do to make her father quit smoking.
ROLE-PLAY Card No 8 ROLE-PLAY Card No 9
Interlocutor card - By-stander Interlocutor card - Patient
Setting - Hospital Ward Setting - Hospital Ward
By-stander: You are the wife of John Pareira who has recently been operated due to the Patient: You are a patient who has recently got admitted into the hospital due to high blood
injury to the ankle (right foot). Due to an accident, your husband was badly injured. His ankle pressure. You never had faced such a problem in your life.
bone is broken. You are very concerned about your husband who is also a diabetic patient.
Task:-
Task:-
 Give the details to the nurse about you.
 Talk to the nurse about your husband; give the details to the nurse who has come to  Talk to the nurse about what actually causes this problem.
collect the information about the patient, that is, your husband.  Try to collect as much information as you can about how the diet shall be or what food
 Inform nurse about what you are worried about, the problem he is facing now etc. you will have to avoid etc. Express nervousness about taking tablets, or how to cope
 Get all details about how many weeks he will take to recover or whether a with this problem related to BP etc.
physiotherapist from the hospital will pay visit to their home or not etc.

ROLE-PLAY Card No 8 ROLE-PLAY Card No 9

Candidate Card - Nurse Candidate Card - Nurse
Setting - Hospital Ward Setting - Hospital ward
Nurse: You are the head nurse at the hospital where Maria’s husband has undergone an ankle Nurse: You are the head nurse at the hospital where a middle-aged man has been admitted
operation. She is very worried about her husband, the patient. due to the problem of higher rise in blood pressure. He never had such problem in his life
before. He is nervous and unable to cope with this news that he will have to take pills
Task:- regularly to control his BP.

 Collect information from Maria about the patient who has been operated at the hospital.
 Try to comfort her and tell her about the weeks he will take to recover etc.
 Try to collect information about past medical problems too.
 Try to advice her about how she can get in touch with the physiotherapist at the hospital
who can pay visit to her house to help her husband in recovering sooner.
Task:-
 Collect information from the patient who is suffering from high BP.
 Try to advice him about what food can be better or what food he shall avoid etc.
 Try to remove his anxiety as well by advising him about how pills or tablets can help
him in controlling his BP and lead a normal life.
 Try to collect information about past medical problems too.
ROLE-PLAY Card No 10 ROLE-PLAY Card No 11
Interlocutor card - Patient Interlocutor card – By-stander
Setting - Hospital Ward Setting - Hospital
Patient: You are a patient who has recently been operated for hip injury. After discharge By-stander: You are a mother of a 9 year old child who is going to be discharged today after
from the hospital a week ago, you are again admitted due to severe pain around the hip a week’s stay at the hospital due to an injury to his knee. You, as his mother, are very
(operated area). Examination by the doctor reveals that the problem is a minor one but he concerned. You would like your son to get well sooner.
expresses the possibility of operating again if the problem doesn’t cease.
Task:-
Task:-
 Express your concern / Express that you are worried and that you want your child to
 Express your nervousness about second operation and that you are not ready for it. recover sooner.
 Give the nurse information about how you feel after this operation.  Find out what the diet shall be.
 Talk about how painful it is for you sometimes.  Try to know more about the type of fracture your son is facing and the recovery
options.
 Try to know more about the medicines to be given.
 Take as much information as you can about the precautions which are to be taken for a
speedy recovery.

ROLE-PLAY Card No 10 ROLE-PLAY Card No 11

Candidate Card - Nurse Candidate Card - Nurse
Setting - Hospital Ward Setting - Hospital
Nurse: You are the head nurse at the hospital where a middle-aged man has been re-admitted Nurse: You are the head nurse, talking to a mother whose son had undergone a minor knee
at the hospital due to severe pain around hip region (who was discharged a week ago after surgery recently. She is concerned and she would like her son to recover sooner.
successful operation of the hip injury). He is unable to understand why he may have to
undergo an operation again. Task:-

Task:-  Begin with the warm greetings.

 Collect information from the patient who is suffering from severe pain around his hip
region after the operation.
 Try to explain to him why there is a need of performing an operation again.
 Try to remove his fear by saying that regularly taking the tablets can kill the pain and
can eliminate the need of second operation.
 Try to advice him what he can do to avoid pain etc.
 Try to convince the mother that the operation was successful and that her son will get
well sooner.
 Try to let her know more about how the diet shall be or what diet can be better for her
son.
 Let her know of what medicines are to be given.
 Let her know more about the precautions required for a speedy recovery.
ROLE-PLAY Card No 12 ROLE-PLAY Card No 13
Interlocutor card - By-stander Interlocutor card - Patient
Setting - Hospital Setting - City Hospital
By-stander: Your daughter is facing a problem of ear ache. You, as a mother, are now at the Patient: You are a working woman who has been facing problems related to skin rashes. You
hospital talking to the head nurse about the problem. are very concerned and you want to get rid of the problem soon.

Task:- Task:-

 Begin with warm greetings.  Begin with warm greetings.

 Let the head nurse know more about the problem your daughter is facing (pain or
inflammation in the ear etc).
 Try to know more about what causes ear ache.
 Try to know more about the precautions your daughter might have to take to get well
sooner.
 Try to know more about how she can get well sooner.
 Let the head nurse know more about the problem you have been facing.
 Try to know more about why your skin is so allergic.
 Try to know more about the common allergens.
 Try to get the best solution for this same.
 Try to know more about precautions you might have to take as well.

ROLE-PLAY Card No 12 ROLE-PLAY Card No 13

Candidate Card - Nurse Candidate Card - Nurse
Setting - Hospital Setting - City Hospital
Nurse: You are talking to a mother whose daughter is facing a problem of ear ache. Her ear is Nurse: You are a head nurse who is talking to a woman who has been facing problems
badly aching. related to skin rashes. She is very concerned and she wants to get rid of the problem soon.

Task:- Task:-

 Begin with the warm greetings.
 Try to know more about the problem her daughter is facing.
 Let the patient’s mother know more about what causes ear ache (Building up of the fluid
deep inside the eardrum, infection of the ear canal, presence of a boil or infected hair
follicle in the ear canal etc).
 Let the mother know more about the precautions to be taken for effective recovery.
 Explain more about the possible solutions for speedy recovery.
 Begin with the warm greetings.
 Give answers to the question she may ask.
 Try to know more about the problem she has been facing.
 Explain to her about the possible allergic reactions.
 Explain to her about the common allergens.
 Try to offer the best solutions for her problems (which she can get at the hospital you
are working).
 Let her know more about the precautions she might have to take.
ROLE-PLAY Card No 14 ROLE-PLAY Card No 15
Interlocutor card - Patient Interlocutor card - By-stander
Setting - Star Hospital Setting - Nursing Agency
Patient: You are a woman who had undergone a hip replacement surgery. Now, you are By-stander: Your mother is very old. You are talking to the head nurse to arrange someone
getting discharged from the hospital. The head nurse has come to you to enquire if you are to look after her while you are away from home for 15 days.
facing any problem.
Task:-
Task:-
 Begin with warm greetings.
 Begin with warm greetings.  Explain to the head nurse how old your mother is and why she requires nursing
 Let the head nurse know about the problem you have been facing (if you have any services.
problem).  Explain to the head nurse why you will be away from home for 15 days (explain to the
 Try to know when you will be able to walk properly with no pain at all. nurse your nature of the job as a journalist).
 Try to know more about post-operation effects.  Find out what can be the charges for it.
 Try to know how much time it will take for you to get well sooner.  Try to know more about what nursing services you can expect from their nursing
 Try to know more about the precautions you might have to take. agency.

ROLE-PLAY Card No 14 ROLE-PLAY Card No 15

Candidate Card - Nurse Candidate Card - Nurse
Setting - Star Hospital Setting - Nursing Agency
Nurse: You are now talking to a woman who had undergone hip replacement surgery a week Nurse: You are the head nurse, talking to a daughter of the patient who is very old or who
back. The patient is now getting discharged from the hospital. requires nursing services.

Task:- Task:-

 Begin with the warm greetings.
 Answer the questions the patient might ask you.
 Try to know if she is facing any problems (related to hip joint pain etc).
 Let the patient know more about the precautions she might have to take.
 Let the patient know about the side-effects too (which might occur due to some
negligence by the patient).
 Let her know more about how much time she will take to get well sooner.
 Begin with the warm greetings.
 Try to know more about why patient’s daughter is looking for the nursing services.
 Try to know more about the patient / her health condition.
 Explain everything about the nursing services your agency offers.
 Explain to the patient’s daughter what charges can be applied etc.
ROLE-PLAY Card No 16 ROLE-PLAY Card No 17
Interlocutor card - Patient Interlocutor card - Patient
Setting - Community Health Clinic Setting - Medical Assessment Unit
Patient: You are the mother of three children aged 3, 4, 6... You have just discovered your 6 Patient: You are a 40-year-old patient suffering from breast cancer. You have not performed
year old daughter has head lice. You are upset and embarrassed as you always wash the any mammogram for 4 years. Mother and Aunty suffered and died from breast cancer. You
children’s hair regularly. You have never encountered this problem before. are afraid of dying and leaving 3 kids all aged below 15. You noticed some breast changes 4
months ago but did not think about it. You would like to discuss treatment options.
Task:-
Task:-
 Respond to the nurses questions.
 Answer the nurse’s questions in regards to your illness and ask questions in regards to
 Ask about any natural remedies you can use as you don’t like chemicals.
treatment alternatives.
 Ask about whether your other children will be infected also.

ROLE-PLAY Card No 16 ROLE-PLAY Card No 17

Candidate Card - Nurse Candidate Card - Nurse
Setting - Community Health Clinic Setting - Medical Assessment Unit
Nurse: A young woman, the mother of three children aged 3, 4, and 6 has come to the clinic Nurse: You are talking to a 40 year old patient, who has been diagnosed with breast cancer.
and tells you she has just discovered her eldest daughter has head lice. She is upset and
embarrassed and assures you she always washes the children hair regularly. She has no
experience in dealing with the situation as it has never happened before.
Task:-
Task:-
 Reassure the mother and explain that head lice are contagious and anyone no matter how  Approach the patient and comfort them.
regularly they wash their hair can get head lice.  Respond to the patient’s questions about their concerns.
 Suggest the mother contact any school or kindergarten her children attend as it quite  Give advice in a positive and friendly manner.
probable other children are also affected.
 Recommend and explain the use of a head lice comb.
 Suggest the mother visit the local pharmacy to obtain an herbal product with natural
(non chemical) pyrethrins.
 Say that because head lice spread when people play, cuddle or work together, it is
important to check the whole family.
 Offer to provide the client with a detailed leaflet on treating and controlling head lice.
ROLE-PLAY Card No 18
Interlocutor card - Patient
Setting - Neurology Ward
Patient: You are a 36-year-old patient who has been feeling very nauseous and suffering
from extensive continuous headache for the past week. You do not know when you-will be
discharged since you do not know when you can go back to work next. You are also very
worried about the reason you have been hospitalized, your GP has indicated that he is
concerned about some possible neurological signs but he has no more information. You feel
discomfort with regards to the side effects of the pain killers and would like the nurse to
enquire about alternative analgesics. Also you are mildly claustrophobic and are very
uncomfortable in cramped and tight spaces. Recently, you have experienced significant
financial distress. You are behind on your mortgage payments and you are afraid that the
bank will repossess the family home. You would like to be discharged as soon as possible and
you are worried about your family.
Task:-
 Answer the nurse’s questions in regards to your illness.
ROLE-PLAY Card No 18
Candidate Card - Nurse
Setting - Neurology Ward
Nurse: You are talking to a 36-year-old patient, who is about to undergo a contrast MRI for a
suspected Brain Tumor. They are feeling very nauseous and are receiving pain killers;
however they are drowsy and unsettled. As a consequence they are reluctant to perform the
diagnostic test.
Task:-
 Approach and get the patient to rationalize why they are reluctant to perform the MRI.
Inquire about their concerns, and try to identify if there are associated issues with their
behavior.
 Reassure and attempt to negotiate a favorable behavioral outcome and explain the
benefits of the treatment and care.
 Respond to the patient’s questions about their concerns.
 Give advice in a positive and friendly way.
ROLE-PLAY Card No 19
Interlocutor card - Patient
Setting - Medical Assessment Unit
Patient: You are a 40-year-old suffering from pneumonia. However the catheter connected in
your left radius is causing you discomfort. You have been in hospital for one day. However
you are still febrile and shivering despite IV antibiotics. You would much prefer that they
administered your medication orally as you hate needles. This phobia stems from you being
stabbed when you were a teenager by a Heroin drug addict, who attempted to steal from you.
You cannot stand the pain and your heading is ringing. You are also unable to stop shivering
and you are very cold. You would like to ask the nurse for more covering however when you
have tried to get the nurses attention you have not been successful. You have no history of
any medical allergies or major surgery. However you have been counseled because of a
history of anxiety.
Task:-
 Answer the nurse’s questions in regards to your illness and ask questions in regards to
treatment alternatives.
ROLE-PLAY Card No 19
Candidate Card - Nurse
Setting - Medical Assessment Unit
Nurse: You are talking to a 40-year-old patient, who keeps tampering with the IV catheter
that is administering electrolytes and antibiotics for his/her pneumonia. Inadvertently they are
traumatizing the tissue around the catheter site, requiring a new location. The patient exhibits
a fever; they are hot and flushed and are experiencing extensive pain. They have received
analgesics but are waiting for their effects.
Task:-
 Approach the patient and express your concern about their activities.
 Find out what is causing the patient to behave in this manner. Attempt to negotiate a
favorable behavioral outcome and explain the benefits of the treatment and care.
 Respond to the patient’s questions about their concerns
 Give advice in a positive and friendly way.
ROLE-PLAY Card No 20
Interlocutor card - Patient
Setting - Emergency Department
Patient: You are an 86-year-old patient who has an extensive history of diabetes type II
mellitus. While you are not insulin dependent, you do take medications such as Metformin
and Avandia to alleviate symptoms of diabetes. You have been hospitalized because your left
foot is severely inflamed and infected. You can see that your big toe has become black in
color and you are extremely worried about saving it. You developed diabetes 35 years ago,
and since you have suffered related macula degenerations and you exhibit peripheral vascular
disease. You have had multiple skin grafts for necrotic wounds in your lower legs before, and
you experience a lack of sensation in these extremities as well. You have high blood
cholesterol as well and your general practitioner has prescribed you on a strict low fat and
sugar diet. You live by yourself and have very few family and friends. While retired you used
to be a carpenter and developed asthma as a result of exposure to fine fibers. You used to
smoke heavily for 30 years and however you do not drink in regards to your diet ambulance.
ROLE-PLAY Card No 21
Interlocutor card - Patient
Setting - Setting Outpatient Clinic
Patient: You are a 40-year-old recovering skin cancer patient. The nurse is collecting
information from you. You live in your own home with your wife/husband, who is 35 years
old, and you have two young children living at home. You have been concerned about
swelling in your neck area that has persisted for the past month. You would like to know what
the CT examinations are for. You are worried about relapsing into illness.
Task:-
 Answer the nurse’s question about your family situation, and ask questions about the
benefits and risks of chemotherapy.

Task:-

 Answer the nurse’s questions in regards to your illness.

ROLE-PLAY Card No 20 ROLE-PLAY Card No 21

Candidate Card - Nurse Candidate Card - Nurse
Setting - Emergency Department Setting - Setting Outpatient Clinic
Nurse: You are talking to an 86-year-old patient, who needs attention for some infected skin Nurse: You are talking to a 40-year-old patient, a skin cancer patient who has come in for
ulcerations on his/her lower extremities. post operative examinations. The responsible physician needs Cornputerized Tomography
(CT) scans performed because of inflamed neck lyrnph_nodes on clinical examination.
Task:-
Task:-
 Find out about the patient’s general background: family, habits and general health.
 Explain to the patient that he/she will need to be admitted into hospital to receive IV  Find out about the patient’s general background: family, habits and general health.
antibiotics to fight the infection.
 Ask the patient about any symptoms, diet habits, medications and other relevant factors  Respond to the patient’s questions about Chemotherapy. Give advice in a positive and
that are relevant to the patient’s presentation including their lifestyle habits and any friendly way.
history of family illness.
ROLE-PLAY Card No 22
Interlocutor card - Patient
Setting - Cardiology Ward
Patient: You are a 46-year-old patient with extensive chest pain. Recently your mother
passed away of Breast cancer, who you cared for the past 5 years. You currently live by
yourself and you feel very depressed, you have harbored many suicidal thoughts, you have
even attempted to poison yourself. You are divorced and you have 2 children from a previous
marriage. You refuse to take the medication or to eat because you do not feel that you want to
go on. An ambulance has brought you in for hospitalization after you collapsed in a shopping
centre after suffering tight chest pains radiating across to the throat and left humorous. You
are reluctant to see a counselor or psychologist because you feel that you should be able to
deal with these issues yourself. However you have lost your job recently because of your
depression because of continuous sub-standard performances.
Task:-
 Alert the nurse to your unfolding situation and cooperate with the nurse’s investigation.
ROLE-PLAY Card No 23
Interlocutor card - Patient
Setting - Hospital Ward
Patient: You are a 56-year-old smoker who has been admitted to hospital with bronchitis.
The nurse is collecting information from you. You live in your own home with your
wife/husband, who is 50 years old, and you have three teenage children living at home. You
have smoked for 30 years and often had chest infections. You would like to give up smoking
but have tried several times and have not succeeded. You are also aware of X-ray and CT
examinations that have been performed, but you have not received the results. However you
are concerned.
Task:-
 Answer the nurse’s question about your family situation, and ask for advice about how
to give up smoking.
 Also ask about your test examinations, and about the possibility of cancer and what
therapies or treatments are available.

ROLE-PLAY Card No 22 ROLE-PLAY Card No 23

Candidate Card - Nurse
Setting - Cardiology Ward
Nurse: You are talking to a 46-year-old patient, who is refusing to take medication or to have
their food. They believe that the hospital staff is trying to poison them. The patient has
recently suffered a traumatic incident where they lost their mother to breast cancer.
Task:-
 Approach and get the patient to rationalize why they harbor these feelings.
 Investigate if there are associated issues in relation to possible grief caused by their loss.
 Reassure and explain to them the benefit of receiving treatment and attempt to negotiate
favorable behavioral outcome.
 Respond to the patient’s questions about their concerns.
 Give advice in a positive and friendly way.
Candidate Card - Nurse
Setting - Hospital Ward
Nurse: You are talking to a 56-year-old patient, a heavy smoker who has just been admitted
with bronchitis. Chest X-ray results show a significant growth or mass in the patients right
lung. On Further examination Computerized Tomography (CT) scans illustrate inflammation
of the neck and chest lymph nodes.
Task:-
 Find out about the patient’s general background: family, habits and general health.
 Respond to the patient’s questions about giving up smoking and any questions they may
have about their condition.
 Keep in mind they have not seen their results.
 Give advice in a positive and friendly way.
ROLE-PLAY Card No 24
Interlocutor card - Patient
Setting - Children’s Hospital
Patient: Your three-year-old child has been brought to hospital suffering from chest
tightness, wheezing and difficulty breathing. You are extremely anxious as you fear your
child has asthma. You have been waiting to see a doctor. A nurse is asking you questions
about your child and you become agitated as all you want is a doctor to see your child
immediately.
Task:-
 Complain to the nurse that you have been waiting for the past hour and not seen a
doctor.
 Briefly explain your child’s condition and that you are concerned your child has asthma.
 Demand the nurse to tell you if your child is suffering from asthma.
 Agitatedly tell the nurse you want the doctor to see your child immediately.
 Reluctantly agree to allow the nurse to take observations of your child.
ROLE-PLAY Card No 24
Candidate Card - Nurse
Setting - Children’s Hospital
Nurse: A three-year-old child has been brought to hospital suffering from chest tightness,
wheezing and dyspnoea. You suspect the child has asthma. The parent is anxious and
becomes agitated whilst the child is waiting to see a doctor. You are the nurse taking the
child’s vital signs.
Task:-
• Explain to the parent that the emergency department has been busy and as soon as a
doctor becomes available he/she will be over to see the child.
• Ask the parent to briefly explain his/her child’s condition.
• Explain what the doctor will do (e.g., provide a diagnosis after a thorough medical
assessment, etc.).
• Reassure the parent that you are doing everything possible to take care of the child who
is stable. A doctor will attend shortly.
• Encourage the parent to relax and to allow you to attend to the child.
• Explain that you need to continue taking the child’s vital signs.
ROLE-PLAY Card No 25
Interlocutor card - Patient
Setting - Home Visit
Patient: You are 55 years old. You have End-stage Renal Disease (ESRD) and your health is
steadily deteriorating. You are an inpatient in a Renal Ward and feeling lonely and depressed.
You are reluctant to talk about your situation as you are scared. You require dialysis three
times a week and are on a kidney transplant waiting list.
Task:-
• With reluctance, slowly explain your fears about your condition.
• Tell the nurse you hate having dialysis and feel that a donor will never be found in time.
• Demand to be nominated as Not for Resuscitation (NFR) if you have a cardiac arrest.
• Reluctantly agree to see a counselor.
• Tell the nurse that you want to be able to die with dignity with your family present.
ROLE-PLAY Card No 25
Candidate Card - Nurse
Setting - Home Visit
Nurse: Your patient is 55 years old. He/she has End stage Renal Disease (SRD). You see
his/her health is steadily deteriorating. The patient is an inpatient on your Renal Ward and
you notice he/she appears lonely and depressed. He/she requires dialysis three times per week
and is a candidate for a renal transplant.
Task:-
• Ask the patient to tell you how he/she is feeling.
• Encourage the patient to talk about his/her fears about the condition.
• Inform the patient that without dialysis he/she would suffer more.
• Reassure the patient that there is airways hope a donor will be found in time.
• Suggest that a counselor be consulted to support the patient1s decision to be listed as Not
for Resuscitation (NFR).
• Provide reassurance that, if he/she wants to put his/her request in writing, it is hospital
policy for staff to respect that, and having the family present is important.