SESSION 10

OCCUPATIONAL ENGLISH TEST

WRITING SUB-TEST: NURSING

TIME ALLOWED: READING TIME: 5 MINUTES

WRITING TIME: 40 MINUTES

Read the case notes below and complete the writing task which follows.
Notes:

You are the charge nurse working in mental health ward and Mr. Ming Zhang is admitted to
your department.

Patient Details:

Name : Mr. Ming Zhang

Age : 30 years

Gender : Male

Admission date : 5th April 2011

Discharge Plan date : 26th April 2011

Diagnosis : Major depression and deliberate self poisoning

Medical and psychiatric background

 No history depression pre divorce

 1st presented 1 year ago with DSP and major
depression
 Attended Chinese psychologist sporadically this
year
 Current presentation is 2nd DSP and mental health
admission
 Medical history of gout, previous hepatitis A, # L
tibia, # R humerus, # L clavicle (all separate
occasions and resolved, work related)
Social background:

 Came to Australia as a labourer 5 years ago

 Permanent resident now
 Wife had affair and divorced pt 1 year ago
 Depressed and unemployed since
 Lives in own house with NESB mother out from China
 Mother doesn’t like pt taking psych medicines due to her Chinese
medicine beliefs , Pt hobbies are fishing & online trading

Medications : Mirtazipine 30 mg nocte

Nursing management and Progress

 Frequently S/B Chinese speaking transcultural mental health worker

received , 1:1 CBT counseling
 ++ insomnia & decreasing mood
 Mirtazipine increased from 15 mg to 30mg 12/4/11
 Mother educated via interpreter re importance of Antidepressant
(AD) meds.
 No suicidal ideation (SI) at present , please monitor closely for SI in
community

Assessment

 Mood low but improved

 Low risk of self harm with close follow up and support ,Good response
to CBT

Discharge plan

 For case management via community mental health team.

 Ideally assign pt to Chinese speaking clinician or use interpreter services
 Continue CBT
 Observe response to increase AD, treatment monitor for side effects
 Encourage increase physical exercise & job hunting
 Avoid prescribing benzo meds as pt uses these to DSP
Writing task
You are the Charge Nurse on the mental health ward where Mr. Ming Zhang will be discharged
from and need to write a nursing referral letter to the local community mental health team.
Address the letter to Team Leader, Ryde Community Mental Health Team.

In your answer:

 Expand the relevant notes into complete sentences

 Do not use note form
 Use letter format

The body of the letter should be approximately 180 – 200 words.

Click on the link to submit your writing task https://www.mentormerlinexam.com/courses/online-

oet-crack-course/lessons/day-6-day-86-preparation-practice-review/topic/day-24-reading-listening-
writing/#oet