24-Part B.

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Speaker 1 [00:00:00] Part B in this part of the test, you'll hear six different extracts. In
each extract, you hear people talking in a different health care setting. For questions 25 to
30. Choose the answer A, B or C, which fits best according to what you hear. You'll have
time to read each question before you listen. Complete your answers as you listen. Now
look at question 25. Now read the question.

Speaker 2 [00:01:00] Okay, Your order sheet is in your chart. It's under the tab. It's labeled
physician's orders. You're going to check these orders against your paper. Ma'am, there's
two pages to your paper. More your routine medicines and your and medicines. So first,
check your patient's name. Sally Gunter. Sally Gunter. Okay, then check for the date of
birth. Five 841 five 841 The next thing you want to look at is allergies. Sally is allergic to
penicillin. Your allergy is penicillin. And you want to go down and you want to verify every
medicine that they have. So on the order sheets of potassium chloride, formula
equivalence PO three times a day, potassium chloride, oral liquid 40 milli equivalence po
three times a day, k4x 250 milligrams po every 6 hours. K flex 250 milligrams PO every 6
hours, nor has five milligrams twice a day, nor has five milligrams po twice a day. Prilosec
20 milligrams daily, Prilosec 20 milligrams po daily. You're looking at your physician's
order, make sure it has a date time and a physician's signature. So again, you're also has
a PR in order of clonidine 0.1 milligram tablet every 6 hours PR and for a diastolic blood
pressure greater than 90 clonidine 0.1 milligram tablet P0 every 6 hours pr n for diastolic
blood pressure greater than 90. Now all your routine meds and your PR and meds are
checked against your physician's order sheet. The next thing you want to do is to look
here. Number one is compare your order sheet here more and then your initial wants
verified. So you would sign your initials that you've verified these medicines.

Speaker 3 [00:02:57] Question 26. Now read the question.

Speaker 4 [00:03:19] Let's examine this. If I had a fearful thought that I could ultimately
lose everything, then it's not going to move me forward. It's not going to help me think
clearly. It's not going to help me, you know, move forward and take take the actions that I
need to take. It can kind of limit me and make me feel like I don't want to do anything
because I'm scared to do anything. But what I have found and this is what I do all the time,
is when I'm having a fearful thought. I know that I can't not think about something because
the more you try to not think about something, the more you're just going to think about it.
So you have to replace that thought. And what I replaced that thought with is how can I
use this fearful thought or use this fearful event to make me a better person, a better
nurse, and to learn from this experience. I'm happy to share this with you so that you can,
you know, hopefully learn from my mistakes. And so what happened was I realized that I
made the mistake. And not only had I made the mistake once, I had actually did it, I had
actually done it the first time I administer the medication as well. So I thought about it and I
was like, okay, well, of course I had to do an incident report with the mistake. I'm going to
show her that I can, you know, not only take care of the situation and have her trust me
with her patients, but she can also see that I'm a very confident person and that this
mistake won't happen again. So I went to her and I said, you know, I told her the mistake.
You know, ultimately I told her what happened and, you know, it was a mistake. And we
examined it. And, you know, she asked me two questions and it was uncomfortable
situation. But what I realized was that I came out of that as well as I possibly could of
having the lack of confidence. You can replace that with no matter what happens, I will
build from this and I will learn from this and I will ultimately become a better person. So
guys, it's all about replacing those fearful thoughts with thoughts that are going to serve
you.

Speaker 3 [00:05:33] Question 27. Now read the question.

Speaker 5 [00:05:58] I was actually talking about culture bound phenomenon. And I had a
professor of psychology say to me that there's no evidence that culture bound or cultural
illness exists. And I actually said to him, our response to him was that you're absolutely
correct. And people were quite surprised when I said you're absolutely correct in the world
in which you live. So you actually can't necessarily blame someone if they've never
actually been exposed to it before. So the important point is, is that if you actually don't
have it in a framework that most people and what I'm talking about as mainstream can
relate to in that it's actually researched and written up in a scientific journal, then they're
actually forced to relate to it or at least open their mindset up to a different reality.

Speaker 3 [00:06:44] Question 28. Now read the question.

Speaker 6 [00:07:07] Hello. I'm John McCusker. I call this morning.

Speaker 7 [00:07:09] Yes, Mr. MacAskill, your prescriptions are right here. They've been
ready for an hour. Good. Now, take these pills three times a day. That's every 8 hours.

Speaker 6 [00:07:24] I usually take them at seven in the morning, three in the afternoon,
and one before I go to bed. About ten or 11 at night.

Speaker 7 [00:07:30] That's fine.

Speaker 6 [00:07:31] When do I take the other pills?

Speaker 7 [00:07:33] You can take these any time you feel a pain.

Speaker 6 [00:07:36] Well, it's almost lunchtime. Is it okay if I take one before lunch?

Speaker 7 [00:07:40] It's better if you wait until after lunch. After you've eaten.

Speaker 6 [00:07:43] Why is that?

Speaker 7 [00:07:44] The pills may upset your stomach if it's empty.

Speaker 6 [00:07:47] Oh, okay. I'll wait till after lunch. I'll take one to about 1:00 this
afternoon. Well, thanks very much for your help.

Speaker 7 [00:07:53] You're welcome.

Speaker 3 [00:07:57] Question 29. Now read the question.

Speaker 8 [00:08:18] Right. I'd like to tell you about all the patients on this ward, starting
with this one. John Smith is a 45 year old male who had a motorbike accident from which
he was admitted to the age at 2300 hours on the 1st of August with a frontal lobe
contusion. Sorry, I don't know that word. Contusion. Could you please explain? Sure. In
this case, it means a concussion. Thank you. He has breaks in his right arm and head and
has had surgery, including metal plates inserted into his arm. You also had deep grazes
on his left knee and ankle and stitches in his right shoulder, stitches in the red tape and
shoulder straps. Well, dressings have been changed this morning at 900 hours. He's on a
self-administered morphine drip and he's also on antibiotics. He has had injections to
prevent blood clotting, and his pain is quite manageable with the medication he's on.

Speaker 3 [00:09:23] Question 30. Now read the question.

Speaker 9 [00:09:47] I watched this Michael Grimm. That was not his real name. You hear
voices in his strong paranoid beliefs that people were talking about them. He had to come
into the hospital. And the main way of actually helping overcome that loneliness and
isolation as a result of his experiences was to really into his world, to develop a shared
model, a shared understanding of how these experiences shaped his beliefs and how that
made them feel, both emotionally and how he reacted behaviorally by avoiding a whole
range of situations. Yeah, this is a really good answer, and it gives me tremendous
satisfaction that actually by relating to somebody, by understanding some of it, that you
can actually hear them and help them recover. So the benefits of professional help, we
would start with Stop the Bone. It would still be experiencing rather distressing voices.

Speaker 3 [00:10:46] That is the end of part B. Now look at part C.