WRITING SUB-TEST: NURSING

TIME ALLOWED: READING TIME: 5 MINUTES

WRITING TIME: 40 MINUTES

Read the case notes and complete the writing task which follows.

Notes:
You are a school health nurse at Canterbury School of Florida, USA.

Today’s Date: 16th November 2021

PATIENT DETAILS
O

Name: Jeremy Mathew

nt

Gender: Male
DOB: 5th April 2011 (10yo)
Diagnosis: ?COVID 19
Ac

Social History:
• Grade 5 student
• Mother: Bank clerk
• Father: Finance officer
ad

• Returned from UK (family trip) 4 days ago after funeral ceremony of grand mother
• No social isolation
• COVID 19 cases in neighborhood
em

Past Medical History:

• Pneumonia: 3 years ago
• Recurrent UTI: from birth to 1 year (antibiotics for long term)
• Otitis media: 2 yrs ago (antibiotic therapy)
y

• Tonsillitis for 3 yrs: tonsillectomy 1 yr ago

Immunization History:
• Annual Flu vaccine
• Pneumococcal vaccine every 5 years
• Family refuses COVID 19 vaccinations (worried about side effects)

Family History:
• Grandmother: Sepsis and CKD (died)
• Grandfather: DM, HTN, CVA (died)
• Father: Color blindness
• Mother: Asthma (uses inhalers)
• COVID 19 whole family 6 months ago
Recent Nursing Notes
15th November 2021
• Developed dry cough, low grade fever (100 F), and rhinorrhea
• Reported to school nurse
• Administered paracetamol 500 mg
• Sent for COVID PCR

16th November 2021

• COVID +ve, family informed
• Counselled for family testing
• Isolation recommended (leave from school for 14 days)
• Medications: Paracetamol 500 mg q6h, Zyrtec 10 mg OD, Nebulization with N/S
O

and ipratropium bromide-q6h

• Encourage hand sanitization
nt

• Parents not convinced abt vaccine

Plan:
• Involve governmental health educator for COVID 19 vaccination education
Ac

○ Identify reason for refusal

○ Clarify the myths and misconceptions (vaccination)
○ Infection prevention education – hand hygiene & social distancing
ad
○ Refrain from religious or cultural biases

Writing Task
em

Using the information given in the case notes, write a letter to the community health
worker, updating about the patient’s and family’s COVID 19 status and further edu-
cational needs. Address the letter to Ms. Johanna Mestorf, community health worker,
y

Florida Department of health, 4052 Bald Cypress Way, Tallahassee, FL 32399, USA.

• DO NOT use note form in the letter.

• Expand the case notes where relevant into full sentences.
• Use formal letter format.

The main part of the letter should be approximately 180-200 words long.