OCCUPATIONAL ENGLISH TEST NURSING READING TIME:5 MINUTES WRITING TIME: 40 MINUTES Read the case notes and complete the writing task which follows. Notes: Patient details: ‘Mr Ronald Scott Age: 2 Marital Status: Divorced Next of Kin Benjamin Scott (son) 42 years old Carpenter. Limited contact Admission date: 28/01/2019 Discharge Date: 29/01/2019 Reason for admission: Fall onto R hip - suspected fracture. Possible concussion as patient ‘was unsure if head injury/contaet occurred at time. Patient intoxicated ‘upon arrival from retirement home, Allergies: Nil Social History Resides at Newport Retirement home (7yeuts) Self-reliant Heavy alcohol consumption dependency (spirits) 8-10 daily Ex-smoker 35 years (ceased 12 years) Uses own vehicle for short trips e.g. Groceries, Dr Appointments Medical history Bilateral lower extremity edema cellulites, Hypertension, Eczema, Venous stasis Hypercholesterolemia, Morbid obesity (BMI-50.7) Medication Frusemide (lasix) 40 mg orally twice daily Topical OTC hydrocortisone Aspirin 81 mg daily Rosuvastatin calcium 20 mg once daily‘Medical Progress Alert and oriented to person, place and time ‘Ambulates independently with walker X-ray shows nil fracture sustained ‘Some superficial bruising (reddish/deep purple in color) ~R hip ‘Skit Ancontinent of bladder and bowel at times Appetite is fair, no issue noted-chewing or swallowing Very intent on healthy eating /eager to cease eating high sodium foods Wishes to reduce alcohol consumption ‘Senses within normal limits (wears reading glasses) Has personal emergency response system (tested during visit with response tine <2min). Patient encouraged (agrees) to wear all times. Discharge Plan: Referral for social worker — assistance with arranging Home care ~ 2X weeks 3 hrs (assist household choresbathing exp. of fower limbs) Professional counselling for alcohol dependency Meals on wheels (meal delivery service) Referral for dietician re: nutrition education Writing Task: Using information in the ease notes, write referral letter to the social worker outlining all necessary information related to the patient's ongoing care and support . address Ms Megan Simms, Social ‘Worker, 99 beacon road, Newport In your answer: + Expand the relevant case notes into complete sentences + Do not use note form = Use letter format ‘The body of the letter should be approximately 180-200 wordsOccupational English Test Writing sub-test: Nurses ‘Time allowed: Reading Time: 5 minutes Writing Time: 40 minutes Read! the case notes below and complete the writing task which follows. NOTES Name: Jenny Jerome Age: 22 years Marital status: Single Admitted: April 6, 2019 Discharged: June 14, 2019 Dingnosis: ‘* Broken neck and fractured pelvis following car accident * Probable permanent neurological damage affecting mobility, speech and memory areas Social background: © 3rd year architectural studies student, Adelaide University * Interests: hockey, cycling, photography ‘Was living in share flat - now needs long term rehabilitation Parents willing to care for him, may eventually return home ‘© Currently eligible for disability pension ‘Nursing management and progress: © Good progress © Will require ongoing high level care Recently started using wheelchair Daily physiotherapy, hydrotherapy 2x / week and speech therapy 3x/week Bed sores but improving with increased mobility Frequent headaches Nurofen 200 g max a dayDischarge Plan: Depression needs to be treated with activities and interests * Contact university for possible continuation of studies externally * Needs contact with people his own age- community Access? © No special dietary requirements Writing Task: Write a letter to Sharon Jo, Sister in Charge , Myton Rehabilitation Centre, 786 Myton Ln, Warwick CV5678Df, using the information in the case notes to outline relevant information: and request follow-up care. © Do not use note form in the letter. Expand the relevant case notes into full sentences. © The body of the letter should be approximately 180-200 wordsTime : Reading — 5 minutes, Writing- 40 minutes Read the case notes below and complete the writing task which follows: Nurse Cases Note Today’s date: 11/08/13 Patient's details + Oliver Harry * DOB: 25/05/1982 Medical History + Resistant severe depression since 2006 + Anxiety disorder since 2006 + Previous treatment -ECT (Electroconvulsive therapy) & antidepressants unsuccessful Has been suicidal only for a short time in the last three years and does not meet public mental health eligibility criteria + Has attended private psychiatrist since 2008 + HTN (2 years ) takes Norvasac 10 mg daily Social History + Married, supportive wife,2 children + A son -15Yrs old -with Down's Syndrome who permanently lives in a Disability Centre about an hour away. + A daughter -22Yrs old - overseas + Has demanding administrative position, has strong work values, can afford hi treatment, Indicates that he was a “ hard drinker” during his 20s and 30s,limited his use of alcohol to 1 beer Sunday dinner with the family. + Ex- smoker + Not close to remaining family members. 2 younger sisters live nearby but rarely get together. His mother is very religious and wishes Oliver would see religion as a way out of his problems. Oliver only attends his mother's church on Christmas Eve and Easter Sunday. qualityPresenting problems + Came to the clinic because HTN became extremely unstable last week + He and his wife, on the advice of his psychiatrist, are considering early retirement «and applied for a DSP (Disability Support Pension) « Has potential for suicidal thoughts WRITING TASK You are w registered mental health nurse at North Yark Medical Practice. Today is 11/08/13. Oliver's psychiatrist and his GP do not have time to interface with community support services and to provide the therapeutic counselling required. Using the information in the case notes, write a letier to Mrs Emma France who is the Mental Health Social Worker at Hope process counselling and therapy, 2 Market Street Muswell Brook. NSW,2223. In your letter explain relevant social background and medical history and request therapeutic counselling for Oliver and his wife as they adjust to retirement and link him into services in the community. In your answer: + Do not use note form in the letter + Expand in the relevant ease notes into complete + The body of the letter should be approximately 200 words long, » Use correct letter formOCCUPATIONAL ENGLISH TEST WRITING SUB-TEST: ‘TIME ALLOWED: NURSING READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Read the case notes and complete the writing task which follows. Notes: Hospital: Patient Details: Name: Age: Admission Date: Social History: ‘Nursing Management: We i Private Hospital William Mason 6o 10 August 2019 20 August 2019 Attempted suicide - overdose of Magadol ‘Smoker (30 cigarettes/day) Bronchitis (multiple episodes) Unilerweight -65kg, BMI 18 Psoriasis Retired 3 years ago (hank manager) Lives Juliet, and adult son in housing trust in Redfern, Wife works at Nest, son unemployed 3 married daughters and 6 grandchildren, Regular social drink Depression related to gambling addiction Began gambling 3 years ago Has lost a lot of money including superannuation funds and is in debt Wile and family previously unaware of addiction - very angry but also upset about suicide attempt Patient remorseful and ashamed ‘Wants to overcome addiction Used to be a keen lawn bowls player Has lost friends as result of gambling Weak and depressed .Anti-depressants prescribed — Citalopram 40 mg, BP 13095 Diagnosed with Type Il diabetes. Diabetes education regarding diet and oral medicationsWheelchair use from 20/2012 Psoriasis on Torso and scalp ~ Diprosone OV cream 2x/day Jonil T Shampoo Poor appetite Physically unfit Discharge Plan: «Encouragement to maintain anti-depressant medication routines as the SSRI is established, Mrs Mason will help with supervision. Monthly follow-up appointments with psychologist Dr Leo Brad, Waikki Private Hospital Social worker appointment to be made for gambling addiction therapy. Strong encouragement and assistance to join Gambling Addiction Action Group, Redfern Community Centre Contact with Quitline needs to be encouraged Wheel chair required for another week. Frame advised after this. Maintain psoriasis treatment Maintenance of low Gi diet for diabet Encouragement in social sporting acti wolvement od wife necessary ties e.g lawn bowls? Writing Task Using the information in the notes, write a letter to the social worker, Ms Kelly Coliath, at the Redfern Community Health Centre, 29-53 Hugo St, Redfern NSW 2378, Australia requesting follow-up care, Stress that Mr Mason's ease needs urgent attention, In your answer: ‘Expand the relevant case notes into complete sentences * Do not use note form © Use letter format ‘The body of the letter should be approximately 180-200 wordsOCCUPATIONAL ENGLISH TEST 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: Miss Holly Ann, a 6-year-old, is a patient in the medical ward of which you are Charge Nurse. Admitted after near drowning. Hospital: Northpark Private Hospital Holly Ann 6 years Next of kin: Margret Walt (mother) Admission date: 25 April 2019 Discharge date: 05 May 2019 Diagnosis: Near drowning potential hypoxic brain injury Family: Lives with mother and father (Tiddle) Medical history and medications: Chicken pox (2years) Fractured collar bone (3years) Mild asthma Social background: Primary schoo! student (grade 11) Enjoys sport (chess, athletics) Background: Fell into fresh water take while on fishing holiday with father Foun! 20-30 minutes later face down, Paramedics arrived 15 minutes later, basic life support started On admission to ED:cyanotic, pulseless. apneic, fixed & dilated pupils, ‘Tympanic temp 26.7°C Heated humidfier, radiant warmer, preheated blankets applied Pediatric ventilator used Initial ABG (Arterial Blood Gas) ~ 7.04 / 84 / 36/19/ 78% ‘Spontaneous ciculation achieved26/4/19 ABG = 7.44/34/94/23/97%% BP 99/64 ‘Tympanic temp 34 °C Patient stable - transferred from ICU to general ward 28/4/19 ‘Temperature normal Unresponsive to command Moving around the bed No longer hyperventilated for ICP protection ‘Weaning off mechanical ventilation begun 30/4/19 Responsive to commands Basic communication possible ~ slurred speech Speech therapy commenced Difficulty concentrating Paracetamol 3x daily for headaches Coughing up pink sputum Mechanical ventilation stopped 5/5/19 Communication improving, still some slurring of speech Concentration improving, cognitive function appears ok Neurological exams cleur - need! more tests to check for delayed Parents concerned about permanent speech and cognitive effects Paracetamol given when needed Occasional cough Ready for discharge Discharge plan: Paracetamol for headaches Monitor cough, return to hospital ASAP it worsens Speech therapy for speech Neurologist for tests (neuropsychological, visual-spatial, 1Q) in ‘cone week Parents to monitor cough. headaches, concentration Call Dr if minor issues, bring to ER if it severe Writing Task: Using the information provided in the case notes, write a referral letter to the GP, Dr Kirren Halford Casterton Medical Centre, Casterton VIC, Australia. ‘The body of the letter should be approximately 180-200 words.WRITING TASK OCCUPATIONAL ENGLISH TEST WRITING SUB-TEST: — NURSING ‘TIME ALLOWED: WRITING TIME: 40 MINUTES. ‘Today’s date: September 23,2020 ‘You are a registered Nurse Practitioner at Royal British School, Queensland, Australia, 4004, Willow Theo is a student in a grade 10, who had been referred to you for physical assessment and physical evaluation by the class teacher. Name + Willow Theo (15 years) DOB : 1772005 Address, 2 142 Albert St.,Queensland, Australia, 4004 Family Background + Mother Elvis Steve eloped from home when she was 3. Medical History + Meningitis at age 5 (treated with strong IV antibiotics during hospitalization) Recovery was miraculous Personal History = Attained puberty at age 11 Regular menstrual eyele Boy friend : John Abraham, Classmate Occasional unprotected sexual contact with John ‘sine 5 months Physical Examination + Height 168 em, Wi42kg General appearance : Pale, thinPresent Complaints : Subjective : LMP on 2/8/20, no cycles since 2 months, UPT done (home kit- positive) Objective 3 Lack of concentration in studies Morning sickness, agitated and unusual behavior, fainting in class, vomited once , shows social isolation Vitals Temp 37 degree Celsius, pulse 82/min, BP 130/80 mmHg Breast tendemess present PV revealed early signs of pregnancy Lab investigations: Gestational sac present (7 week mature) Heart beat located Placenta grade 1 Psychological Status: Mentally upset (unwanted pregnancy) Fear and anxiety of unexpected outcome Future social insecurity and confusion (regarding pregnancy) Suicidal ideation (patient verbalism) ‘Nursing Management : Informed father and aunt Counselling sessions done Informed school management Referred to obstetrician ‘Tab Ferritin 200 meg BD & Tab Folic Acid OD Proposed suggestions : Sex education, awareness about protected sexual contact. Legal abortion (considering her age and mental status) Provide proper support and care to avoid suicidal ideations.Writing Task : Write a referral to Mrs, Christina Martin, who is u social worker, working among teenagers in Snowfalls Community Centre, asking her to provide the needed psychological counselling and assistance for Willow to overcome the crisis. 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,You are district nurse of Sydney community. You visit Mr. Cyril Gabriel house two times in a week for the application of compression stocking who has venous foot ulcer. Patient details ‘Name DOB + Mr. Cyril Gabriel + 19/05/1950 (75 YEARS) Diagnosis : Venous foot ulcer (left leg) DoD + 30/07/2019 Personal History wer, two children one is engineer and one is teacher (abroad) Aretired engineer Wife deceased ,lives alone Hypertension in 2000 Osteoarthritis in 2001 (on medication) Venous foot ulcer Appendicitis ‘OVAue2019 Admitted with injected foot ulcer ‘Venous Doppler ~ Venous foot ulcer ‘Treated with NSAID + dressing ‘O5/Aug/2019 Pus noted ‘Swab sent for c/s ~ MRSA positive Climdamycim started + dressing Adv — Compression stocking application — 2 times weekly. District nurse visit for stocking application Home visit ‘6/Aus2019 Elevated pain and purulent pus noted. Patient concerns about the wound smell Patient depressed Patient chatted with photos of new grandson,sue/2019 © Wound heating well Pain and redness reduced © Forgetfulness, difficultly to find out where the kitchen equipment and personal things placed. ‘+ Initially patient chatted with me well © Patient seems silent © Forget district nurse appointment, ‘L2cAue 2019 Wound healing well MRSA — negative Daughter complaint he is in depression * Mood changes ARAus2019 ‘© Patient reported memory loss and mood changes with simple matter ‘© He signed a consent form to consult GP © Altered mental statis, ‘Waiting Task Using the information given in the case notes, write a referral letter to patients Gp for further ‘mental status assessment, Include recent treatment history. Address the letter to Dr Patric Dsounga, General practitioner.OCCUPATIONAL ENGLISH TEST WRITING SUB-TEST : Nursing «READING TIME : 5 MINUTES WRITING TIME : 40 MINUTES ‘* Read the case notes below and complete the writing task which follows, NOTES + Nicholas Frederic, 61-year-old man, presents to his primary care provider Dr Maria Jones, complaining of recent, recurrent episodes of angioedema, You are a charge nurse ry. © Mr. Frederick Leo, 61 * Traveler and blogger, not married, next of kin- brother Lifestyle: Sedentary. sleep less, active ‘The patient lives in the Southeast and when questioned about tick exposure, he confirms having removed a tick about a year previously. after a long day spent outdoars. © Meat-heavy meals (inclu © Eats heavy meals at night. © Occasionally alcoholic, cigar smoking © Upto date on all immunizations, ig steak and barbecued pork), ‘Medical History © High blood pressure (ince 2001) * On medication — lisinopril , perindopril and ramipril, ibuprofen ‘© Negative for rashes, changes in skin color, ores or new lesions, and headaches. © Ahistory of persistent mild childhood asthma and intermittent adult asthma. 16/08/2019 Emergency department for facial swelling. Diagnosed as angioedema (related to stress and eating spicy foods), Advised to eliminate spicy foods and other triggers. Prescribed epinephrine auto-injector, diphenhydramine 50 mg.20/06/2020 Revisits with complaints of 4 episodes of severe angioedema over an 8-month period. Reported irritation of the left eye, sinus pressure, numbness and tingling in the mouth, and swelling of the lips, throat, and tongue (3 to 4 hours after he eats a large meal) Expresses concem that his symptoms will progress to anaphylaxis . Important! Has not needed the epinephrine auto-injector. Complains of constricted airway during his reactions. Denies shortness of breath, coughing, and wheezing. 21/06/2020 ‘Tested positive for seasonal allergies (grasses, trees, ancl cat dander ) but has no history of food or drug allergies. Biateral swelfing in the lips, cheeks, and soft tissue under the jaw. ‘The left side of face more severely swollen than right. Difficulty closing mouth (due to swelling ). Mild periorbital swelling, and the sclera of both eyes are milly pink and watery. No chemosis present, no noticeable skin change, redness, or urticaria on the face, trunk, ‘or limbs, IgE skin prick test (SPT) ordered to rule out new allergies to protein in his diet. 22/06/2020 ‘SPT is performed for commercial extracts beef, pork, lamb, chicken, turkey, and milk, as well as cat and dog danger. ‘The patient tests positive for hypersensitivity reaction to cat dander, revealing a 3- to 5 mm wheal with flare. Allother SPT results negative. ‘These results, along with the patients history of tick bite and angioedema after high- protein meals, confirm a diagnosis of red m,meat allergy, or a-gal syndrome, Blood samples collected for immunoassay to detect IgE to galactose-a-1, 3-galactose (a- gal). ‘The patient tests positive for 1gE antibodies to a-gal with the serum assay. Writing Task As Dr Jones is under house quarantine for covid 19 from today, 22" June, 2020, Mr, Briman needs to be referred to Dr Mathias Brown, Royal Lake Hospital, Yamba Dr, Garran ACT 2605, Canberra, Australia + 61351240000, As charge nurse, write this letter det ing Mr. Brihman’s concerns,Time: Reading -5 minutes, Writing-40 minutes Read the case notes below and complete the writing task which follows: Today's Date: 25/07/09 Notes ‘Ava Obeki was admitted through the Children’s Emergency Department for acute meningoencephalitis, asa result of complication following mumps. Patient History ‘Address:32 Sexton St.Ekibin Phone: (07)38485555 Date of irth: 23 May, 2005 ‘Admitted: 15 July,2008 Gender: Male Discharged:25 July,2009 Country of birth: Sudan Diagnosis: Acute meningoencephalits Social History Parent: Miri & Abdullah Obeki, refugees arrived in Australia in 2008 Employment: Abdullah: Golden Circle Pineapple Factory, shift worker Miri housewite ‘Accommodation: Recently moved to rental accommodation GP: No family doctor Sibling: 2 year old brother, Saeed Language: Dinka, Arabic Interpreter needs: Abdullah understands spoken English but has limited writing skills ‘Miri has limited understanding of English. Abdullah attends English classes. Medical History Parents state that both children had some kind of vaccination at birth but the vaccination recorded has been lost. Parents unaware of vaccine for Mumps, Discharge plan‘Appears to have fully recovered from mumps and acute meningoencephalitis. Will need advice on recommended vaccines for both children, Will need neurological check-up. Writing Task Using the information in the case notes, write a letter to The Director, Community Child Health Service, 41 Jones Street, Ekibin, requesting follow-up of this family. In your answer: Expand the relevant case notes into complete sentences Donot use note forms ‘The body of the letter should be approximately 180-200 Use correct letter format(CASE NOTE -97- 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 = 1510772019 ‘© Marvin is a resident at the Wellness Retirement Village. She needs urgent admission to hospital. You are the registered nurse looking after her, Patient Details Wellness retirement village, Waterford st., Berkeley, 4101. phone : (07) 3441 Date of birth : 29/01/1968 ‘© Marital Status : Widowed Country of birth : Australia Social History : ‘© Moved to Retirement Village following the death of husband due to a heart attack in December 2017. Next of kin : Son, Benjamin Marshal (crippled for life after a right side- paralysis a month ago, Mrs. Marshal not aware of this ) $3 Gladison Street, Warwick 4370, Ph (07) 4693 6552, Normally alert and orientated, Reading, watching television, Medical History © Hypertension — fast 10 years * I pack cigarettes/ day; “almost” stopped 5 years ago, © Alcohol — 2 glass of wine at bedtime daily © Glaucoma (since 2010 ) Allergic to codeine Medications * Under prescription© Captopril 25 mg bid * Timoptol Eye Drops 0.5% | drop each eye am & pm © Normison 20 mg pra ‘+ Non-prescription Medication (Over the counter-when suggested by neighbors ) Golden Glow Glucosamine Tablet ~ 1 with breakfast for joint pain ‘© Vitamin Complex sustained Retease — 1 with inch Mobility / Aids ‘© Independent with walking frame. Arthritis (hands). Wears contact lenses. Continence : Requires continence pad. Recent Nursing Notes 28/06/2019 ‘© Flu vaccination ‘+ Influenza type B prophylaxis ‘© 1207/2019 20: 45 * Complaining of Epigastric pain and indigestion following evening meal. © Pain settled with Buscopan tablets p.o 137072019 21:20 © Unable to sleep © Aches in shoulder. ‘© Settled following 2 panadol and Diclofenac 75 mg intramuscular. + Sound sleep for 7 hours. 15/07/2019 19:45 ‘© Tired and feeling generally weak. © BP 18095, © Confined to bed . # GP called and will visit tomorrow am (was busy) © Requested buscopan for indigestion, panadol for shoulder pain 15/07/2019 20:00 ‘© Buscopan tab, panadol 2 tab p.o at 20:10 Didn't touch the evening meal. Says not feeling hungry, * Trouble sleeping,© BP 17595. Anxious — strong, persistent wish to see son, “Something is amiss. Why is he not paying a visit.” Rechecked 20:25 Distressed. pale andl sweaty, complaining of tightness and pain in the chest pain rated 8/10 on pain scale Complaining of radiating shoulder and neck pain, Pain not relieved with buscopan and panadol, © BP 190/100. © Acute Myocardial infarction? © Oxygen administered via nasal prongs 2 L/minute ‘© Nitroderm transdermal patch applied — still complaints of pain, © Ambulance called and patient transferred. Writing Task Write a letter to the emergency consultant of the Holy Spirit Hospital Emergency Department. Give the recent history and reason for urgent referral, 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.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: Patient History: Olivia Charlie is « patient in your General Practice DOB: 08,08,1976, Married, 3 adult children 21.216 Subjective: ‘Complains of inflamed, stic and weeping eyes, ‘Thyroidism - diagnosed Feb 04 High blood pressure June 06 Hip replacement - July 06 Medications- thyroxine 1 mg daily, Atacand 4 mg daily Fosamax 10 mg daily No Known allergies Objective: BP 145/85 Pulse 76 Both eyes red, watery discharge right worse than left Assessment: Bilateral conjunctivitis likely viral Chlorsig eye drops daily 3.3.16 Subjective: No improvement to eyes, blurred vision Objective:Odema eye lids++marked conjunctival congestion Plan: Chloramphenicol 0.5% sterile 1 drop 3 times daily Bion Tears | drop each eyes 4 hrly Review two weeks 5.6.16 Subjective: Accompanied by husband. Very distressed. Has lost most sight in both eyes, can make out light or dark shapes but unable to read or watch TV. Objective: Marked oedema upper and lower lids White sticky discharge , unable to read eye chart Plan: Refer immediately Emergency Dept., Alfred Melbourne Eye Hospital Husband will drive to hospital WRITING TASK Use the information in the case notes, write a letter of referral to the Registrar, Emergency Department, Alfred Melbourne Eye Hospital, commercial Rd, Melbourne VIC 3054. In your answer: :xpand the relevant case notes into complete sentences Do not use note form ‘The body of the letter should not be more than 200 words Use correct letter formatToday's Date: 17/5/17 ‘Patient History + Daniel Thomas © DOB: 23/8/91 © Computer engineer * Non- smoker and social drinker + Father us diabetic on met form in Mother died at 65 due to stroke. East Medical History + Asthma since childhood —on steroid inhaler * Allergic to penicillin, 16/04/17 ‘Subicctive C/o headache (2/12), mild sensation of pin and needle Had a car accident 3 months ago © CT normal. Ohicctive * Over weight , BMI 32 © Mild weakness in left hand * Vision good © Gait normal, has lumbar lordosis * Review 2/52 © Panadol 2 tab 4/24 and rest 2/52 # Advice to reduce to weight and exercise. 29/5/17 ‘Subisctive * Feeling letter, no new complaints . no worsening of pins and needles sensetime, Has been walking 30 minutes 3 minutes a week. Advised to start work and come back if any concern,Obicctive © Weight loss 3 kg 5/06/17 ‘Subicctive © Complaint of severe headache for 2 days, blurred vision, nausea, * Pain not responded to me dictation. Obicstive + No weight change © Gait normal © Could not read 2 time of eye chart ‘+ edematous optic disk on fundi examin: ‘© Reflexes : Elbow normal, wrist ~no reflexes ‘* Mild weakness and Joss of sensation in medical aspects of left hand. ‘© Diagnosis : subdural haematoma ‘Waiting task You are a charge Nurse at suburban clinic. Daniel and his family are regular patients. Using the information in the care notes, write a letter of referral to a neurosurgeon for MRI scan. Address the letter to Dr Lope, Neuro surgeon, spirit Hospital, Melbourne.WRITING SUB-TEST: NURSING TIMEALLOWED: READING TIME: 5 MINUTES. 40 MINUTES Imagine that today’s sate is 20 February 2021, you are a word Nurse ina hospital and Mr. Philip Hamilton is under your care. Patient Details Name: Mr. Philip Hamilton ‘Age: 35 years Social Background School teacher Married and 2 children Separated from wife and children Moderate smoker Excessive drinker after separation from wife and children Hasa brother MEDICAL HISTORY Femur fracture in 2018 ‘Shoulder injury in 2018 Allergies: unknown Father died from stroke Brother diagnosed with IHD and on treatment, stents applied PRESENT COMPLAINTS ‘Severe abdominal pain 14/2/2021 ‘Admitted through ER Severe abdominal painUltrasound and CT scan ruled out no kidney stones, appendicitis Positively identified acute pancreatitis (? excessive drinking) |v fluid, morphine injection and oxygen provided Liver function testincreased liver enzyme (? excessive alcohol intake) 16/2/2021 Patient wants support a alcohol Ptstates that he started to consume more alcohol after separation from his wife and children leaflet provided (contains information about alcohol quit) social help group contact number given 18/2/2021 ‘Abdomen pain reduced Patient consider to stop alcohol intake \w fluids, 02 disconnected 20/2/2021 Ready for discharge ISSUES FOUND. Pthas interest to reduce his alcohol intake Pthad a fall from ladder after drinking excessive alcohol WRITING TASK: Using the information in the case notes, write a referral letter to Dr Gregory Miller, Hamilton's GP and request support and management for pt’s aleohol misuse. ‘Address this letter to Dr Gregory Miller, Brisbane, Australia and explain about admission details and ‘relevant history, In your answe ‘© Expand the relevant notes into complete sentences © Donot use note form © Use letter format ‘The body of the letter should be approximately 180-200 words,WRITING SUB-TEST: NURSING, ‘TIME ALLOWED: READING TIME:$ MINUTES WRITING TIME: 40 MINUTES. Read the case notes and complete the writing task which follows, Case Study ‘You are the charge nurse in the hospital ward where Ms Mawel has resided during her hospital stay, Hospital: Royal Berkshire Hospital Patient Details: Name: Ms. Brisa Mawel ‘Age: 40 years Marital status: widow Next of kin: Two children aged 19 &25 Ph (02) 93398765 ‘Admission date:20 March 2019 Reason for Admission: Surgical repair of varicose veins in lower Fight eg, following a recent episode of Superficial thrombophlebitis with associate cellulitis Past Medical History: Cholecystectomy at age 30 Multiple varicose veins in both lower limbs following pregnancies; pain on walking standing at work No other significant medical history No medications No allergies Social History Accountant Divorced Lives with her children Family: Children aged 19 & 25 (males) Support Network: No family nearby, friends all work during the week‘Medical Progress: Response to surgery initially Wound leakage from groin incision Pain managed initially by Panadeine 6 hourly Dressing of leaking wound Mobility: gentle walking Hygiene: assistance w/showering/ dressing Discharge Plan: Referral for Community Nursing following discharge for; © Monitoring & dressing of incision site ‘© Hygiene: assistance with showering & dressing © General ongoing monitoring & care until wound leakage settles Advice: Painkillers, stockings and exercise Writing Task Using the information given in the ease notes, write a leter of referral to the community Nurse ‘Supervisor, Rom Valley Way, Romford, Essex , RMS9AG In your answer: Expand the relevant case notes into complete sentences Do not use note form ‘The body of the letter should not be more than 200 words. Use correct letter formatOCCUPATIONAL ENGLISH TEST WRITING ‘TIME ALLOWED: Notes: SUB-TEST: — NURSING READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Mr Noha George is 0 77-year-old patient on the ward of a hospital in which you are charge Nurse. Patient Details: ‘Marital Status : ‘Admission Date: Discharge Date: Diagnosis: Social Background: Hobbies: widower(8 years) 3 September 2010 (Wales Hospital) 7 September 2010 Left Total Hip Replacement (THR) ‘Ongoing high blood pressure Lives at Liverwhales Nursing Home (LNH) (5 years) No children Employed as an engineer until retirement aged 65 Now aged pensioner Chess, an operator ister, Darry May (66), visits regularly; supportive -plays chess with Mr George on her visits No signs of dementia observed Medical Background: 2008 — Osteoarthritis requiring total hip replacement surgery Medications: 1989 — Hypertension (ongoing management) 1985 — Colles fracture .ORIF Aspirin 100mg mane (recommenced post-operati ly)Ramipril Smg mane Panadeine Forte (co-codamol) 2 qid prn Nursing management and Progress: Discharge plan: Daily dressings surgery incision site Range of motion, stretching and strengthening exercises Occupational therapy ‘Staples to be removed in two wks (21/9) Alo, follow-up FBE and UEC tests at Wales Hospital Clinic Good mobility post-operation Weight-bearing with use of whcelie-walker; walk length of ward without difficulty Post- operative disorientation re time and place during recovery, possibly relating Anaesthetic- continued observation recommended Dropped Hb post-operatively (to 72) requiring transfusion of 3 units packed red blood cells; Hb stable (112) on discharge -ongoing monitoring required for anaemia Monitor medications (Panadeine Forte) Preserve skin integrity Continue exercise program Equipment required: wheelie-walker, wedge pillow, toilet raiser. Hospital to provide walker and pillow. Hospital social worker organized 2-wk hire of raiser from local medical supplier.‘Writing task: Using the information in the case notes, write a letter to Ms Linda Binsling, senior Nurse at Liverwhales Nursing Home, 30 station Road, Liverwhales, who will be responsible for Mr George's continued care at the Nursing Home. In your answer Expand the relevant notes into complete sentences © Do not use note format © Use letter format, ‘The body of the letter should be approximately 180-200 words.Read the case notes below and complete the writing task which follows Time allowed: 40 minutes ‘Today's dite: 19/02/2012 You are Louise Nagatani, a registered nurse in the Coronary Care Ur Hospital. Nasser Al is a patient in your care. Discharge Summary Name: Nasser Ali Address: 1052 Moorvale Rd, Moorooka Phone: 04653876 Date of Birth: 4 February 1964 Date of admission: 09/022012 Diagnosis: MI Date of discharge: 19/02/2012 Nate of surgery: CABG Reason for admission Patient arrived at the hospital via ambulance 10 days ago suffering from acute substernal chest pain radiating to left arm. He complained of severe chest pain, pain in jaws and left arm, diaphoresis, dizziness and shortness of breath, Patient has been diagnosed with myocardial infarction, Condition has now stabilised, however, he appears restless and worried about his condition. He is overweight and is a smoker. He has high blood pressure, ‘Treatment ‘Sereplolunanse, anti-coagulants and anti-cholinergie drugs. Continuous ECG monitoring, angioplasty on 10/02/2012 Post -surgery physiotherapy Karvea 150 mg daily Ye Aspirin daily Social History Family ate refugees from Afghanistan arrived by boat in Australia in 2010. Marital status; Married, seven children, Aged 6 months to 22 Next of kin: Fatima Ali (Wife) Employment : Nasser works as a Taxi Driver Fatima: Housewife Accommodation: Living in rental fat GP: No family doctor Language: Dari. Nasser attends TAFE English classes but only has basic English conversational ability.Discharge Plan Follow-up appointment made with cardiologist, Dr R Lang, Hospital Outpatients 2pm 26/2/2012 Order medications from hospital pharmacy -Explain usage and stress the importance of taking medication regularly as directed Arrange for dietician to provide dietary advice Discuss importance of giving up smoking and provide advice on available quit smoking programs Advise patient to continue with the exercise program recommended by the hospital physiotherapist, particularly deep breathing exercises with Triflo Arrange for a community social worker to provide a support service to the family to ensure a smooth transition back to normal life, WRITING TASK Using the information in the case motes, write a letter to the social worker, Sarah MacDonald Annerley Community Centre, 1122 Ipswich Rd Annerley, 4121 explaining the patient's situation and needs, In your answer: Expand the relevant ease notes into complete sentences Do not use note form ‘The body of the letter should be approximately 180-200 words Use letter format