epn book 2 english

7/31/2019 EPN Book 2 English

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[RevisedEdition]

Indah D. Pratiwi

SchoolofNursing|MuhammadiyahUniversityofMalang

BOOK 2 ENGLISH FOR THEPROFESSIONALNURSE


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Book 2English for Professional Nurse

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PREFACE

Nowadays,

competence

in

Englishhas

become

an

urgent

need

for

nurses

who

are involved inmedicalservices. It isduetothe factthattheyarerequiredtohavethe

abilitytocommunicatewiththeotherpeopleintheirfieldincludingdoctorsandpatients.

EnglishforProfessionalNurseBook2ispreparedforthedemandsofprofessionalnursing

also include English Competence. This book provides nurse students to improve their

Englishskillsinlistening,reading,speakingandwriting.

Thecontents of this book are basedon the standard and fundamental nursing

procedurestaught inpreviousyear,sothatthecontentsarenotsomethingstrange for

thenurses.Thiscoursebookiscertainlyhelptofacilitatethestudenttoacquiretheability

toperformtheirdutiesinanenvironmentwhereEnglishisusedandneeded.Iwishthat

this book will be studied and practiced easily to achieve the competence of Nursing

English.

Ihopethatbytheuseofthisbook,thenursingstudentswillbeabletolearnand

practice English according to their professional skills. By mastering English for the

ProfessionalNursesBook2,itwillimprovetheirqualityofhumanresourcesandtheywill

haveadded

value

so

that

job

opportunities

will

be

widely

open

for

them

to

reach

abright

future.

Author


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CONTENT

Preface

Content

Chapter1:GeneralAssessment

Chapter2:DimensionofSymptom

Chapter3:PatientAssessment

Chapter4:CheckingVitalSign

Chapter5:DischargeInstruction

Chapter6:NCLEXRN(2)

Chapter7:IELTSListening(3)

Chapter8:IELTSListening(4)

Chapter9:IELTSSpeakingPart2

FinalProject

FinalProject


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CHAPTER 1GENERAL ASSESSMENTLearningObjectives

Aftercompletedthischapter,studentswillbeableto:

1. Useexpressionsforcollectingdemographicdata2. Usequestionstocollectcurrentandpasthealthillnessdata

Part1CollectingDemographicDataElementsVocabulary

Surname

Nextofkin

Assess

Assessment

UsefulExpression

a) ImplementationstepStudytheseexpressionstoinitiatecommunication

b) QuestiontocollectdemographicdataelementsStudyandpracticetheseusefulexpressions

QuestionToAsk

NAME Whatisyourname?

Whatisyourcompletename?

Whatis

your

surname?

AGE Howoldareyou?

ADDRESS Whatisyouraddress?

Wheredoyoulive?

PHONE Yourphonenumber,please

Whatisyourphonenumber?

Doyouhaveamobilephonenumber?

Explainingwhatyouaregoingtodoimmediately.

Itistimeformeto. Ijustwantto. Iwouldliketo. interviewyou Iamgoingto. assessyourhealthcondition Ineedto.


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MARITALSTATUS Areyoumarried?

HEALTHINSURANCE Doyouhaveanyhealthinsurance?

OCCUPPPATION&

TITLE

What

is

your

occupation?

Doyouhaveanyacademictitle?

Whatisyourtitle?

Whatdoyoudo?

NEXTOFKIN Whoisyournextofkin?

REASONFOR CONTACT*) Whatbringsyouinthishospital?

Whosendsyoutothishospital?

Whatmakesyoucometothishospital?

*)It

is

areason

that

makes

you

come

to

hospital.

It

can

be

achief

complaint,

medical

checkup.

ACTIVITY1ROLEPLAYSTask.PairWork

Interviewyourpartner Fillintheblankswithhis/herpersonaldemographicdata

Name :

Age :

Sex

:

Address :

City,State :

Phone :

Religion :

MaritalStatus :

HealthInsurance :

Current

Occupation

and

Title

:

NextofKin :

Reasonforcontact :

Date,timeofcontact :


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Part2CurrentHealthandIllnessStatusUsefulExpressions:Assessmentstep

Studythesequestions

Part3HistoryofPastHealthandIllnessesUsefulExpressions

AssessmentStep:AskingCommonCommunicableDisease

AssessmentStep:AskingaboutImmunizations

ACTIVITY2ROLEPLAYSTask.PairWork

Assessyourpartnercurrenthealthconditionbyusingquestionlistedabove

CURRENTHEALTHSTATUS

Whatdoyouthinkaboutyourhealth? Wouldyoutellmeaboutyourhealthconditionrecently?

Sampleofpatientsresponse:Imusuallyhealthy,haveusualcold,

andhavetotakemedicineforhighbloodpressure

ELIMINATIONPATTERN

Wouldyoutellmeaboutyour? Howmanytimesadaydoyoudoyour?

Do

you

have

any

problem

with

your

?

bowel movement? waterworks?

Isthestoolformedorloosed? Isyourwaterworkssluggish?

Haveyoueverhad+akindofdisease?Response:Yes,Ihave/No,Ihavent

Howoldwereyouwhenyougotit?Response:Iwasaboutyearsold

Areyouallergicto(acertainfood/medication)(Example:Areyouallergictopenicillin/antibiotic)

Kindsofdiseases:measlesmumpschickenpoxrubellarheumaticfeverdiphtheriascarlet

feverpoliotuberculosis

Haveyoueverbeenimmunizedagainst+(akindofdisease)? Haveyouevergot+(akindofdisease).immunizations?

Example:Haveyouevergotpolioimmunizations?


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CHAPTER 2DIMENSION OF SYMPTOMSLearningobjectives


1. Givecommunicativeresponsetopatientscomplaint2. Askthedimensionsofsymptoms

Vocabulary

Dull

Stabbing

Sharp

Aching

Aggravatingfactors

Alleviatingfactors

Usefulexpressions

Task.StudyandpracticetheseusefulexpressionsLOCATION

Wheredoyoufeelit? Doesitmovearound? Showmewhere.

QUALITYORCHARACTER

Whatisitlike?Isitsharp,dull,stabbing,aching? Doyoufeel.? Whatdoesthepainlooklike? When diditlast?

SEVERITY

Onascaleof0to10,withtentheworst,howwouldyouratewhatyoufeelrightnow?

Whatwastheworstithasbeen? Doesthisinterfereyourusualactivities?Inwhatways?

SETTING

Doesitoccurinaparticularplaceorundercertaincircumstances? Haveyoutakenanythingforit? Doesitappearinparticulartime?

TIMING

Whendidyoufirstnoticeit? Howlongdoesitlast? Howoftendoesithappen?


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TASK

1. Makeacompleteconversationtoexplorethedimensionsofsymptom2. Takeonecaseonly

Successis

climbing

amountain,

facing

the

challenge

of

obstacles,

and

reaching

the

top

ofmountain

Case1

Apatientwithanorexianervosaexpresses: Idontwanttohavealotofmeal Idontwanttobeplump Myarmsandlegsaregettingfat Ihavedifficultyinbowelmotion Ifeelnausea Iwanttovomit Foodmakesmystomachupset Iamafraidofbeingfat

Case2

Apatientsuspectedwithappendicitisexpresses: Ifeelpainaroundmynavel Ifeelpainaroundhere(inthelowerrightspotofmyabdomen) Ifeelasharppain Donttouchmystomach,itincreasesmypain Ifeelfeverish Ifeelnausea Ivomit Ilosemyappetite Ivomitfrequently aftermeals Ihaverecurrentpaininmylowerpartofmystomach ItbecomesmorepainfulifIdothesquattingbowelmotion


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CHAPTER 3PATIENT ASSESSMENT

LearningObjectives


Useexpressionsforassessingthehead,faceandneck

NursingNotes

Inspection, palpation, percussion and auscultation are examination techniques thatenablethenursetocollectabroadrangeofphysicaldataaboutpatients.

1. InspectionTheprocess of observation, a visual examination of thepatients bodyparts todetectnormalcharacteristicorsignificantphysicalsigns

2. PalpationInvolves the use of the sense of touch. Giving gentlepressure or deeppressureusingyourhandisthemainactivityofpalpation

3. PercussionInvolves tapping the body with fingertips to evaluate the size, borders, andconsistencyofbodyorgansanddiscoverfluidsinbodycavities.

4. AuscultationListeningtosoundsproducedbythebody

Task1

Mentionwhatactivityyoudoforeachcaselistedbelow.No Activity Technique

1 Examiningpatientsrespiratory

2 Inspectingthemouthandthroat

3 Askingpatienttostanduptofindwhetherthere isscoliosisor

not

4 Pressinghermiddlefingerofnondominanthandfirmlyagainst

the patients back. With palm and fingers remaining off the

skin,the

tip

of

the

middle

finger

of

the

dominant

hand

strikes

theother,usingquick,sharpstroke

5 Observingthecoloroftheeyes

6 Observingthemovementofairthroughthelungs

7 Testingdeeptendonreflexesusinghammer

8 Checkingthetenderareaswithherhand


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9 Pressingabdomendeeplytochecktheconditionofunderlying

organ

10 Preparingagoodlighting,thenheobservesthebodyparts

Task2.Whatkindofexaminationtechnique?

UsefulExpressions

Implementationstep

Explainingwhatyouaregoingtodoimmediately

NowIamgoingto Itstimeformeto NowIwantto

pressyour+(partsofthebody)gently

examineyour+(partsofthebody)gently

artery

cheeks

neck


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Task3.Wholeclassandpairwork

Practicetheseinstructions Listentoteachersinstructionandactthemout Then,practicetheseinpairs1. Raiseyoureyebrows2. Closeyoureyestightly3. Frown4. Smile5. Puffyourcheeks6. Shrugyourshoulder7. Flexyourneckwithchintoward8. Bendyourneck,witheartowardshoulder9. Takeasipofwaterfromthisglass

Task4.Pairwork

o Makeacompleteconversationonactsofassessinghead,faceandnecko Usetheexpressionabove

Instruction

Wouldyou? NowIwantyouto?

remove

+

your

wig

putoff hairpieces

Please+ riseyoureyebrowsfrownyourforehead

smile

puffyourcheeks

shrugyourshoulder

flex

your

neck

with

chin

toward

bendyourneck,witheartowardshoulder

takeasipofwaterfromthisglass


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CHAPTER 4CHECKING VITAL SIGN

LearningObjective

Aftercompleted

this

chapter,

students

will

be

able

to:

Communicateaboutimplementationofcheckingvitalsigns Givesomeinstructionsduringimplementationofcheckingvitalsign

Vocabulary

Pulserate

Rhythmorregularity

Tension

Beatsperminute

Patientschart

Normalpulserhythm

Bradycardia

Tachycardia

Bounding

Thread/weak

MedicalTerms Colloquialexpression

Dyspnea Breathlessness,outofbreath,shortofbreath,fightingforbreath

Expectorate

Tobringup/coughupphlegm/spitExpiration BreathingoutInspiration BreathinginRespiration Breathing

Sputum PhlegmUsefulExpression

Task1.Explainingtheprocedures

Itstimeforme

Ijust

want

Iwouldlike

Iamgoing

tomeasureyourbloodpressure

tocountyourpulse

tocheckyourrespiration

tomeasureyourtemperature

toputthiscuff(aroundyourupperarm)

toinsertthis(thermometer)intoyourarmpit

toputthis(thermometer)intoyourmouth


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Task2.Givinginstructionsandexpressionsduringtheimplementation

Task3.Nurseresponse

*)changethefollowingverbintoVingfrom

Task4.PairWork

Theillustrationbelowshowtheimplementationofcheckingvitalsigns Choose onepicture then, make a conversation exchange and give appropriate

instructions when you want to check patients vital signs according to theillustration

Takeonlyonekindimplementationofvitalsignschecking

Wouldyou

Wouldyoumind*)Please

Now,Iwantyouto

liedownonthecouch

lieflatonthebed

rollyour

sleeve

up

givemeyourright/lefthand

raiseyourarm

takeadeepbreath

breatheinbreatheout

rollyourselfintosidelyingposition

OK,fine.Thatsit Fine/good Allisdone Finished


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CHAPTER 5DISCHARGE INSTRUCTION

LearningObjective

Aftercompleted

this

chapter,

students

will

be

able

to:

Giveinstructionsandsuggestionsaccordingtothepatientshealthproblem Deliveratherapeuticcommunication

Vocabulary

Avoid

Contraindicated

Indicated

Suggest

Pus

Suture

Sponge

Splint

Swollen

Numb

Paralysis

Convulsion

Patch

Hazardousequipment

Rub

Greasy

Rash

Tightness

UsefulExpression

Pattern1:Recommendation

Pattern Example

Should

Must

Be+required

essential

important

indicated

haveto

You should take the complete (entire) doseprescribed

These tablets contain antibiotic. It is requiredyoutotakethecompletedoseprescribed

Hadbetter+bareinfinitive

Advice

Suggest

Youdbettertakeyourmedicineregularly Iadviseyoutoseeadoctorsoon Isuggestyoutodrinkalotofwater

Pattern2:Prohibition

Pattern

ExampleShouldnot

Mustnot

Maynot+

Youshouldnotdrinkthisantibioticwithmilk

Should+avoid+ing

Haveto+avoid+ing

Hadbetternot+bareinfinitive

Youshouldavoiddrinkingalcohol


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InstructionChart1

InstructionChart2

InstructionChart3

WOUNDCARE(CUTS,ABRASIONS,BURNS)

1. Keeptheareacleananddry2. Keep wound covered with a clean dressing, change

thedressingsdaily

3. Keeptheinjuredpartatrestandelevatefor12hours4. Watch for redness, pus, or increased soreness.

Contactyourdoctorifthisoccurs

5. Have your wounds checked and your suturesremovedasadvisedbytheemergencyphysicianin

days.

HEADINJURY

The first 24 hours after a head injury are the most important, although after effects may

appear much later. It is important that a responsible person awakens the patient every 2

hoursforthefirst24hoursandwatchesforthefollowingsymptoms.Ifanyoftheseoccurs,

callyourdoctororreturntotheemergencydepartment

1. Persistentheadache,nauseaorvomitingmorethantwice2. Weakness,numbnessorparalysisofthearmorlegs3. Bloodorclearfluidfromtheearsandnose4. Blurredvision,unequalpupils(onelargerthantheother)5. Convulsion

CAST/SPLINTCARE

1. Donotapplyanyweightorpressureonanewcastorsplintforthefirst2448hours

2. Keepthecast/splintcleananddry3. Elevatetheinjuredpartfor48hoursonpillowsabove

yourheart

4. Donotputforeignobjectsinsidethecast5. Wiggleyourfingersortoesinsidethecasteveryhour6. If your fingers or toes become extremely swollen,

cold, blue or numb, or the pain increases markedly,

loosentheacebandageofthesplint,orifitcast,call

yourdoctororreturntotheEmergencyDepartment.


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Task.Giveappropriatesuggestionandadvice

SIMULATION

Makeaconversationbetweenanurseandapatient.

Situation:

A patient hasjust got a medical treatment in outpatient clinic. Now you have to give

dischargeinstructiontoyourpatient.

Steps:

1. Greet the patient; tell him/her that after getting the treatment he/she may gohome.Andyoullgivesomeadvice

2. Explainthemedicalsuggestionsandadvices.


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CHAPTER 6NCLEX-RN (2)

1. Aclientisreadytobedischargedtohomehealthcareforcontinuedintravenous(IV)therapy

in

the

home.

Home

care

instructions

regarding

care

of

the

IV

have

been

given

totheclient.ThebestwaytoevaluatetheclientsabilitytocarefortheIVsiteisto:

1 AsktheclienttoverbalizeIVsitecare

2 AsktheclienttochangetheIVdressing

3 Reviewtheentiredischargeplanwiththeclientagain

4 Demonstratethedressingchangeagainfortheclientonelasttimebefore

discharge

2. Aclient isbeingdischarged fromthehospitalwithaperipheral intravenous (IV)siteforcontinuedhome IVtherapy. Inplanning forthedischarge,thenurseteachesthe

clientwhichofthefollowingtohelppreventphlebitisandinfiltration?

1

Gentlymassage

the

area

around

the

site

daily

2 Cleansethesitedailywithalcohol

3 Keepthecannulastabilizedoranchoredproperlywithtape

4 ImmobilizetheextremityuntiltheIVisdiscontinued

3. Ahomecarenurseismakinghomevisitstoanolderclientwithurinaryincontinencewho is very disturbed by the incontinence episodes. The nurse assesses the clients

home situation to determine environmental barriers to normal voiding. The nurse

determinesthatwhichitemmaybecontributingtotheclientsproblem?

1 Presenceofhandrailinginthebathroom

2 Havinganbathroomoneachfloorofthehome

3

Nightlightpresent

in

the

hall

between

the

bedroom

and

bathroom

4 Bathroomlocatedonthesecondfloor,bedroomonthefirstfloor

4. A nurse is preparing to administer continuous intravenous (IV) fluid replacementthroughaperipheralIVsitetoaclientwithadiagnosisofdehydration.Whichitemis

essentialforthenursetoassessbeforeinitiatingtheIVfluid?

1 Usualsleeppatterns

2 Abilitytoambulate

3 Bodyweight

4 Intakeandoutput

5. A home care nurse is assessing an older clients functional abilities and ability toperformactivitiesdailyliving(ADLs).Thenursefocusestheassessmenton:1 Selfcareneeds,suchastoileting,feedingandambulating

2 Thenormaleverydayroutineinthehome

3 Abilitytodolighthousework,heavyhouseworkandpaythebills

4 Abilitytodriveacar


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6. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). Thenurseplansforwhichnursinginterventiontopreventinfectionintheclient?

1 Usingstrictaseptictechniqueforintravenoussitedressingchanges

2 Monitoringserumbloodureanitrogen(BUN)levels

3 Weighingtheclientdaily

4

Encouragingfluid

intake

7. Anurse ispreparingtoadministerafeedingtoaclientreceivingnutritionthroughanasogastrictube.Thenursetakeswhichmost importantactionbeforeadministering

thefeeding:p

1 Measuringintakeandoutput

2 Weighingtheclient

3 Addingbluefoodcoloringtotheformula

4 Determiningtubeplacement

8. Aclientwithaperipheralintravenous(IV)sitecallsthenursetotheroomandtellsthenurse

that

the

IV

site

is

swollen.

The

nurse

inspects

the

IV

site

and

notes

that

it

is

also

cool and pale and that the IV has stopped running. The nurse documents in the

clientsrecordthatwhichofthefollowinghasprobablyoccurred?

1 Infiltration

2 Phlebitis

3 Thrombosis

4 Infection

9. A nurse is providing home care instructions to a client who will be receivingintravenous (IV) therapy at home. The nurse teaches the client that the most

importantactiontopreventaninfectionattheIVsiteisto:

1

Assessthe

IV

site

carefully

everyday

for

redness

and

edema

2 RedresstheIVsitedaily,cleansingitwithalcohol

3 Carefullywashhandswithantibacterialsoapbeforeworkingwiththe IV

siteorequipment

4 ChangeIVtubingandfluidcontainersdaily

10.Anursepreparestoassistapostoperativeclienttoprogressfroma lyingtoasittingposition toprepare forambulation.Whichnursingaction isappropriate tomaintain

thesafetyoftheclient?

1 Assist the client to move quickly from the lying position to the sitting

position

2

Assessthe

client

for

signs

of

dizziness

and

hypotension

3 Elevatetheheadofthebedquicklytoassisttheclienttoasittingposition

4 Allowtheclienttorisefromthebedtoastandingpositionunassisted


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CHAPTER 7IELTS LISTENING (3)


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CHAPTER 8IELTS LISTENING (4)


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CHAPTER 9IELTS SPEAKING (3)

PREPARING YOUR TALK

1.

Below

is

an

example

of

a

topic

for

Part

2.

Look

at

the topic and the three mini questions which

accompany it.ThePart2 topicwillalways follow

this format with one main topic and three sub

topics, and will usually focus on a familiar or

personalarea

2. First,readtheinstructioncarefullyanddecidehowyouaregoingtoapproachthetopic. Inthiscaseyouareaskedtodescribeaplacewhereyouhave lived. Ifyou

haveonlyeverlivedinoneplace,thenyoushoulddescribethatplace.Ifyouhave

livedinanumberofdifferentplaces,thenyouwillneedtomakeaquickdecision.

3. Thinkaboutthetopicforamoment.4. Underline any key words that strike you as important, e.g.describe,particularly

liked.

5. Decidewhichplaceyouaregoingtodescribe.6. Jotdownsomekeyideasdrawingonyourownexperience.Hereisanexample.

7. Belowisalistofpossiblewaystointroducethistopic.8. Practiseusingthemallsothatyouhaveanumberofdifferent'openings'foryour

talk.


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SAMPLE OF TOPIC CARDDescribeajobthatyouwouldliketodointhe

future.

Youshouldsay:

Whyyouareattractedtothisjob Howmuchtraining,ifany,wouldbe

necessary

Whatkindofpersonalqualitiesitwouldrequire

Describeapersonwhohashadamajorinfluence

onyou.

Youshouldincludeinyouranswer:

Whothatpersonisandwhatheorshelookslike

Howyoufirstmet Hisorherspecialqualitiesandcharacteristics ...Andwhythatpersonissoimportantin

yourlife.

Describeyouridealstudyroom.

Youshouldsay:

Whereitwouldbe Whatequipmentandfurnitureitwould

contain

Howitwouldbedecorated

Describeafamilycelebrationthatyouonce

attended.

Youshouldsay:

Whereittookplace Whyitwasheld Howyoufeltaboutit

Describeachildren'sstorythatyouknow

well.

Youshouldsay:

Whenyoufirstheardorreadit Whatyouparticularlylikedaboutit Whyyouthinkitbecamepopular

Describeaninterestinghistoricplace.

Youshouldsay:

Whatitis Whereitislocated Whatyoucanseetherenow Andexplainwhythisplaceisinteresting.

Describeaninterestedhobbythatyouenjoy

Youshouldsay:

Howlongyoubecomeinterestedin Howlongyouhavebeendoingit Whyyouenjoyit Andexplainwhatbenefityougetfrom

thisinterestorhobby

Describeariver,lakeorseawhichyoulike

Youshouldsay:

Whattheriver,lakeorseaiscalled Whereitis Whatthelandnearitislike Andexplainwhyyoulikethisriver,lakeor

sea


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REFERENCES

Bosher, SD. 2008. Englishfor Nursing,Academic Skills (Michigan Series in Englishfor

Academic&

Professional

Purposes).

Michigan:

USA

Hull, Melodie. 2010. Medical English Clear & Simple: A PracticeBasedApproach to

EnglishforESLHealthcareProfessionals.

Greenan and Grice. 2009. Oxford Englishfor Careers: Nursing 2: Nursing 2: Student's

Book.OxfordUniversityPress,USA

Magnall and Arakelian. 2006. Hospital English: Brilliant Learning Workbook for

InternationalNurses

Meehanand

Grice.

2009.

Oxford

English

for

Careers:

Nursing

1:

Student's

Book.

Oxford

UniversityPress,USA

OxfordUniversityPress.2000.OxfordLearnersPocketDictionary.UK

epn book 2 english

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