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Book 2

English for Professional Nurse

PREFACE

Nowadays, competence in English has become an urgent need

for nurses who are involved in medical services. It is due to the fact that

they are required to have the ability to communicate with the other

people in their eld including doctors and patients. English for

!rofessional Nurse Book 2 is prepared for the demands of professional

nursing also include English "ompetence. #his book provides nurse

students to improve their English skills in listening, reading, speaking

and writing.

#he contents of this book are based on the standard and

fundamental nursing procedures taught in previous year, so that the

contents are not something strange for the nurses. #his course book is

certainly help to facilitate the student to acquire the ability to perform

their duties in an environment where English is used and needed. I wish

that this book will be studied and practiced easily to achieve the

competence of Nursing English.

I hope that by the use of this book, the nursing students will be

able to learn and practice English according to their professional skills.

By mastering English for the !rofessional Nurses Book 2, it will improve

their quality of human resources and they will have added value so that

$ob opportunities will be widely open for them to reach a bright future.

%uthor

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CONTENT

!reface"ontent

"hapter &' (eneral %ssessment

"hapter 2' )imension of *ymptom

"hapter +' !atient %ssessment

"hapter ' "hecking -ital *ign

"hapter ' )ischarge Instruction

"hapter /' N"0E13N 425

"hapter 6' IE0#* 7 0istening 4+5

"hapter 8' IE0#* 7 0istening 45

"hapter 9' IE0#* 7 *peaking !art 2

:inal !ro$ect

:inal !ro$ect

CHAPTER 1

GENERAL ASSESSMENT

Learning O!e"#i$es

%fter completed this chapter, students will be able to'

&. ;se e

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E&'laining(ha#)ouaregoing#o*oi++e*ia#el),

= It is timeformeto >>>.

= I $ustwantto >>>.

= I wouldliketo >>>. interviewyou

= I amgoingto >>>. assessyourhealthcondition

= I needto >>>.

Book 2


Par# 1 Colle"#ing -e+ogra'hi" -a#a Ele+en#s

-ocabulary

*urname

Ne

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PHONE Cour phone number, please

@hat is your phone numberA

)o you have a mobile phone numberA

MARTAL STAT.S %re you marriedA

HEALTH NS.RANCE )o you have any health

insuranceA

OCC.PPPATON TTLE @hat is your occupationA

)o you have any academic titleA

@hat is your titleA@hat do you doA

NE3T OF N @ho is your ne

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*tudythesequestions

C.RRENTHEALTHSTAT.S

= @hatdoyouthinkaboutyourhealthA

= @ouldyoutellmeaboutyourhealthconditionrecentlyA Sa+'leof'a#ien#;sres'onse>>A

= owmanytimesa daydoyoudoyour>>>A

= )oyouhaveanyproblemwithyour>>>Abowel movementA waterworksA

= Is thestoolformedor loosedA

= Is yourwaterworkssluggishA

Assess+en#S#e'Heal#h an* llness S#a#us

.seful E&'ressions< Assess+en# s#e'

Par# % His#or) of Pas# Heal#h an* llnesses

.seful E&'ressions

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= aveyoueverbeenimmuniMedagainst4a in*of*isease5A

= aveyouevergot>>4a in*of*isease5>>.immuniMationsA

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“Success is climbing a mountain, facing the challenge of obstacles, and reaching the top of mountain”

CHAPTER %

PATENT ASSESSMENT

Learning O!e"#i$es

%fter completed this chapter, students will beable to' ;se e

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Nursing No#es

Inspection$ palpation$ percussion and auscultation are examinationtechniques that enable the nurse to collect a broad range of physical

data about patients1 Inspection

#he process of observation$ a visual examination of the patient%sbody parts to detect normal characteristic or signi&cant physicalsigns

" 'alpation

Involves the use of the sense of touch (iving gentle pressure ordeep pressure using your hand is the main activity of palpation

) 'ercussion

Involves tapping the body with &ngertips to evaluate the si*e$borders$ and consistency of body organs and discover +uids in body cavities

, Auscultation

-istening to sounds produced by the body

Tas 1

!ention what activity you do for each case listed below

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9 !ressing abdomen deeply to check the condition of

underlying organ

& !reparing a good lighting, then he observes the

body parts

Tas 2. .hat kind of examination technique

.seful E&'ressions

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Implementationstep

E&'laining(ha#)ouaregoing#o*oi++e*ia#el)

= NowI amgoingto >

= ItGstimeformeto>

= NowI wantto>

pressyour>4partsof thebody5gentlye4partsof thebody5gently

artery cheeks neck

ns#ru"#ion

= @ouldyou>A

= NowI wantyouto>A

removeyour> wigputoO hairpieces

= !lease riseyoureyebrows

frownyourforehead

smile

puOyourcheeks

shrugyourshoulder

Pe

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. *mile

. !uO your cheeks

/. *hrug your shoulder

6. :le< your neck with chin toward

8. Bend your neck, with ear toward shoulder

9. #ake a sip of water from this glass

Tas 4, Pair (or o !ake a complete conversation on acts of assessing

head$ face and neck o 0se the expression above

CHAPTER 4

CHECNG 7TAL SGN

Learning O!e"#i$e


•

"ommunicate about implementation of checking vital signs • (ive some instructions during implementation of checking vital

sign

7o"aular) !ulse rate

3hythm or regularity

#ension

Beats per minute

!atientGs chartNormal pulse rhythm

Bradycardia

#achycardia

Bounding

#hreadJweak

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ItGstimeforme>

I $ustwant>I wouldlike>I amgoing>

to measureyourbloodpressureto countyourpulseto checkyourrespirationto measureyourtemperatureto putthiscuO4aroundyourupperarm5

to insertthis thermometer54 intoyourarmpitto putthis4 thermometer5 intoyourmouth

Book 2


Me*i"al

Ter+s

Collouial e&'ression

)yspnea reathlessness$ out of breath$

short of breath$ &ghting for breath

E

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Tas%,Nurseres'onse

@ouldyou>

@ouldyoumindD5 !leaseNow,I wantyouto>

liedownonthecouchliePatonthebed

rollyoursleeveupgivemeyourrightJlefthandraiseyourarmtakea deepbreathbreathein >breatheoutrollyourself intosidelyingposition

= KL,ne.#hatGsit

= :ineJgood

= %llis done

= :inished

Book 2


D5 change the following verb into -ing from

Tas 4, Pair 9or

• #he illustration below show the implementation of checking vital signs

• 2hoose one picture then$ make a conversation exchange and giveappropriate instructions when you want to check patient%s vital signsaccording to the illustration

•

#ake only one kind implementation of vital signs checking

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CHAPTER :

-SCHARGE NSTR.CTON

Learning O!e"#i$e


• (ive instructions and suggestions according to the patientGs healthproblem

• )eliver a therapeutic communication

7o"aular)

%void

"ontraindicated

Indicated

*uggest

!us

*uture

*ponge

*plint

*wollen

Numb

!aralysis

"onvulsion

!atch

aMardousequipment

3ub

(reasy

3ash

#ightness

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.seful E&'ression

Pa##ern 1< Re"o++en*a#ion

Pa##ern E&a+'le

*hould

ust

Be required

essential

important

indicated

have to >

•

•

Cou should take the complete 4entire5dose prescribed

#hese tablets contain antibiotic. It is

required you to take the complete

dose prescribed

ad better bareinnitive

%dvice

*uggest

•

•

•

CouGd better take your medicineregularly

I advise you to see a doctor soon

I suggest you to drink a lot of water

Pa##ern 2< Prohii#ion

Pa##ern E&a+'le

*hould notust not

ay not >

Cou should not drink this antibiotic with

milk

*hould avoid ing

ave to avoid ing

ad better not bare

innitive

Cou should avoid drinking alcohol

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ns#ru"#ion Char# 1

Tas, Gi$e a''ro'ria#e sugges#ion an* a*$i"e

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SM.LATON

ake a conversation between a nurse and a patient.

Si#ua#ion

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CHAPTER ?

NCLE3DRN 26

&. % client is ready to be discharged to home health care for continuedintravenous 4I-5 therapy in the home. ome care instructionsregarding care of the I- have been given to the client. #he best wayto evaluate the clientGs ability to care for the I- site is to'

& %sk the client to verbaliMe I- site care

2 %sk the client to change the I- dressing

+ 3eview the entire discharge plan with the client again

)emonstrate the dressing change again for the client one last timbefore discharge

2. % client is being discharged from the hospital with a peripheralintravenous 4I-5 site for continued home I- therapy. In planning forthe discharge, the nurse teaches the

client which of the following to help prevent phlebitis and inltrationA

& (ently massage the area around the site daily

2 "leanse the site daily with alcohol

+ Leep the cannula stabiliMed or anchored properly with tape

ImmobiliMe the e

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. % home care nurse is assessing an older clientGs functional abilitiesand ability to perform activities daily living 4%)0s5. #he nursefocuses the assessment on'

& *elfcare needs, such as toileting, feeding and ambulating

2 #he normal everyday routine in the home

+ %bility to do light housework, heavy housework and pay the bills %bility to drive a car

/. % nurse is caring for a client who is receiving total parenteralnutrition 4#!N5. #he nurse plans for which nursing intervention toprevent infection in the clientA

& ;sing strict aseptic technique for intravenous site dressing changes

2 onitoring serum blood urea nitrogen 4B;N5 levels

+ @eighing the client daily

Encouraging Puid intake

6. % nurse is preparing to administer a feeding to a client receivingnutrition through a nasogastric tube. #he nurse takes which mostimportant action before administering the feeding' p

& easuring intake and output

2 @eighing the client

+ %dding blue food coloring to the formula

)etermining tube placement

8. % client with a peripheral intravenous 4I-5 site calls the nurse to the

room and tells the nurse that the I- site is swollen. #he nurseinspects the I- site and notes that it is also cool and pale and thatthe I- has stopped running. #he nurse documents in the clientGsrecord that which of the following has probably occurredA

& Inltration

2 !hlebitis

+ #hrombosis

Infection

9. % nurse is providing home care instructions to a client who will bereceiving intravenous 4I-5 therapy at home. #he nurse teaches theclient that the most

important action to prevent an infection at the I- site is to'

& %ssess the I- site carefully everyday for redness and edema

2 3edress the I- site daily, cleansing it with alcohol

+ "arefully wash hands with antibacterial soap before working with the I-site or equipment

"hange I- tubing and Puid containers daily

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Book 2


&. % nurse prepares to assist a postoperative client to progress froma lying to a sitting position to prepare for ambulation. @hich nursingaction is appropriate to maintain the safety of the clientA

& %ssist the client to move quickly from the lying position to the sittin

position

2 %ssess the client for signs of diMMiness and hypotension

+ Elevate the head of the bed quickly to assist the client to a sittingposition

%llow the client to rise from the bed to a standing position unassisted

CHAPTER @

ELTS LSTENNG %6

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CHAPTER

ELTS LSTENNG 46

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PREPARNG 8O.R TAL

&. Belowis an e

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Book 2


SAMPLE OF TOPC CAR-

)escribe a $ob that you would like todo in the future.

Cou should say'

• @hy you are attracted to this $ob

• ow much training, if any, wouldbe necessary

• @hat kind of personal qualities itwould require

)escribe a person who has had a ma$orinPuence on you.

Cou should include in your answer'

• @ho that person is and what he orshe looks

like

• ow you rst met

• is or her special qualities andcharacteristics

• ... %nd why that person is so

important in your life.

)escribe your ideal study room.

Cou should say'

• @here it would be

• @hat equipment and furniture it

would contain• ow it would be decorated

)escribe a family celebration thatyou once attended. Cou shouldsay'

• @here it took place

•

@hy it was held• ow you felt about it

)escribe a childrenSs story that youknow well.

Cou should say'

• @hen you rst heard or read it

• @hat you particularly liked aboutit

• @hy you think it became popular

)escribe an interesting historic place.

Cou should say'

• @hat it is

• @here it is located

• @hat you can see there now

• %nd e

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Book 2


REFERENCES

Bosher, *). 28. English for Nursing, Academic Skills (Michigan Seriesin English for Academic & Professional Purposes! ichigan' ;*%

ull, elodie. 2&. Medical English "lear & Simple# A Practice$%ased Approach to English for ES 'ealthcare Professionals.

(reenan and (rice. 29. )ford English for "areers# Nursing *#

Nursing *# Student+s %ook! K

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epn book 2(1)

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