English for The Professional Nurse

1. 1. English For The Professional Nurse Author: Leyla Khansa Zuhrotul Ulfiah Siti
Marifatul Amaliyyah Diana Dias Paramita Department of English STKIP PGRI
Pasuruan Academic Year 2011 First Press: 6th January, 2015
2. 2. English For The Professional Nurse
3. 3. English For The Professional Nurse 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 field including doctors and patients. English for Professional Nurse
Book 1 is prepared for the demands of professional nursing also include English
Competence. This book provides nurse students to improve their English skills in
listening, reading, speaking and writing. The 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. This 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
Professional Nurse Book 1, it will improve their quality of human resources and
they will have added value so that job opportunities will be widely open for them
to reach a bright future. Author Preface ii
4. 4. English For The Professional Nurse
5. 5. English For The Professional Nurse PREFACE CONTENTS PART ONE
Chapter 1 Health Problems Chapter 2 Asking and Showing Rooms in Hospital
PART TWO Chapter 3 Health Problem Chapter 4 Dimension of Symptoms PART
THREE Chapter 5 Diagnosing Health Problems Chapter 6 Sharing Observation
PART FOUR Chapter 7 General Assessment Chapter 8 Patient Assessment
PART FIVE Chapter 9 Checking Vital Sign Chapter 10 Discharge Instruction
TEST YOUR COMPETENCE ANSWER KEY REFERENCES Contents iv
6. 6. English For The Professional Nurse ursing is the protection, promotion, and
optimization of health and abilities, prevention of illness and injury, alleviation of
suffering through the diagnosis and treatment of human response, and advocacy
in the care of individuals, families, communities, and populations.
7. 7. English For The Professional Nurse Useful Expressions Hello
Assalamualaikum Good [Morning/Afternoon/ Evening] Mr./Miss/Mrs Im
nurse [your name] Ill take care of you today How can I address you?
Is it Miss or Mrs. ......? May I address you with ? An Introduction of
Nursing 2
8. 8. English For The Professional Nurse Introducing yourself to a colleague! Fill in
the blanks with suitable expressions, and then practice with your partner! Nurse
Mellissa: Hi, whats your name? New Nurse:
Nurse Mellissa:
Im Mellissa. I havent see you before New Nurse:
Nurse Mellissa:
Where are you from? New Nurse:
Nurse Mellissa:
How long have you been in this country? New Nurse:
Nurse Mellissa:
How do you like this country? New Nurse:
Nurse Mellissa:
Nice to meet you. New Nurse:
Please,
address me with Call me You may address me Why
dont you call me Now, I need to visit other patients. If you need
[anything/a help/something/assistance] please just press the call button, a nurse
will help you ACTIVITY Task 1 An Introduction of Nursing 3
9. 9. English For The Professional Nurse Do this in pairs! Ask your partner more
about her/his personal information. Use this questionnaire. After asking your
partner, take turn to answer his/her question. Use the same. Write your profile!
Read the example personal profile and write a similar one about yourself,
 explaining: why you became a nurse what you are doing now your career
plans. ACTIVITY Task 2 1. Whats your name? 2. Whats your hobby? 3.
Where are you from? 4. Where do you live now? 5. How long have you been
living there? 6. Where did you study nursing? 7. How long have you studied
here? Questionnaire Fornurse1 1. My name is 2. My hobby is 3. Im from
4. I live in 5. I have been living there for 6. I study nursing at 7. Ive
studied here for Theexampleof Theanswers ACTIVITY Task 3 Example
Personal Profile When I was a child I wanted to be an accountant because
mathematics was my favorite subject at school. I was no good at science and not
very good with people, so I thought that nursing was not for me. But when I was
sixteen my grandmother got very ill. I watched the nurses care for her as she
slowly died, and I realized that I wanted to be like them. When I left school I
applied to train as a nurse. A training college accepted me and I started the
course two years ago. I am still training and getting experience. I know that
nursing is not right for everyone, but personally I love it. For the past two months
I have been working in a childrens ward. Its a wonderful experience and Im
going to specialize in pediatrics as soon as I can. Im ambitious and I want to go
as high in my chosen career as possible. An Introduction of Nursing 4
10. 10. English For The Professional Nurse Useful Expressions Visitor/Patient:
How to Ask for Direction Could you tell me how to get to...? Can you tell me
where...is? Im looking for... How can I get there? Excuse me, can you tell me the
way to..., please? How to Give Simple Directions: Walk down Go along
this Go upstairs Until you find Then turn right/left Take the first
turn on the right. Take the second road on the left. Then turn right/left at the
next T junction. Turn right/left at the traffic light. Showing A Place or Room: It
is on the right/left side of next to near at the opposite of
at the corner of just before across from An Introduction of Nursing 5
11. 11. English For The Professional Nurse Make group of four Each group
decides a place based on the map above Tell the place one by one in front of
the other groups, and then let them guess the place The fastest group who
raise their hands become the group which has a chance to answer/guess it
The winner is the group which has the highest point Other groups take their
turn For example : From the Main Gate, go straight through car park until you find
an entrance. Then you turn left. The room is a wide one. ACTIVITY Task 1 An
Introduction of Nursing 6
12. 12. English For The Professional Nurse This is the site map of the first floor in a
hospital ACTIVITY Task 2 An Introduction of Nursing 7
13. 13. English For The Professional Nurse This is the second floor in a hospital
Refer to the site map above, make a communication exchange to show the
direction! The starting points are as follows: 1. The security to maternity unit 2.
The nurse station in ICU to the canteen 3. The security to the toilet (between
dispensary and radiology) 4. The emergency room to the lift 5. The polyclinic to
the pediatric ward (on the 2nd floor) 6. The waiting room to the children
playground (on the 2nd floor) 7. The operation room to ICU (opposite the
physiotherapy unit) 8. The entrance to the Class 1 9. The nurse station (near the
lift on 2nd floor) to the laboratory 10. The emergency room to admission An
Introduction of Nursing 8
14. 14. English For The Professional Nurse Choose the correct option to complete
the sentences! 1. Walk into / over / through the doors at the end of the corridor.
2. Turn left / away / on after Pathology. 3. Theres a sign under / over / at the
door. 4. Its easiest to take the lift up to / on the top / into Surgery. 5. The
Pharmacy is the second door on / at / opposite the right. 6. The car park is in
front / inside / opposite the main entrance. 7. Go straight at the bottom of / under
/ towards the stairs. 8. Your ward is by / opposite / next to Physiotherapy.
Complete the sentences with the words from the list! 1. The pharmacy
_______________ medicines. 2. Take the _______________ to get to the next
floor. 3. Go along this _______________ and through the doors. 4. We use
_______________ for patients who cant sit up. 5. _______________ is next to
the main entrance. 6. Each bed produces 4.5 kilos of _______________ each
day. 7. Dead patients are taken to the _______________. 8. Porters
_______________ heavy equipment. ACTIVITY Task 3 ACTIVITY Task 4
 transport waste lift dispenses mortuary reception stretchers corridor An
Introduction of Nursing 9
15. 15. English For The Professional Nurse he body and all of the parts inside makes
a good mechanism, every body part inside the body have their own job to do to
ensure that the body function as one mechanized thing, the structure determines
what does what, how and when.
16. 16. English For The Professional Nurse Study the vocabulary and its description
listed below! VERB NOUN ADJECTIVE to have + noun an ache sprained to ache
a pain stiff to hurt a bruise sore to throb a rash painful to itch a cut dizzy to irritate
a scar fainted to injure a swelling injured a graze a sting a bite ache (v): merasa
sakit yang tidak terlalu, tetapi berlangsung terus menerus Examples: Im aching
all over Her eyes ache from lack of sleep ache (n): rasa sakit Examples: Mom,
Ive got a tummy ache Muscular aches and pains can be soothed by a relaxing
massage Bellyache/stomachache: sakit perut Vocabulary Description of
ache, pain, hurt, injured, throb and itch Parts of The Body 11
17. 17. English For The Professional Nurse Pain (n): suatu rasa yang dialami tubuh
akibat suatu penyakit atau luka atau tindakan tertentu Examples: She was
clearly in a lot of pain He felt a sharp pain in his knee Patients suffering from
acute pain The booklet contains information on pain relief during labor This
cream should help to relieve the pain painful (adj): terasa sakit Examples: Is
your back still painful? My ankle is still too painful to walk on hurt (v):
menyebabkan terasa sakit secara fisik, terluka Examples: He hurt his back
playing squash Did you hurt yourself? My back is really hurting me today
Strong light hurts my eyes Injured (adj): melukai, luka, menyebabkan luka
Examples: He injured his knee when playing hockey She injured herself
during training throb (v): terasa sakit berdenyutdenyut Examples: His head
throbbed painfully My feet were throbbing after the long walk home throb (n):
sakit yang berdenyut Examples: My headache faded to a dull throbbing sore
(adj): sakit, perih (bias karena infeksi atau gerakan yang berlebihan) Examples:
I have a sore throat His feet were sore after the long walk My stomach is still
sore after the operation Itch (v): gatal Examples: I itch all over Does the rash
itch? This sweater really itches Parts of The Body 12
18. 18. English For The Professional Nurse Would/Can you show me/point at the
location of your pain? Show me where the location of your pain is? Where is
the pain? Is it (your pain) in your + (part of the body)? Do you feel pain in
your + (part of the body)? Translate into communicative English using the words
given below! 1. (pain) Saya merasakan sakit sekali di lutut saya
________________________________________________________________
_____ 2. (hurt) Pergelangan kaki saya nyeri
________________________________________________________________
_____ 3. (throb) Kepala saya pusing berdenyutdenyut
________________________________________________________________
_____ 4. (itch) Punggung saya terasa gatal
________________________________________________________________
_____ 5. (injured) Jari tangan saya terluka
________________________________________________________________
_____ 6. (sore) Tenggorokan saya sakit
________________________________________________________________
_____ 7. (hurt) Sinar yang sangat terang akan menyakitkan mata
________________________________________________________________
_____ 8. (ache) Kaki saya sakit karena terlalu banyak berlari
________________________________________________________________
_____ 9. (pain) Saya merasa sakit disini
________________________________________________________________
_____ 10. (painful) Punggung saya terasa sakit sekali
________________________________________________________________
_____ Useful Expressions ACTIVITY Task 1 Parts of The Body 13
19. 19. English For The Professional Nurse Make a conversation between a nurse
and a patient! ACTIVITY Task 2 Patient: Call a nurse, state your complaint!
Nurse: Ask what the problem is Nurse: Repeat patients expression for sure
Nurse: ask patient to tell the location of Patient: Tell nurse where you feel the
pain Parts of The Body 14
20. 20. English For The Professional Nurse Useful Expressions Locations
Where do you feel it? Does it move around? Show me where. Quality or
Character What is it like? Is it sharp, dull, stabbing, aching? Do you feel .?
What does the pain look like? When did it last? Severity On a scale of 0 to
10, with ten the worst, how would you rate what you feel right now? What was
the worst it has been? Does this interferer your usual activities? In what ways?
Timing When did you first notice it? How long does it last? How often does
it happen? Setting Does it occur in a particular place or under certain
circumstances? Have you taken anything for it? Does it appear in particular
time? Parts of The Body 15
21. 21. English For The Professional Nurse 1. Make a complete conversation to
explore the dimensions of symptom! 2. Take one case only! ACTIVITY Task 1
Case 1 A patient with anorexia nervosa expresses: I dont want to have a lot of
meal I dont want to be plump My arms and legs are getting fat I have
difficulty in bowel motion I feel nausea I want to vomit Food makes my
stomach upset I am afraid of being fat Case 2 A patient suspected with
appendicitis expresses: I feel pain around my navel I feel pain around here (in
the lower right spot of my abdomen) I feel a sharp pain Dont touch my
stomach, it increases my pain I feel feverish I feel nausea I vomit I lose my
appetite I vomit frequently after meals I have recurrent pain in my lower part of
my stomach It becomes more painful if I do the squatting bowel motion Parts of
The Body 16
22. 22. English For The Professional Nurse Use the information in the text to
complete the sentences with a, b or c! 1. Researchers are trying to find out
why a. people experience pain differently. b. people feel pain. c. pain is
important to people. 2. Experiments show that a. pain is worse for men than
women. b. men can take more pain than women. c. children feel less pain than
adults. 3. Nurses need to measure a patients pain because a. pain is a
problem. b. pain is a symptom. c. patients cant describe it. 4. Medics ask
patients for a number to describe a. the kind of pain they have. b. how bad
the pain is. c. how often theyre in pain. 5. To describe pain, medics ask children
to a. point to a smiley face. b. think of some numbers. c. say how it feels. 6.
You experience referred pain a. only in your internal organs. b. long after an
injury. c. in a different place from an injury. ACTIVITY Task 2 Pain is important
because it tells us that we are injured or ill. However, we dont all feel pain in the
same way. Researchers are trying to learn more about this fact. Their
experiments show that children are more sensitive to pain than adults, and that
men can tolerate more pain than women. Pain is also difficult to measure and
describe. This is a problem because it is an important symptom and medics
(medical staff) need information from patients about it. It is therefore common
practice to give patients lists of words and ask them to say which words best
describe three things: the type of pain they are suffering, its intensity (how bad it
is) and its frequency (how often they feel it). With some patients, such as
children, words dont work very well to describe intensity, so medics use smiley
faces or sometimes colors. For example, blues mean a mild pain and reds mean
severe pain. Some medics prefer a range of numbers; 0 is no pain and 10 is
unbearable pain. Pain does not always show where an injury is. Internal organs,
for example, do not have many pain receiving nerve endings, so internal injuries
often cause pain in a different part of the body. This is called referred pain. One
example of referred pain is when someone suffering a heart attack feels pain in
their left shoulder, arm or hand. Parts of The Body 17
23. 23. English For The Professional Nurse esearch shows that when patients are
engaged in their health care, it can lead to measurable improvements in safety
and quality. To promote stronger engagement, Agency for Healthcare Research
and Quality developed the Guide to Patient and Family Engagement in Hospital
Quality and Safety, a tested, evidence-based resource to help hospitals work as
partners with patients and families to improve quality and safety.
24. 24. English For The Professional Nurse break Waterworks In a bad shape
Dribble Bother Constipation Not in any shape Clammy Bowel movement
Lassitude Bloated Nurses questions to check the patients complaint/condition
Useful Expressions Vocabulary 1. Whats your problem? 2. How are you
feeling today? 3. What makes you call me? 4. Whats your chief complaint? 5.
 Whats troubling you? 6. Whats the matter with you? 7. Whats wrong with you?
8. What seems to be bothering you? Ask and Report 19
25. 25. English For The Professional Nurse Patients expressions about symptoms
and physical problem Nurses report/diagnose/how to report about patients
condition/complaint 1. I have + (a part of the body + ache) a toothache a
headache a stomachache a backache 2. I have + (a sore + part of the body) a
sore throat a sore foot a sore arm a sore knee3. I have/get + kinds of physical
problem the measies the flu a cold a bloody vomit and stool a bowel movement a
bad cough a fever 4. I feel + kinds of physical problems dizzy slick fever cold and
clammy unwell in bad shape 6. I suffer from + kinds of certain illness cancer
constipation 7. I sprained my (possessive) + joints/bones problems ankle broke
collarbone hurt leg arm Reporting He/She complains about his/her + part of
the body has + health problem suffers from + health problem Diagnosis
He/She may have + disease/health problem seems to have Ask and
Report 20
26. 26. English For The Professional Nurse Make a conversation between a nurse
and a patient. Case: A patient suspected with a gastric peptic ulcer. The
symptoms are burning and gnawing felt in the upper part of the abdomen. The
pain confines in the lower chest. The pains come and go. Conversation 1
Conversation 2 ACTIVITY Task 1 Patient: Call a nurse, state your complaint!
Nurse: Ask what the problem is Nurse : Repeat patients expression for sure, and
tell the patient that you will report his/her condition to specialist Doctor : Call a
nurse; ask about the patients complaint Nurse : Tell the doctor about the
symptoms and your diagnosis Ask and Report 21
27. 27. English For The Professional Nurse Writing a symptom report! Read the
example report about the fatal symptoms of one patient. Use the notes in the box
to write a similar report about a patient with symptoms of an angina attack.
ACTIVITY Task 2 Example Report The victim was a 60-year-old man. Two
days ago he complained of a bad cough and said he felt nauseous. Yesterday
his ankles and feet were swollen and he told his wife that his fingers were numb.
At two oclock in the afternoon he felt dizzy, fell over and lost consciousness. He
died of heart failure in the ambulance. NOTES Patient : 55-year-old woman
Admitted to hospital : Monday 13th June 18.35 Presenting symptoms : burning
pain in the centre of chest, nausea, numbness in fingers Diagnosis : angina
attack Treatment : rest & glyceryl trinitrate Follow-up : Tuesday 11.00: No
symptoms, vital signs normal 14.00: Discharged Ask and Report 22
28. 28. English For The Professional Nurse Pale Daydream Suffocate Bouncy Tense
Tired Moan Stiff Painful Rigid Groan Sigh Afraid of Gasp contempt bruise
Tender Swollen Study and practice these useful expressions! Useful
Expressions You look Your (part of the body) looks
uncomfortable when (v-ing) with your (parts of the body You seem to
have + (a problem with + a part of the body) + (a health problem: such as a
stomachache, a chest pain) Vocabulary Ask and Report 23
29. 29. English For The Professional Nurse Practice the substitution drill below! 1.
You look tense stiff happy sad etc. 2. Your looks skin
sallow eyes reddish nail yellowish 3. You seem uncomfortable when
walking moving your hand changing your clothes 4. You look uncomfortable with
your legs position stomach chest Make into groups consist of 6
participants Cut pictures available in supplementary material below Observe
their expressions Share your observations to each of them Show each
picture to the class, and tell your observations ACTIVITY Task 1 ACTIVITY
Task 2 Ask and Report 24
30. 30. English For The Professional Nurse Ask and Report 25
31. 31. English For The Professional Nurse Decide whether these statements are
true (T) or false (F) according to the text. 1. You need signs and symptoms for a
diagnosis. [_____] 2. You cant see symptoms. [_____] 3. Patients presenting
symptoms are either strong, mild or weak. [_____] 4. Killer diseases can have
weak symptoms. [_____] 5. Non-specific symptoms help a lot with diagnosis.
[_____] 6. Too much information slows up diagnosis. [_____] ACTIVITY Task 3
Signs and symptoms are the tools for making a diagnosis, but what is the
difference between the two? The signs of an illness are the things that a doctor
or nurse can see and measure. Signs are things like spots and bleeding.
 Temperature, heart rate, blood pressure and respiration rate are all signs
because you can measure them. Symptoms are the things which a patient
experiences, but others cant always see. Dizziness and nausea are examples of
symptoms. The symptoms which make a patient seek medical help in the first
place are called the presenting symptoms. Medics describe them in terms of
being either strong, mild or weak. Sometimes the symptoms of serious illnesses
like cancer and diabetes are weak. They stay weak for a long time and the illness
remains undiagnosed. Many illnesses have the same symptoms. These
symptoms are called non- specific. Fatigue is an example of this. Its a symptom
of many kinds of illness, both chronic and acute, and of both physical and mental
disorders. Doctors ask patients about the onset of the symptoms, what they feel
like, what relieves them and what makes them worse. The more detail they have,
the faster they can make a diagnosis. Ask and Report 26
32. 32. English For The Professional Nurse he best way to improve patient
satisfaction is to use methods of assessing patients' views over a wide range of
specific issues. Then the conclusions can be used to work with patients to
develop a service that is of the greatest benefit to those who use the service, as
well as a pleasure to those who provide the service.
33. 33. English For The Professional Nurse a) Implementation step b) Question to
collect demographic data elements Useful Expressions Explaining what you
are going to do immediately. It is time for me to . I just want to .
I would like to . interview you I am going to . assess your
health condition I need to . Question To Ask NAME What is your name?
What is your complete name? What is your surname? Part 1: Collecting
Demographic Data Elements Assessing 28
34. 34. English For The Professional Nurse *) It is a reason that makes you come to
hospital. It can be a chief complaint, medical checkup. AGE How old are you?
ADDRESS What is your address? Where do you live? PHONE Your phone
number, please What is your phone number? Do you have a mobile phone
number? MARITAL STATUS Are you married? HEALTH INSURANCE Do you
have any health insurance? OCCUPPPATION & TITLE What is your occupation?
Do you have any academic title? What is your title? What do you do? NEXT OF
KIN Who is your next of kin? REASON FOR CONTACT*) What brings you in this
hospital? Who sends you to this hospital? What makes you come to this
hospital? Assessing 29
35. 35. English For The Professional Nurse Pair Work Interview your partner Fill
in the blanks with his/her personal demographic data ACTIVITY Task 1 Name :
_______________________________ Age :
_______________________________ Sex :
_______________________________ Address :
_______________________________ City, State :
_______________________________ Phone :
_______________________________ Religion :
_______________________________ Marital Status :
_______________________________ Health Insurance :
_______________________________ Current Occupation and Title :
_______________________________ Next of Kin :
_______________________________ Reason for contact :
_______________________________ Date, time of contact :
_______________________________ Assessing 30
36. 36. English For The Professional Nurse Useful Expressions CURRENT
HEALTH STATUS What do you think about your health? Would you tell me
about your health condition recently? Sample of patients response: Im usually
healthy, have usual cold, and have to take medicine for high blood pressure Part
2: Current Health and Illness Status ELIMINATION PATTERN Would you tell
me about your ? How many times a day do you do your ? Do
you have any problem with your ? o bowel movement? o waterworks?
Is the stool formed or loosed? Is your waterworks sluggish? Assessing 31
37. 37. English For The Professional Nurse a) Asking Common Communicable
Disease b) Asking about Immunizations Pair Work Assess your partner current
health condition by using question listed above ACTIVITY Task 2 Useful
Expressions Part 3: History of Past Health and Illness Have you ever had +
 a kind of disease? Response: Yes, I have/No, I havent How old were you
when you got it? Response: I was about years old Are you allergic
to(a certain food/medication) (Example: Are you allergic to
penicillin/antibiotic) Kinds of diseases: measlesmumpschicken poxrubella
rheumaticfeverdiphtheriascarlet-feverpoliotuberculosis Have you ever been
immunized against + (a kind of disease)? Have you ever got+ (a kind of
disease) .immunizations? Example: Have you ever got polio immunizations?
Assessing 32
38. 38. English For The Professional Nurse Inspection, palpation, percussion and
auscultation are examination techniques that enable the nurse to collect a broad
range of physical data about patients. 1. Inspection The process of observation,
a visual examination of the patients body parts to detect normal characteristic or
significant physical signs 2. Palpation Involves the use of the sense of touch.
Giving gentle pressure or deep pressure using your hand is the main activity of
palpation 3. Percussion Involves tapping the body with fingertips to evaluate the
size, borders, and consistency of body organs and discover fluids in body
cavities. 4. Auscultation Listening to sounds produced by the body Nursing
Notes Assessing 33
39. 39. English For The Professional Nurse Mention what activity you do for each
case listed below. NO ACTIVITY TECHNIQUE 1 Examining patients respiratory
2 Inspecting the mouth and throat 3 Asking patient to stand up to find whether
there is scoliosis or not 4 Pressing her middle finger of nondominant hand firmly
against the patients back. With palm and fingers remaining off the skin, the tip of
the middle finger of the dominant hand strikes the other, using quick, sharp
stroke 5 Observing the color of the eyes 6 Observing the movement of air
through the lungs 7 Testing deep tendon reflexes using hammer 8 Checking the
tender areas with her hand 9 Pressing abdomen deeply to check the condition of
underlying organ 10 Preparing a good lighting, then he observes the body parts
ACTIVITY Task 1 Assessing 34
40. 40. English For The Professional Nurse What kind of examination technique?
ACTIVITY Task 2 Useful Expressions Explaining what you are going to do
immediately Now I am going to Its time for me to Now I want to
press your + (parts of the body) gently examine your+ (parts of the body)
gently artery cheeks neck Assessing 35
41. 41. English For The Professional Nurse Whole class and pair work Practice
these instructions Listen to teachers instruction and act them out. Then,
practice these in pairs! 1. Raise your eyebrows 2. Close your eyes tightly 3.
Frown 4. Smile 5. Puff your cheeks 6. Shrug your shoulder 7. Flex your neck with
chin toward 8. Bend your neck, with ear toward shoulder 9. Take a sip of water
from this glass Pair work Make a complete conversation on acts of assessing
head, face and neck Use the expression above. Then, practice these in pairs!
ACTIVITY Task 3 Instruction Would you? Now I want you to? remove
+ your wig put off hairpieces Please + rise your eyebrows frown your
forehead smile puff your cheeks shrug your shoulder flex your neck with chin
toward bend your neck, with ear toward shoulder take a sip of water from this
glass ACTIVITY Task 4 Assessing 36
42. 42. English For The Professional Nurse atient monitoring can reduce the risk of
infection and other complications, as well as assist in providing for patient
comfort. As a consequence, Smiths Medical has developed a range of products
and systems that will assist your patient monitoring requirements.
43. 43. English For The Professional Nurse Pulse rate Beats per minute Bradycardia
Rhythm or regularity Patients chart Tachycardia Thread/weak Tension Normal
pulse rhythm Bounding Medical terms Colloquial expression Dyspnea
Breathlessness, out of breath, short of breath, fighting for breath Expectorate To
bring up/cough up phlegm/spit Expiration Breathing out Inspiration Breathing in
Respiration Breathing Sputum Phlegm Vocabulary Useful Expressions
Monitoring The Patient 38
44. 44. English For The Professional Nurse Explaining the procedures: Giving
instructions and expressions during the implementation: ACTIVITY Task 1
Its time for me I just want I would like I am going to measure
your blood pressure to count your pulse to check your respiration to measure
your temperature to put this cuff (around your upper arm) to insert this
 (thermometer) into your armpit to put this (thermometer) into your mouth
ACTIVITY Task 2 Would you Would you mind *) Please Now, I want
you to lie down on the couch lie flat on the bed roll your sleeve up
give me your right/left hand raise your arm take a deep breath breathe in
breathe out roll yourself into side lying position Monitoring The Patient 39
45. 45. English For The Professional Nurse Nurses Response: *) change the
following verb into Ving from Pair Work The illustration below show the
implementation of checking vital signs Choose one picture then, make a
conversation exchange and give appropriate instructions when you want to check
patients vital signs according to the illustration Take only one kind
implementation of vital signs checking OK, fine. Thats it Fine/good All is
done Finished ACTIVITY Task 3 ACTIVITY Task 4 Monitoring The Patient
40
46. 46. English For The Professional Nurse Avoid Pus Swollen Contraindicated
Suture Numb Indicated Sponge Paralysis Suggest Splint Convulsion Patch Rash
Tightness Rub Greasy Hazardous equipment Vocabulary Monitoring The
Patient 41
47. 47. English For The Professional Nurse Recommendation PATTERN EXAMPLE
Should You should take the complete (entire) dose prescribed Must Be +
required essential important indicated have to These tablets contain antibiotic.
It is required you to take the complete dose prescribed Had better + bare
infinitive Youd better take your medicine regularly Advice I advise you to see a
doctor soon Suggest I suggest you to drink a lot of water Prohibition PATTERN
EXAMPLE Should not You should not drink this antibiotic with milkMust not May
not + Should + avoid + ing You should avoid drinking alcohol Have to + avoid
+ ing Had better not + bare infinitive Useful Expressions Monitoring The
Patient 42
48. 48. English For The Professional Nurse INSTRUCTION CHART 1 WOUND
CARE (CUTS, ABRASIONS, BURNS) 1. Keep the area clean and dry 2. Keep
wound covered with a clean dressing, change the dressings daily 3. Keep the
injured part at rest and elevate for 12 hours 4. Watch for redness, pus, or
increased soreness. Contact your doctor if this occurs 5. Have your wounds
checked and your sutures removed as advised by the emergency physician in
days. INSTRUCTION CHART 2 HEAD INJURY 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 hours for the
first 24 hours and watches for the following symptoms. If any of these occurs, call
your doctor or return to the emergency department 1. Persistent headache,
nausea or vomiting more than twice 2. Weakness, numbness or paralysis of the
arm or legs 3. Blood or clear fluid from the ears and nose 4. Blurred vision,
unequal pupils (one larger than the other) 5. Convulsion Monitoring The Patient
43
49. 49. English For The Professional Nurse Make a conversation between a nurse
and a patient. Situation: A patient has just got a medical treatment in outpatient
clinic. Now you have to give discharge instruction to your patient. Steps: 1. Greet
the patient; tell him/her that after getting the treatment he/she may go home. And
youll give some advice 2. Explain the medical suggestions and advices.
ACTIVITY Task 1 CAST/SPLINT CARE 1. Do not apply any weight or pressure
on a new cast or splint for the first 24 48 hours 1. Keep the cast/splint clean
and dry 2. Elevate the injured part for 48 hours on pillows above your heart 3. Do
not put foreign objects inside the cast 4. Wiggle your fingers or toes inside the
cast every hour 5. If your fingers or toes become extremely swollen, cold, blue or
numb, or the pain increases markedly, loosen the ace bandage of the splint, or if
it cast, call your doctor or return to the Emergency Department. INSTRUCTION
CHART 3 Monitoring The Patient 44
50. 50. English For The Professional Nurse Use the information in the text to
complete the sentences with a, b or c! 1. Nurses are in a good position to a.
monitor patients. b. specialize. c. get to know their patients. 2. What is
happening to this patient? is a question which a. only nurses can answer. b.
monitoring helps to answer. c. nurses must ask. 3. Stable vital signs mean a.
everything is probably OK. b. a change in a patients condition. c. somethings
definitely wrong. 4. Technological aids give information about a. internal
 organs. b. bodily fluids. c. vital signs. 5. An endoscopy gives a. less
information than an X-ray. b. more detail than a scan. c. less information than a
biopsy. 6. Self-monitoring is a. done by doctors and nurses. b. done at a
hospital. c. cheap and convenient. ACTIVITY Task 2 Nurses see patients more
often than other specialists and are in the best position to monitor them. They
look out for any problems and assess the patients progress and response to
treatment. Basically, by careful monitoring and recording, a nurse answers the
question: what is happening to this patient? Monitoring body functions by
checking vital signs helps to answer this question. The vital signs are: body
temperature, heart rate, blood pressure and respiratory rate. Changes or
abnormalities in vital signs indicate changes in the patients condition. However,
they are not 100% reliable and stable vital signs do not always mean that
everything is OK. Bodily fluids, including blood and urine, can be analyzed,
usually in a laboratory. And it is now possible to get images of what is going on
inside the body using technological aids like X-rays and ultrasound scans. For
more detailed information, there are endoscopes which are used to look inside
the body, and biopsies where tissue is removed for examination. Some patients
with chronic illnesses like heart disease, diabetes and asthma can self-monitor.
They communicate with doctors and nurses by phone and online. Patients can
also be monitored from a distance using satellite technology and the internet.
This has major advantages; the patient doesnt have to keep visiting a hospital
and it saves a lot of money. Monitoring The Patient 45
51. 51. English For The Professional Nurse
52. 52. English For The Professional Nurse Look at the three restaurant
advertisements on the following page. Answer the questions below by writing the
letters of the appropriate restaurants (A-C) in boxes 1-7 on your answer sheet.
Example Answer It stops serving lunch at 2.30 pm. B 1. It is open for breakfast.
[_____] 2. It is open every night for dinner. [_____] 3. It is only open for lunch on
weekdays. [_____] 4. It has recently returned to its previous location. [_____] 5. It
welcomes families. [_____] 6. It caters for large groups. [_____] 7. It only opens
at weekends. [_____] Test Your Competence 47
53. 53. English For The Professional Nurse Read the information given in New
Electricity Account Payment Facilities on the following page and look at the
statements below (Questions 8-13) In boxes 8-13 on your answer sheet write
TRUE if the statement is true FALSE if the statement is false NOT GIVEN if the
statement is not given in the passage Example Answer You must pay your
account by mail. FALSE 8. If you want a receipt, you should send your payment
to the Southport address. [TRUE/FALSE/NOT GIVEN] 9. You may pay your
account at branches of the Federal Bank. [TRUE/FALSE/NOT GIVEN] 10. You
must pay the full amount, instalments are not permitted. [TRUE/FALSE/NOT
GIVEN] 11. The Coastside Power Office is open on Saturday mornings.
[TRUE/FALSE/NOT GIVEN] 12. You may pay your account by phone using your
credit card. [TRUE/FALSE/NOT GIVEN] 13. There is a reduction for prompt
payment. [TRUE/FALSE/NOT GIVEN] NEW ELECTRICITY ACCOUNT
PAYMENT FACILITIES AVAILABLE FROM') JULY 1998 After 1 July 1998, you
may pay your electricity account in any of the following ways: 1. Payments via
mail: (A) No receipt required: (B) Receipt required: Mail payments to: Mail
payments to: Coastside Power Coatside Power Locked Bag 2760 PO Box 560
Southport NSW 3479 Nortbridge NSW 3472 2. Agency payments (payments
directly to the bank): Payments can be made at any branch of the Federal Bank
by completing the deposit slip attached to your account notice. NB: This facility is
no longer available at South Pacific Bank branches. 3. Payments directly to
Coastside Power Office: Payments can be made directly to Coastside Power
Office at 78-80 Third Avenue, Northbridge. Office hours are Monday to Friday,
8.30 am to 4.30 pm. Payment may be by personal cheque, bank cheque or cash.
Note: Payments cannot be made by phone. Test Your Competence 48
54. 54. English For The Professional Nurse
55. 55. English For The Professional Nurse ACTIVITY Task 1 ACTIVITY Task 2
ACTIVITY Task 3 Based on students identity Based on students identity
Based on students identity Answer Key 50
56. 56. English For The Professional Nurse 1. The security to maternity unit Turn left
till you find waiting room then turn right, it is in front of nurse station. 2. The nurse
station in ICU to the canteen From the nurse station, turn right and go down
 stairs then go straight, it is in front of NSIU 3. The security to the toilet (between
dispensary and radiology) Pass the entrance and go straight pass emergency
room and dispensary, the toilet is after the dispensary 4. The emergency room to
the lift You just need to go straight without any turn and you will find the lift 5. The
polyclinic to the pediatric ward (on the 2nd floor) From polyclinic, go straight and
go upstairs then turn right till you find T junction and take left side 6. The waiting
room to the children playground (on the 2nd floor) Turn around from the waiting
room then youve to go straight and youll find it 7. The operation room to ICU
(opposite the physiotherapy unit) From the operation room take right side and
turn right in the T junction, go straight and go upstairs then pass through the
security, the ICU is after the security 8. The entrance to the Class 1 You just
need to go straight then turn right till you find class 2, class 1 is beside it
ACTIVITY Task 1 ACTIVITY Task 2 Based on students creativity and
knowledge Answer Key 51
57. 57. English For The Professional Nurse 9. The nurse station (near the lift on 2nd
floor) to the laboratory From the nurse station, take left side and go straight till
you find waiting room you turn right and take left side to go down stairs then go
straight till you find operation room you take right side, the laboratory is in the
corner. 10. The emergency room to admission Turn left and go straight then turn
left, the admission is the first room when you turn left Choose the correct option
to complete the sentences! 1. Walk into / over / through the doors at the end of
the corridor. 2. Turn left / away / on after Pathology. 3. Theres a sign under /
over / at the door. 4. Its easiest to take the lift up to / on the top / into Surgery. 5.
The Pharmacy is the second door on / at / opposite the right. 6. The car park is in
front / inside / opposite the main entrance. 7. Go straight at the bottom of / under
/ towards the stairs. 8. Your ward is by / opposite / next to Physiotherapy.
Complete the sentences with the words from the list! 1. The pharmacy
DISPENSES medicines. 2. Take the LIFT to get to the next floor. 3. Go along this
CORRIDOR and through the doors. 4. We use STRETCHERS for patients who
cant sit up. 5. RECEPTION is next to the main entrance. 6. Each bed produces
4.5 kilos of WASTE each day. 7. Dead patients are taken to the MORTUARY. 8.
Porters TRANSPORT heavy equipment. ACTIVITY Task 3 ACTIVITY Task 4
transport waste lift dispenses mortuary reception stretchers corridor Answer Key
52
58. 58. English For The Professional Nurse Translate into communicative English
using the words given below! 1. (pain) Saya merasakan sakit sekali di lutut saya I
FELT A SHARP PAIN IN MY KNEE 2. (hurt) Pergelangan kaki saya nyeri MY
ANKLE HURT 3. (throb) Kepala saya pusing berdenyutdenyut MY HEAD
THROB PAINFULLY 4. (itch) Punggung saya terasa gatal MY BACK ITCHED 5.
(injured) Jari tangan saya terluka MY FINGER IS INJURED 6. (sore)
Tenggorokan saya sakit I HAVE A SORE THROAT 7. (hurt) Sinar yang sangat
terang akan menyakitkan mata BRIGHT LIGHT WILL BE HURT THE EYES 8.
(ache) Kaki saya sakit karena terlalu banyak berlari MY LEGS ACHE BECAUSE
OF TOO MUCH RUNNING 9. (pain) Saya merasa sakit disini I FELT PAIN
HERE 10. (painful) Punggung saya terasa sakit sekali MY BACK IS SO
PAINFUL Make a conversation between a nurse and a patient! ACTIVITY Task
1 ACTIVITY Task 2 Based on students creativity Answer Key 53
59. 59. English For The Professional Nurse Make a complete conversation to explore
the dimensions of symptom! Use the information in the text to complete the
sentences with a, b or c! 1. Researchers are trying to find out why d. people
experience pain differently. e. people feel pain. f. pain is important to people. 2.
Experiments show that d. pain is worse for men than women. e. men can
take more pain than women. f. children feel less pain than adults. 3. Nurses need
to measure a patients pain because d. pain is a problem. e. pain is a
symptom. f. patients cant describe it. 4. Medics ask patients for a number to
describe d. the kind of pain they have. e. how bad the pain is. f. how often
theyre in pain. 5. To describe pain, medics ask children to d. point to a
smiley face. e. think of some numbers. f. say how it feels. 6. You experience
referred pain d. only in your internal organs. e. long after an injury. f. in a
different place from an injury. ACTIVITY Task 1 ACTIVITY Task 2 Based on
students creativity Answer Key 54
60. 60. English For The Professional Nurse Make a conversation between a nurse
and a patient. Writing a symptom report! ACTIVITY Task 1 ACTIVITY Task 2
Based on students creativity Based on students creativity Answer Key 55
61. 61. English For The Professional Nurse Practice the substitution drill below!
Make into groups consist of 6 participants Cut pictures available in
supplementary material below Observe their expressions Share your
observations to each of them Show each picture to the class, and tell your
observations Decide whether these statements are true (T) or false (F) according
to the text. 1. You need signs and symptoms for a diagnosis. [__T__] 2. You
cant see symptoms. [__T__] 3. Patients presenting symptoms are either strong,
mild or weak. [__F__] 4. Killer diseases can have weak symptoms. [__T__] 5.
Non-specific symptoms help a lot with diagnosis. [__T__] 6. Too much
information slows up diagnosis. [__F__] ACTIVITY Task 1 ACTIVITY Task 2
Based on students creativity Speaking ACTIVITY Task 3 Answer Key 56
62. 62. English For The Professional Nurse Pair Work Interview your partner Fill
in the blanks with his/her personal demographic data Pair Work Assess your
partner current health condition by using question listed above ACTIVITY Task
1 ACTIVITY Task 2 Based on students identity Based on students identity
Answer Key 57
63. 63. English For The Professional Nurse Mention what activity you do for each
case listed below. What kind of examination technique? ACTIVITY Task 1
ACTIVITY Task 2 Based on students activity INSPECTION PALPATION
REFLECTS TESTING AUDIOLOGY SERVICES Answer Key 58
64. 64. English For The Professional Nurse Whole class and pair work Practice
these instructions Listen to teachers instruction and act them out. Then,
practice these in pairs! Pair work Make a complete conversation on acts of
assessing head, face and neck Use the expression above. Then, practice
these in pairs! ACTIVITY Task 3 ACTIVITY Task 4 Speaking Based on
students creativity Answer Key 59
65. 65. English For The Professional Nurse ACTIVITY Task 1 Based on students
activity ACTIVITY Task 2 Based on students activity ACTIVITY Task 3
Based on students activity ACTIVITY Task 4 Based on students activity
Answer Key 60
66. 66. English For The Professional Nurse Make a conversation between a nurse
and a patient. Use the information in the text to complete the sentences with a, b
or c! 1. Nurses are in a good position to a. monitor patients. b. specialize. c.
get to know their patients. 2. What is happening to this patient? is a question
which a. only nurses can answer. b. monitoring helps to answer. c. nurses
must ask. 3. Stable vital signs mean a. everything is probably OK. b. a
change in a patients condition. c. somethings definitely wrong. 4. Technological
aids give information about a. internal organs. b. bodily fluids. c. vital signs.
5. An endoscopy gives a. less information than an X-ray. b. more detail than
a scan. c. less information than a biopsy. 6. Self-monitoring is a. done by
doctors and nurses. b. done at a hospital. c. cheap and convenient. ACTIVITY
Task 1 Based on students activity ACTIVITY Task 2 Answer Key 61
67. 67. English For The Professional Nurse Look at the three restaurant
advertisements on the following page. Answer the questions below by writing the
letters of the appropriate restaurants (A-C) in boxes 1-7 on your answer sheet. 1.
It is open for breakfast. [__C__] 2. It is open every night for dinner. [__A B__] 3. It
is only open for lunch on weekdays. [__C__] 4. It has recently returned to its
previous location. [__A__] 5. It welcomes families. [__A__] 6. It caters for large
groups. [__A__] 7. It only opens at weekends. [__C__] Answer Key 62
68. 68. English For The Professional Nurse Read the information given in New
Electricity Account Payment Facilities on the following page and look at the
statements below (Questions 8-13) In boxes 8-13 on your answer sheet write 8.
If you want a receipt, you should send your payment to the Southport address.
[FALSE] 9. You may pay your account at branches of the Federal Bank. [TRUE]
10. You must pay the full amount, instalments are not permitted. [NOT GIVEN]
11. The Coastside Power Office is open on Saturday mornings. [FALSE] 12. You
may pay your account by phone using your credit card. [FALSE] 13. There is a
reduction for prompt payment. [NOT GIVEN] NEW ELECTRICITY ACCOUNT
PAYMENT FACILITIES AVAILABLE FROM') JULY 1998 After 1 July 1998, you
 may pay your electricity account in any of the following ways: 4. Payments via
mail: (B) No receipt required: (B) Receipt required: Mail payments to: Mail
payments to: Coastside Power Coatside Power Locked Bag 2760 PO Box 560
Southport NSW 3479 Nortbridge NSW 3472 5. Agency payments (payments
directly to the bank): Payments can be made at any branch of the Federal Bank
by completing the deposit slip attached to your account notice. NB: This facility is
no longer available at South Pacific Bank branches. 6. Payments directly to
Coastside Power Office: Payments can be made directly to Coastside Power
Office at 78-80 Third Avenue, Northbridge. Office hours are Monday to Friday,
8.30 am to 4.30 pm. Payment may be by personal cheque, bank cheque or cash.
Note: Payments cannot be made by phone. Answer Key 63
69. 69. English For The Professional Nurse
70. 70. English For The Professional Nurse _____________________. 2005. Step
Up To IELTS. Cambridge: Cambridge University Press. Bosher, SD. 2008.
English for Nursing, Academic Skills (Michigan Series in English for Academic &
Professional Purposes). Michigan: USA Greenan and Grice. 2009. Oxford
English for Careers: Nursing 2: Nursing 2: Student's Book. Oxford University
Press, USA Grice, Tony. 2011. Oxford for English Careers Nursing 1 Practice
File. Oxford University Press, USA Herlianita, Risa. 2011. English for The
Professional Nurse: Book 1. School of Nursing Muhammadiyah University of
Malang, Malang Hogue, Ann. 1996. First Step in Academic Writing. New York:
AddisonWesley Publishing Company. Hull, Melodie. 2010. Medical English
Clear & Simple: A PracticeBased Approach to English for ESL Healthcare
Professionals. Jakeman and McDowell. 2005. Cambridge Practice Tests for
IELTS 1. Cambridge: Cambridge University Press. Magnall and Arakelian. 2006.
Hospital English: Brilliant Learning Workbook for International Nurses Meehan
and Grice. 2009. Oxford English for Careers: Nursing 1: Student's Book. Oxford
University Press, USA Oxford University Press. 2000. Oxford Learners Pocket
Dictionary. UK Pratiwi, Indah. 2011. English for The Professional Nurse: Book 1.
School of Nursing Muhammadiyah University of Malang, Malang Silvestri, LA.
2006. Saunders Q&A Review for the NCLEXRN Examination. Missouri: Elsevier
Saunders. Answer Key 65
71. 71. English For The Professional Nurse