EPN Book 1

[RevisedEdition2010]

Indah D. Pratiwi

SchoolofNursing|MuhammadiyahUniversityofMalang

BOOK 1 ENGLISH FOR THE PROFESSIONAL NURSE

Book 1 English for Professional Nurse

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FOREWORD

Nowadays, competence inEnglishhasbecomeanurgentneed fornurseswho

are involved inmedicalservices. It isduetothe factthattheyarerequiredtohavethe

abilitytocommunicatewiththeotherpeopleintheirfieldincludingdoctorsandpatients.

EnglishforProfessionalNurseBook1ispreparedforthedemandsofprofessionalnursing

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

Englishskillsinlistening,reading,speakingandwriting.

Thecontentsof thisbookarebasedon thestandardand fundamentalnursing

procedurestaught inpreviousyear,so that thecontentsarenotsomethingstrange for

thenurses.Thiscoursebookiscertainlyhelptofacilitatethestudenttoacquiretheability

toperformtheirdutiesinanenvironmentwhereEnglishisusedandneeded.Iwishthat

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

English.

Ihopethatbytheuseofthisbook,thenursingstudentswillbeabletolearnand

practiceEnglishaccordingtotheirprofessionalskills.BymasteringEnglishforProfessional

NurseBook1, itwill improvetheirqualityofhumanresourcesandtheywillhaveadded

valuesothatjobopportunitieswillbewidelyopenforthemtoreachabrightfuture.

Author


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CONTENT

Page

Foreword 2

Content 3

Chapter1:EstablishingARelationship 4

Chapter2:AskingandShowingRoominHospital 7

Chapter3:PartsofTheBodyandHealthProblem 11

Chapter4:AskingReportingHealthProblemsandDiagnosing 15

Chapter5:SharingObservation 18

Chapter6:NCLEXRN(1) 21

Chapter7:IELTSListening(1) 23

Chapter8:IELTSListening(2) 30

Chapter9:IELTSSpeakingPart1 36


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CHAPTER 1 ESTABLISHING A RELATIONSHIP

LearningObjectivesAftercompletedthischapter,studentwillbeableto:

1. Introducehimself/herselftopatientsVocabularyCasehistoryMrs.Juliahadastroke(cerebrovascularaccident)about18monthsago.Herfamilylooksafterherathome.Nursefromhomecarehelpherwithatwiceadayvisit.Shehascomeintothecarehomewhileherfamilyhasashortholiday.ThestrokehasleftMrs.Juliawithleftsidedparalysisandpoorbalance.Shedoesnthavedysphasia.Butbecause the leftsideofherfaceisalsoparalysis,shealsohasslurredspeechanddribbledsaliva.Shehasaproblemwithnonverbalcommunicationbecauseherfacialexpressionisaffected.

UsefulExpression

GreetingsHello,Assalamualaikum,Good.Mr../Miss/Mrs. morning afternoon evening

IntroducingoneselfandinitiatingnursinginterventionImnurse.(yourname)Iwilltakecareofyoutoday

Addressingsomeone

1. HowcanIaddressyou?2. IsitMissorMrs.?3. MayIaddressyouwith.?

Response

1. Please,addressmewith.2. Callme3. Youmayaddressme4. Whydontyoucallme


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ACTIVITYTask1IntroducingyourselftoacolleagueFillintheblankswithsuitableexpressions,andthenpracticewithyourpartnerNurseMellissa : Hi,whatsyourname?

NewNurse :

NurseMellissa : ImMellissa.Ihaventseeyoubefore

NewNurse :

NurseMellissa : Whereareyoufrom?

NewNurse :

NurseMellissa : Howlonghaveyoubeeninthiscountry?

NewNurse :

NurseMellissa : Howdoyoulikethiscountry?

NewNurse :

NurseMellissa : Nicetomeetyou.

NewNurse :

PreclosingNow,Ineedtovisitotherpatients.Ifyouneed pleasejustpressthecallbutton,anursewillhelpyou anything ahelp something assistance


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Task2Do this in pairs. Ask your partner more about her/his personal information. Use thisquestionnaire.Afteraskingyourpartner, take turn toanswerhis/herquestion.Use thesame.

Questionnaire For Nurse 1

1. Whatsyourname?

2. Whatsyourhobby?

3. Whereareyoufrom?

4. Wheredoyoulivenow?

5. Howlonghaveyoubeenlivingthere?

6. Wheredidyoustudynursing?

7. Howlonghaveyoustudiedhere?

Answer Sheet For Nurse 2

1. Mynameis.

2. Myhobbyis.

3. Imfrom.

4. Ilivein.

5. Ihavebeenlivingtherefor.

6. Istudiednursingat.

7. Ihavestudiedherefor.


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CHAPTER 2 ASKING AND SHOWING ROOM IN HOSPITAL

LearningObjectivesAftercompletedthischapter,studentswillbeableto:

1. Useexpressionsrelatedtogivingdirectionscorrectly2. Givedirectionstoacertainplaceinoroutofhospital

Vocabulary

Turn SidewalkRight RoundaboutLeft uturnDeadend CorridorOneway

UsefulExpressionTask1.AskingandGivingDirectionsStudythesevariousexpressionsrelatedtogivingdirectionsandpracticethem

Visitor/Patient:HowtoaskfordirectionCouldyoutellmehowtogetto..?Canyoutellmewhere..is?Couldyoutellmehowtogetto..?ImlookingforhowcanIgetthere?Excuseme,canyoutellmethewayto,please?

Howtogivesimpledirections

Walkdown Goalongthis Goupstairs Untilyoufind Thenturnright/left Takethefirstturnontheright. Takethesecondroadontheleft. Thenturnleft/rightatthenextTjunction Turnleftatthetrafficlight.


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Task2.ShowingDirectionsStudytheillustrationsbelow.

Turnleftinto

Turnrightinto..

Gostraightahead. Goalongthiscorridor

Task3.Showingaplace/aroomsACTIVITY:ROLEPLAYTASK1Refertothesitemapabove,showtherightplace

Itisontheleft/rightsideofnexttonearattheoppositeofatthecornerofjustbeforeacrossfrom

Makeagroupoffour Eachgroupdecidesaplacebasedonthemapabove Telltheplaceonebyoneinfrontoftheothergroups,andthenletthem

guesstheplace Thefastestgroupwhoraisetheirhandsisthefirstgroupwhichhasa

chancetoanswer/guessit Thewinneristhegroupwhichhasthehighestpoint Othergroupstaketheirturn

Forexample:Fromparkingarea,gostraightuntilIfindanentrance.ThenIturnleftandwalkupstairsuntilIfindthePhysiotherapyunit.TheroomisoppositethePhysiotherapyunit.


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Task2.Refertothesitemapabove.Makeacommunicationexchangetoshowthedirection.Thestartingpointsareasfollows.

1. Thesecuritytomaternityunit2. ThenursestationinICUtothecanteen3. Thesecuritytothetoilet(betweendispensaryandradiology)4. Theemergencyroomtothelift5. Thepolyclinictothepediatricward(onthe2ndfloor)6. Thewaitingroomtothechildrenplayground(onthe2ndfloor)7. TheoperationroomtoICU(oppositethephysiotherapyunit)8. TheentrancetotheClass19. Thenursestation(nearthelifton2ndfloor)tothelaboratory10. Theemergencyroomtoadmission


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CHAPTER 3 PARTS OF THE BODY AND HEALTH PROBLEM


1. Expressthelocationofthepaininthebody VocabularyStudythevocabularyanditsdescriptionlistedbelow.

VERB NOUN ADJECTIVEtohave+noun anache sprainedtoache apain stifftohurt abruise soretothrob arash painfultoitch acut dizzytoirritate ascar faintedtoinjure aswelling injured agraze asting abite Descriptionofache,pain,hurt,injured,throbanditchache(v):merasasakityangtidakterlalu,tetapiberlangsungterusmenerusExamples:

Imachingallover Hereyesachefromlackofsleep

ache(n):rasasakitExamples:

Mom,Ivegotatummyache Muscularachesandpainscanbesoothedbyarelaxingmassage Bellyache/stomachache:sakitperut

pain: suatu rasa yang dialami tubuh akibat suatu penyakit atau luka atau tindakantertentuExamples:

Shewasclearlyinalotofpain Hefeltasharppaininhisknee Patientssufferingfromacutepain Thebookletcontainsinformationonpainreliefduringlabor Thiscreamshouldhelptorelievethepain


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painful(adj):terasasakitExamples:

Isyourbackstillpainful? Myankleisstilltoopainfultowalkon

hurt(v):menyebabkanterasasakitsecarafisik,terlukaExamples:

Hehurthisbackplayingsquash Didyouhurtyourself? Mybackisreallyhurtingmetoday Stronglighthurtsmyeyes

injure:melukai,luka,menyebabkanlukaExamples:

Heinjuredhiskneewhenplayinghockey Threepeoplewerekilledandfiveinjuredinthecarcrash Sheinjuredherselfduringtraining

throb(v):terasasakitberdenyutdenyutExamples:

Hisheadthrobbedpainfully Myfeetwerethrobbingafterthelongwalkhome

throb(n):sakityangberdenyutExamples:

Myheadachefadedtoadullthrobbing sore(adj):sakit,perih(biaskarenainfeksiataugerakanyangberlebihan)Examples:

Ihaveasorethroat Hisfeetweresoreafterthelongwalk Mystomachisstillsoreaftertheoperation

itch:gatalExamples:

Iitchallover Doestherashitch? Thissweaterreallyitches


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UsefulExpressionStudytheseusefulexpressionsACTIVITYTask1TranslateintocommunicativeEnglishusingthewordsgivenbelow1. (pain)Sayamerasakansakitsekalidilututsaya

2. (hurt)Pergelangankakisayanyeri

3. (throb)Kepalasayapusingberdenyutdenyut

4. (itch)Punggungsayaterasagatal

5. (injure)Jaritangansayaterluka

6. (sore)Tenggorokansayasakit

7. (hurt)Sinaryangsangatterangakanmenyakitkanmata

8. (ache)Kakisayasakitkarenaterlalubanyakberlari

9. (pain)Sayamerasasakitdisini

Would/Canyoushowme/pointatthelocationofyourpain? Showmewherethelocationofyourpainis? Whereisthepain? Isit(yourpain)inyour+(partofthebody)? Doyoufeelpaininyour+(partofthebody)?


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10. (painful)Punggungsayaterasasakitsekali

Task2Makeaconversationbetweenanurseandapatient

Patient:Callanurse,stateyourcomplaint

Nurse:Askwhattheproblemis

Nurse:Repeatpatientsexpressionforsure

Nurse:Askpatienttotellthelocationof

Patient:Tellnursewhereyoufeelthepain


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CHAPTER 4 ASKING REPORTING HEALTH PROBLEMS AND DIAGNOSING


1. Askquestionsaboutpatientshealthproblem 2. Reportaboutthenursingdiagnose 3. Reportthesymptomsofahealthproblem

VocabularyUsefulExpressionTask1.Nursesquestionstocheckthepatientscomplaint/conditionTask2.Patientsexpressionsaboutsymptomsandphysicalproblem

Break Bother Bowel movement Waterworks Constipation Lassitude In a bad shape Not in any shape Clammy Dribble

1. Whatsyourproblem?2. Howareyoufeelingtoday?3. Whatmakesyoucallme?4. Whatsyourchiefcomplaint?5. Whatstroublingyou?6. Whatsthematterwithyou?7. Whatswrongwithyou?8. Whatseemstobebotheringyou?

1. Ihave+(apartofthebody+ache)atoothacheaheadacheastomachacheabackache


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2.Ihave(asore+partsofthebody) asorethroat asorefoot asorearm asoreknee

3.Ihave/get+kindsofphysicalproblems themeasles theflu acold abloodyvomitandstool abowelmovement abadcough afever

4.Ifeel+kindsofphysicalproblems dizzy slick fever coldandclammy unwell inbadshape

5.Iexperience+kindsofphysicalproblems lassitude lowbackpain difficultybreathing coldandclammy

6.Isufferfrom+kindsofcertainillness cancer constipation

7.Isprainedmy(possessive)+joints/bonesproblems ankle broke collarbone hurt leg

arm


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Task3.Nursesreport/diagnose/howtoreportaboutpatientscondition/complaintACTIVITYTask1MakeaconversationbetweenanurseandapatientCase.Apatientsuspectedwithagastricpepticulcer.Thesymptomsareburningandgnawingfelt in theupperpartof theabdomen.Thepainconfines in the lowerchest.Thepainscomeandgo.Conversation1Conversation2

Reporting He/Shecomplainsabouthis/her+partofthebody

has +healthproblemsuffersfrom +healthproblem

Diagnosis

He/Shemayhave.+disease/healthproblemseemstohave

Patient:Callanurse,stateyourcomplaint

Nurse:Askwhattheproblemis

Nurse:Repeatpatientsexpressionforsure,andtellthepatientthatyouwillreporthis/herconditiontospecialist

Doctor:Callanurse;askaboutthepatientscomplaint

Nurse:Tellthedoctoraboutthesymptomsandyourdiagnosis


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CHAPTER 5 SHARING OBSERVATION

LearningobjectivesAftercompletedthischapter,studentswillbeableto:

Helppatientsidentifyandexpressfeeling

VocabularyPale DaydreamTense TiredPainful RigidAfraidof GaspSuffocate MoanGroan ContemptBouncy StiffSigh BruiseTender Swollen

UsefulexpressionStudyandpracticetheseusefulexpressionsACTIVITYTask1.WholeclassPracticethesubstitutiondrillbelow1. Youlook..

tensestiffhappysadetc.

2. Your..looks..skineyesnail

sallowreddishyellowish

Youlook. Your(partofthebody)looks.uncomfortablewhen.(ving)

withyour(partsofthebody)

Youseemtohave+(aproblemwith+apartofthebody)+(ahealthproblem:suchasastomachache,achestpain)


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3. Youseemuncomfortablewhen..walkingmovingyourhandchangingyourclothes

4. Youlookuncomfortablewithyour..legspositionstomachchest

Task2.GroupWork

Makeintogroupsconsistof6participants Cutpicturesavailableinsupplementarymaterialbelow Observetheirexpressions Shareyourobservationstoeachofthem Showeachpicturetotheclass,andtellyourobservations


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CHAPTER 6 NCLEX-RN (1)

1. A nurse is caring for a client receiving total parenteral nutrition (TPN). The nurse

implementswhichactiontodecreasetheriskofinfection?1 Assessesvitalsignsatfourhourintervals2 Instructs the client to perform a Valsava maneuver during

intravenoustubingchanges3 Administersacetaminophenbeforechangingthecentrallinedressing4 UsesaseptictechniqueinhandlingtheTPNsolutionandtubing

2. A home care nurse provides medication instructions to a client. To ensure safeadministrationofmedicationinthehome,nurse:

1 Demonstratestheproperproceduretotakeprescribedmedications2 Allows theclient toverbalizeanddemonstratecorrectadministration

procedures3 Instructs theclient that it isall right todoubleuponmedication ifa

dosehasbeenmissed4 Conductspillcountsoneachhomevisit

3. A nurse has inserted a nasogastric tube (NGT) into the stomach of a client and

preparestocheckforaccuratetubeplacement.Thenurseavoidswhichleastreliablemethodforcheckingtubeplacement?

1 Aspiratingthetubewitha50mlsyringetoobtaingastriccontents2 MeasuringthepHofgastricaspirate3 Placingtheendofthetubeinwatertocheckforbubbling4 Instilling 10 to 20 ml of air into the tube while auscultating over the

stomach4. A client is scheduled for a colonoscopy and the physician has provided detailed

information to the client regarding the procedure. The nurse brings the informedconsent to the client to obtain the clients signature and discovers that the clientcannotwrite.Whatisthenursesappropriateaction?

1 Contactthephysician2 Sendtheclientfortheprocedurewithoutasignedinformedconsent3 Explaintheproceduretotheclientwithanothernursepresentandsend

theclientfortheprocedurewithoutasignedinformedconsent4 Obtainasecondnursetoalsoactasawitnessandasktheclienttosign

theformwithanX

5. Anursehasdocumentedanentryregardingclientcareintheclientsmedicalrecord.When checking the entry, the nurse realizes that incorrect information wasdocumented.Howdoesthenursecorrecttherecord?

1 Covers up the incorrect information completely using a black pen andwritesinthecorrectinformation

2 Usescorrection fluidtocoverupthe incorrect informationandwrites inthecorrectinformation


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3 Erasestheerrorandwritesinthecorrectinformation4 Drawsonelinetocrossouttheincorrectinformationandtheninitialsthe

changes

6. A nurse has administered an injection to a client. After the injection, the nurseaccidentallydropsthesyringeonthefloor.Whichnursingactionisappropriateinthissituation?

1 Carefullypickupthesyringefromthefloorandgentlyrecaptheneedle2 Carefullypickup the syringe from the flooranddisposeof it ina sharp

container3 Obtainadustpanandmoptosweepupthesyringe4 Callthehousekeepingdepartmenttopickupthesyringe

7. Anurseisintheprocessofgivingaclientabedbath.Inthemiddleoftheprocedures,

the unit secretary calls the nurse on intercom to tell the nurse that there is anemergencyphonecall.Theappropriatenursingactionsisto:

1 Leavetheclientsdooropensothattheclientcanbemonitoredandthenursecananswerthephonecall

2 Finishthebathbeforeansweringthephonecall3 Immediatelywalkoutoftheclientsroomandanswerthephonecall4 Cover theclient,placethecall lightwithinreach,andanswerthephone

call

8. Anurseispreparingtoambulateaclient.Thebestandsafestpositionforthenurseinassistingtheclientistostand:

1 Behindtheclient2 Infrontoftheclient3 Ontheunaffectedsideofclient4 Ontheaffectedsideoftheclient

9. Anursehasanordertodiscontinuethenasogastrictubeofanassignedclient.After

explaining theprocedure to the client, thenurse raises thebed toa semiFowlersposition,placesatowelacrossthechest,clearsthetubewithnormalsaline,clampsthetube,andremovesthetube:

1 Duringinspiration2 Aftertheclienttakesdeepbreathandholdsit3 Astheclientbreathesout4 Afterexpiration,butbeforeinspiration

10. A nurse notes redness,warmth, and a purulent drainage at the insertion site of a

centralvenouscatheterinaclientreceivingtotalparenteralnutrition(TPN).Thenursenotifiesthephysicianofthisfindingbecause:

1 Infectionsofacentralvenouscathetersitecanleadtosepticemia2 TheclientisexperiencinganallergytotheTPNsolution3 TheTPNsolutionhasinfiltratedandmustbestopped4 Theclientisallergictothedressingmaterialcoveringthesite


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CHAPTER 7 IELTS LISTENING (1)

AboutIELTSThis is a test designed to assess the English language skills of nonEnglish speakingstudentsseekingtostudyinanEnglishspeakingcountry.BenefitsofstudyingforIELTSBystudyingforIELTSyouwillnotonlybepreparingforthetestbutalsoforyourfutureasastudent inanEnglishspeakingenvironment.Thetest isdesignedtoassessyourabilitytounderstandandproducewrittenandspoken language inaneducationalcontext.ThebookmakesreferencetothewaysinwhichuniversitystudyisorganizedinmanyEnglishspeakingcountriesandthetypesofacademictasksyouwillbeexpectedtoperform.Theseinclude:1. Readingandunderstandingwrittenacademicortraininglanguage2. Writingassignments inanappropriatestyle foruniversity studyorwithina training

context3. Listening toand comprehending spoken language inboth lecture formataswellas

formalandinformalconversationalstyle4. Speaking to colleagues and lecturers on general and given topics in formal and

informalsituationsDescriptionofthetestTherearetwoversionsoftheIELTStest:

1. GeneralTrainingModule:forstudentsseekingentrytoasecondaryschoolortovocationaltrainingcourses

2. Academic Module: for students seeking entry to a university or institution ofhighereducationofferingdegreeanddiplomacourses

TheListeningModuleQuestiontypesYouwillmeetavarietyofquestiontypeswhichmayinclude:

1. multiplechoice2. shortanswer

questions3. sentence

completion4. notes/summary/flo

wchart/tablecompletion

5. labelingadiagramwhichhasnumberedparts

6. matching

RequirementsYoumustlistentofourseparatesectionsandanswerquestionsasyoulisten.Youwillhearthetapeonceonly.Therewillbebetween38and42questions.Thetestwilltakeabout30minutes.Therewillbetimetoreadthequestionsduringthetestandtimetotransferyouranswersontotheanswersheetattheendofthetest.Thelevelofdifficultyofthetextsandtasksincreasesthroughthepaper.

SituationtypesThefirsttwosectionsarebasedonsocialsituations.Therewillbeaconversationbetweentwospeakersandthenamonologue.Thesecondtwosectionsarerelatedtoaneducationalortrainingcontext.Therewillbeaconversationwithuptofourspeakersandalectureortalkofgeneralacademicinterest.


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PRACTICETESTSECTION1Question110


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CHAPTER 8 IELTS LISTENING (2)


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CHAPTER 9 IELTS SPEAKING (1)


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THECANDIDATE'SROLEPart1Theexaminerwillaskyousomequestionsaboutyourselfandyour interests,studiesorworkinglife.Youshould:

replybyofferingafullandappropriateresponseineachcase,takingtheinitiativewherepossible.

alwaysoffermore than yesornoasanansweras yourexaminer canonly ratewhatheorshehears,andyouneedtomaketheverybestofthischancetoshowoffyourskills.

usePart1toovercomeanynervesanddemonstrateyourbasicfluency.

Part2Theexaminerwill give you a topic,which isalsowrittenona card,andwillhand yousomepaperandapenciltomakenotes.Youhaveaminutetothinkaboutwhatyouaregoingtosay.Youshould:

thinkaboutthetopicforamomentanddecidehowyouaregoingtotackleit. usethepreparationtimewiselybyjottingdownsomekeyideas(butdonottryto

writeoutaspeech). makethetalkinterestingandlively.

Part3Theexaminerwill inviteyoutodiscussanumberof issues,broadlyrelated inthemetothePart2topic.Youshould:

trytogive informed, interestingandappropriateresponses,butrememberthereisnorightorwronganswer.

usethispartofthetesttodemonstrateyourcontrolof language,yourabilitytoexpressabstractideasandtosupportyouropinionsappropriately.

showawillingnesstoprovideextendedreplies.


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PRACTICE Pleasecomeinandsitdownoverhere.First,letmetakealookatyourpassport....it'sforsecuritypurposesonly.Thankyou.Mynameis(interviewer'sname).Whatisyourname?Wheredoyoucomefrom?Tellmeaboutyourfamily.Whatdoyourfamilymembersdoforaliving?Whatdoyouandyourfamilyliketodotogether?Wheredoyoulivenow?Whatkindofplacedoyoulivein(ahouseoraflat)?Describetheneighborhoodthatyouliveinatthemoment.Haveyoueverhadafulltimejob?Ifyouhave,tellmeaboutit.Whatare(orwere)theadvantagesanddisadvantagesofthisjob?Haveyoueverhadaparttimeorcasualjob?Didyouenjoyyourtimeatschool?Tellmewhatyoulikedandwhatyoudidn'tlike.Areyoustudyingatthemoment?Ifso,whatareyoustudyingandwhere?Whatdoyoufindmostdifficultaboutyourstudyandwhy?Whatisyourfavoritepastime?Whydoyouenjoydoingthis?Doyoupreferindoororoutdooractivities?Why?Doyoubelongtoanyclubs?Ifso,whydidyoujoin?Doyoureadmuch?Whatdoyouliketoread?Whatelsedoyouliketodoinyoursparetime?


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REFERENCES

Hogue,Ann.1996.FirstStep inAcademicWriting.NewYork:AddisonWesleyPublishingCompany.

Jakeman and McDowell. 2005. Cambridge Practice Tests for IELTS 1. Cambridge:

CambridgeUniversityPress._____________________. 2005. Step Up To IELTS. Cambridge: Cambridge University

Press.Silvestri, LA. 2006. Saunders Q&A Review for the NCLEXRN Examination. Missouri:

ElsevierSaunders.

EPN Book 1

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Transcript of EPN Book 1