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nursing english
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[RevisedEdition2010]
Indah D. Pratiwi
SchoolofNursing|MuhammadiyahUniversityofMalang
BOOK 1 ENGLISH FOR THE PROFESSIONAL NURSE
Book 1 English for Professional Nurse
Page2of39
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
Book 1 English for Professional Nurse
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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
Book 1 English for Professional Nurse
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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
Book 1 English for Professional Nurse
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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
Book 1 English for Professional Nurse
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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.
Book 1 English for Professional Nurse
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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.
Book 1 English for Professional Nurse
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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
Book 1 English for Professional Nurse
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Book 1 English for Professional Nurse
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CHAPTER 3 PARTS OF THE BODY AND HEALTH PROBLEM
LearningObjectivesAftercompletedthischapter,studentwillbeableto:
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
Book 1 English for Professional Nurse
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CHAPTER 4 ASKING REPORTING HEALTH PROBLEMS AND DIAGNOSING
LearningObjectivesAftercompletedthischapter,studentwillbeableto:
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
Book 1 English for Professional Nurse
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Book 1 English for Professional Nurse
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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
Book 1 English for Professional Nurse
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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.
Book 1 English for Professional Nurse
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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.