English For Nurses

[RevisedEdition]
Indah D. Pratiwi
SchoolofNursing|MuhammadiyahUniversityofMalang
BOOK 2
ENGLISH FOR THE
PROFESSIONAL NURSE
Book 2
English for Professional Nurse

Page2of35
PREFACE

Nowadays, competence in English has become an urgent need for nurses who
are involved in medical services. It is due to the fact that they are required to have the
abilitytocommunicatewiththeotherpeopleintheirfieldincludingdoctorsandpatients.
EnglishforProfessionalNurseBook2ispreparedforthedemandsofprofessionalnursing
also include English Competence. This book provides nurse students to improve their
Englishskillsinlistening,reading,speakingandwriting.
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
thenurses.Thiscoursebookiscertainlyhelptofacilitatethestudenttoacquiretheability
toperformtheirdutiesinanenvironmentwhereEnglishisusedandneeded.Iwishthat
this book will be studied and practiced easily to achieve the competence of Nursing
English.
Ihopethatbytheuseofthisbook,thenursingstudentswillbeabletolearnand
practice English according to their professional skills. By mastering English for the
ProfessionalNursesBook2,itwillimprovetheirqualityofhumanresourcesandtheywill
haveaddedvaluesothatjobopportunitieswillbewidelyopenforthemtoreachabright
future.
Author
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CONTENT
Preface
Content
Chapter1:GeneralAssessment
Chapter2:DimensionofSymptom
Chapter3:PatientAssessment
Chapter4:CheckingVitalSign
Chapter5:DischargeInstruction
Chapter6:NCLEXRN(2)
Chapter7:IELTSListening(3)
Chapter8:IELTSListening(4)
Chapter9:IELTSSpeakingPart2
FinalProject
FinalProject
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CHAPTER 1
GENERAL ASSESSMENT
LearningObjectives
Aftercompletedthischapter,studentswillbeableto:
1. Useexpressionsforcollectingdemographicdata
2. Usequestionstocollectcurrentandpasthealthillnessdata
Part1CollectingDemographicDataElements
Vocabulary
Surname
Nextofkin
Assess
Assessment

UsefulExpression
a) Implementationstep
Studytheseexpressionstoinitiatecommunication
b) Questiontocollectdemographicdataelements
Studyandpracticetheseusefulexpressions
QuestionToAsk
NAME
Whatisyourname?
Whatisyourcompletename?
Whatisyoursurname?

AGE Howoldareyou?
ADDRESS Whatisyouraddress?
Wheredoyoulive?

PHONE Yourphonenumber,please
Whatisyourphonenumber?
Doyouhaveamobilephonenumber?
Explainingwhatyouaregoingtodoimmediately.
Itistimeformeto.
Ijustwantto.
Iwouldliketo. interviewyou
Iamgoingto. assessyourhealthcondition
Ineedto.
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MARITALSTATUS Areyoumarried?

HEALTHINSURANCE Doyouhaveanyhealthinsurance?

OCCUPPPATION&TITLE Whatisyouroccupation?
Doyouhaveanyacademictitle?
Whatisyourtitle?
Whatdoyoudo?

NEXTOFKIN Whoisyournextofkin?

REASONFORCONTACT*) Whatbringsyouinthishospital?
Whosendsyoutothishospital?
Whatmakesyoucometothishospital?
*) It is a reason that makes you come to hospital. It can be a chief complaint, medical
checkup.
ACTIVITY1ROLEPLAYS
Task.PairWork
Interviewyourpartner
Fillintheblankswithhis/herpersonaldemographicdata
Name :
Age :
Sex :
Address :
City,State :
Phone :
Religion :
MaritalStatus :
HealthInsurance :
Current Occupation and
Title
:
NextofKin :
Reasonforcontact :
Date,timeofcontact :
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Part2CurrentHealthandIllnessStatus
UsefulExpressions:Assessmentstep
Studythesequestions
Part3HistoryofPastHealthandIllnesses
UsefulExpressions
AssessmentStep:AskingCommonCommunicableDisease
AssessmentStep:AskingaboutImmunizations
ACTIVITY2ROLEPLAYS
Task.PairWork
Assessyourpartnercurrenthealthconditionbyusingquestionlistedabove
CURRENTHEALTHSTATUS
Whatdoyouthinkaboutyourhealth?
Wouldyoutellmeaboutyourhealthconditionrecently?
Sampleofpatientsresponse:Imusuallyhealthy,haveusualcold,
andhavetotakemedicineforhighbloodpressure
ELIMINATIONPATTERN
Wouldyoutellmeaboutyour?
Howmanytimesadaydoyoudoyour?
Doyouhaveanyproblemwithyour?
bowel movement?
waterworks?
Isthestoolformedorloosed?
Isyourwaterworkssluggish?
Haveyoueverhad+akindofdisease?
Response:Yes,Ihave/No,Ihavent
Howoldwereyouwhenyougotit?
Response:Iwasaboutyearsold
Areyouallergicto(acertainfood/medication)
(Example:Areyouallergictopenicillin/antibiotic)
Kindsofdiseases:measlesmumpschickenpoxrubellarheumaticfeverdiphtheriascarlet
feverpoliotuberculosis
Haveyoueverbeenimmunizedagainst+(akindofdisease)?
Haveyouevergot+(akindofdisease).immunizations?
Example:Haveyouevergotpolioimmunizations?
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Page7of35
CHAPTER 2
DIMENSION OF SYMPTOMS
Learningobjectives
1. Givecommunicativeresponsetopatientscomplaint
2. Askthedimensionsofsymptoms
Vocabulary
Dull
Stabbing
Sharp
Aching
Aggravatingfactors
Alleviatingfactors
Usefulexpressions
Task.Studyandpracticetheseusefulexpressions
LOCATION
Wheredoyoufeelit?
Doesitmovearound?
Showmewhere.
QUALITYORCHARACTER
Whatisitlike?Isitsharp,dull,stabbing,aching?
Doyoufeel.?
Whatdoesthepainlooklike?
When diditlast?
SEVERITY
Onascaleof0to10,withtentheworst,howwouldyouratewhatyoufeel
rightnow?
Whatwastheworstithasbeen?
Doesthisinterfereyourusualactivities?Inwhatways?
SETTING
Doesitoccurinaparticularplaceorundercertaincircumstances?
Haveyoutakenanythingforit?
Doesitappearinparticulartime?
TIMING
Whendidyoufirstnoticeit?
Howlongdoesitlast?
Howoftendoesithappen?
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Page8of35
TASK
1. Makeacompleteconversationtoexplorethedimensionsofsymptom
2. Takeonecaseonly
Successisclimbingamountain,facingthechallengeofobstacles,andreachingthetop
ofmountain
Case1
Apatientwithanorexianervosaexpresses:
Idontwanttohavealotofmeal
Idontwanttobeplump
Myarmsandlegsaregettingfat
Ihavedifficultyinbowelmotion
Ifeelnausea
Iwanttovomit
Foodmakesmystomachupset
Iamafraidofbeingfat
Case2
Apatientsuspectedwithappendicitisexpresses:
Ifeelpainaroundmynavel
Ifeelpainaroundhere(inthelowerrightspotofmyabdomen)
Ifeelasharppain
Donttouchmystomach,itincreasesmypain
Ifeelfeverish
Ifeelnausea
Ivomit
Ilosemyappetite
Ivomitfrequentlyaftermeals
Ihaverecurrentpaininmylowerpartofmystomach
ItbecomesmorepainfulifIdothesquattingbowelmotion
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Page9of35
CHAPTER 3
PATIENT ASSESSMENT
LearningObjectives
Useexpressionsforassessingthehead,faceandneck
NursingNotes
Inspection, palpation, percussion and auscultation are examination techniques that
enablethenursetocollectabroadrangeofphysicaldataaboutpatients.
1. Inspection
The process of observation, a visual examination of the patients body parts to
detectnormalcharacteristicorsignificantphysicalsigns
2. Palpation
Involves the use of the sense of touch. Giving gentle pressure or deep pressure
usingyourhandisthemainactivityofpalpation
3. Percussion
Involves tapping the body with fingertips to evaluate the size, borders, and
consistencyofbodyorgansanddiscoverfluidsinbodycavities.
4. Auscultation
Listeningtosoundsproducedbythebody
Task1
Mentionwhatactivityyoudoforeachcaselistedbelow.
No Activity Technique
1 Examiningpatientsrespiratory
2 Inspectingthemouthandthroat
3 Asking patient to stand up to find whether there isscoliosis or
not
4 Pressinghermiddlefingerofnondominanthandfirmlyagainst
the patients back. With palm and fingers remaining off the
skin, the tip of the middle finger of the dominant hand strikes
theother,usingquick,sharpstroke
5 Observingthecoloroftheeyes
6 Observingthemovementofairthroughthelungs
7 Testingdeeptendonreflexesusinghammer
8 Checkingthetenderareaswithherhand
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Page10of35
9 Pressing abdomen deeply to check the condition of underlying

organ
10 Preparingagoodlighting,thenheobservesthebodyparts
Task2.Whatkindofexaminationtechnique?
UsefulExpressions
Implementationstep
Explainingwhatyouaregoingtodoimmediately
NowIamgoingto
Itstimeformeto
NowIwantto
pressyour+(partsofthebody)gently
examineyour+(partsofthebody)gently
artery
cheeks
neck
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Page11of35
Task3.Wholeclassandpairwork
Practicetheseinstructions
Listentoteachersinstructionandactthemout
Then,practicetheseinpairs
1. Raiseyoureyebrows
2. Closeyoureyestightly
3. Frown
4. Smile
5. Puffyourcheeks
6. Shrugyourshoulder
7. Flexyourneckwithchintoward
8. Bendyourneck,witheartowardshoulder
9. Takeasipofwaterfromthisglass
Task4.Pairwork
o Makeacompleteconversationonactsofassessinghead,faceandneck
o Usetheexpressionabove
Instruction
Wouldyou?
NowIwantyouto?
remove+yourwig
putoff hairpieces
Please+ riseyoureyebrows
frownyourforehead
smile
puffyourcheeks
shrugyourshoulder
flexyourneckwithchintoward
bendyourneck,witheartowardshoulder
takeasipofwaterfromthisglass
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CHAPTER 4
CHECKING VITAL SIGN
LearningObjective
Communicateaboutimplementationofcheckingvitalsigns
Givesomeinstructionsduringimplementationofcheckingvitalsign
Vocabulary
Pulserate
Rhythmorregularity
Tension
Beatsperminute
Patientschart
Normalpulserhythm
Bradycardia
Tachycardia
Bounding
Thread/weak
MedicalTerms Colloquialexpression
Dyspnea Breathlessness, out of breath, short of
breath,fightingforbreath
Expectorate Tobringup/coughupphlegm/spit
Expiration Breathingout
Inspiration Breathingin
Respiration Breathing
Sputum Phlegm
UsefulExpression
Task1.Explainingtheprocedures
Itstimeforme
Ijustwant
Iwouldlike
Iamgoing
tomeasureyourbloodpressure
tocountyourpulse
tocheckyourrespiration
tomeasureyourtemperature
toputthiscuff(aroundyourupperarm)
toinsertthis(thermometer)intoyourarmpit
toputthis(thermometer)intoyourmouth
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Task2.Givinginstructionsandexpressionsduringtheimplementation
Task3.Nurseresponse
*)changethefollowingverbintoVingfrom
Task4.PairWork
Theillustrationbelowshowtheimplementationofcheckingvitalsigns
Choose one picture then, make a conversation exchange and give appropriate
instructions when you want to check patients vital signs according to the
illustration
Takeonlyonekindimplementationofvitalsignschecking
Wouldyou
Wouldyoumind*)Please
Now,Iwantyouto
liedownonthecouch
lieflatonthebed
rollyoursleeveup
givemeyourright/lefthand
raiseyourarm
takeadeepbreath
breatheinbreatheout
rollyourselfintosidelyingposition
OK,fine.Thatsit
Fine/good
Allisdone
Finished
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Page14of35
CHAPTER 5
DISCHARGE INSTRUCTION
LearningObjective
Giveinstructionsandsuggestionsaccordingtothepatientshealthproblem
Deliveratherapeuticcommunication
Vocabulary
Avoid
Contraindicated
Indicated
Suggest
Pus
Suture
Sponge
Splint
Swollen
Numb
Paralysis
Convulsion
Patch
Hazardousequipment
Rub
Greasy
Rash
Tightness
UsefulExpression
Pattern1:Recommendation
Pattern Example
Should
Must
Be+required
essential
important
indicated
haveto
You should take the complete (entire) dose
prescribed
These tablets contain antibiotic. It is required
youtotakethecompletedoseprescribed
Hadbetter+bareinfinitive
Advice
Suggest
Youdbettertakeyourmedicineregularly
Iadviseyoutoseeadoctorsoon
Isuggestyoutodrinkalotofwater
Pattern2:Prohibition
Pattern Example
Shouldnot
Mustnot
Maynot+
Youshouldnotdrinkthisantibioticwithmilk
Should+avoid+ing
Haveto+avoid+ing
Hadbetternot+bareinfinitive
Youshouldavoiddrinkingalcohol
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InstructionChart1
InstructionChart2
InstructionChart3
WOUNDCARE(CUTS,ABRASIONS,BURNS)
1. Keeptheareacleananddry
2. Keep wound covered with a clean dressing, change
thedressingsdaily
3. Keeptheinjuredpartatrestandelevatefor12hours
4. Watch for redness, pus, or increased soreness.
Contactyourdoctorifthisoccurs
5. Have your wounds checked and your sutures
removedasadvisedbytheemergencyphysicianin
days.
HEADINJURY
The first 24 hours after a head injury are the most important, although after effects may
appear much later. It is important that a responsible person awakens the patient every 2
hours for the first24 hours and watches forthefollowing symptoms. If any ofthese occurs,
callyourdoctororreturntotheemergencydepartment
1. Persistentheadache,nauseaorvomitingmorethantwice
2. Weakness,numbnessorparalysisofthearmorlegs
3. Bloodorclearfluidfromtheearsandnose
4. Blurredvision,unequalpupils(onelargerthantheother)
5. Convulsion
CAST/SPLINTCARE
1. Donotapplyanyweightorpressureonanewcastor
splintforthefirst2448hours
2. Keepthecast/splintcleananddry
3. Elevatetheinjuredpartfor48hoursonpillowsabove
yourheart
4. Donotputforeignobjectsinsidethecast
5. Wiggleyourfingersortoesinsidethecasteveryhour
6. If your fingers or toes become extremely swollen,
cold, blue or numb, or the pain increases markedly,
loosentheacebandageofthesplint,orifitcast,call
yourdoctororreturntotheEmergencyDepartment.
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Page16of35
Task.Giveappropriatesuggestionandadvice
SIMULATION
Makeaconversationbetweenanurseandapatient.
Situation:
A patient has just got a medical treatment in outpatient clinic. Now you have to give
dischargeinstructiontoyourpatient.
Steps:
1. Greet the patient; tell him/her that after getting the treatment he/she may go
home.Andyoullgivesomeadvice
2. Explainthemedicalsuggestionsandadvices.
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CHAPTER 6
NCLEX-RN (2)
1. Aclientisreadytobedischargedtohomehealthcareforcontinuedintravenous(IV)
therapyinthehome.HomecareinstructionsregardingcareoftheIVhavebeengiven
totheclient.ThebestwaytoevaluatetheclientsabilitytocarefortheIVsiteisto:
1 AsktheclienttoverbalizeIVsitecare
2 AsktheclienttochangetheIVdressing
3 Reviewtheentiredischargeplanwiththeclientagain
4 Demonstratethedressingchangeagainfortheclientonelasttimebefore
discharge
2. A client is being discharged from the hospital with a peripheral intravenous (IV) site
for continued home IV therapy. In planning for the discharge, the nurse teaches the
clientwhichofthefollowingtohelppreventphlebitisandinfiltration?
1 Gentlymassagetheareaaroundthesitedaily
2 Cleansethesitedailywithalcohol
3 Keepthecannulastabilizedoranchoredproperlywithtape
4 ImmobilizetheextremityuntiltheIVisdiscontinued
3. Ahomecarenurseismakinghomevisitstoanolderclientwithurinaryincontinence
who is very disturbed by the incontinence episodes. The nurse assesses the clients
home situation to determine environmental barriers to normal voiding. The nurse
determinesthatwhichitemmaybecontributingtotheclientsproblem?
1 Presenceofhandrailinginthebathroom
2 Havinganbathroomoneachfloorofthehome
3 Nightlightpresentinthehallbetweenthebedroomandbathroom
4 Bathroomlocatedonthesecondfloor,bedroomonthefirstfloor
4. A nurse is preparing to administer continuous intravenous (IV) fluid replacement

throughaperipheralIVsitetoaclientwithadiagnosisofdehydration.Whichitemis
essentialforthenursetoassessbeforeinitiatingtheIVfluid?
1 Usualsleeppatterns
2 Abilitytoambulate
3 Bodyweight
4 Intakeandoutput
5. A home care nurse is assessing an older clients functional abilities and ability to
performactivitiesdailyliving(ADLs).Thenursefocusestheassessmenton:
1 Selfcareneeds,suchastoileting,feedingandambulating
2 Thenormaleverydayroutineinthehome
3 Abilitytodolighthousework,heavyhouseworkandpaythebills
4 Abilitytodriveacar
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Page18of35
6. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The
nurseplansforwhichnursinginterventiontopreventinfectionintheclient?
1 Usingstrictaseptictechniqueforintravenoussitedressingchanges
2 Monitoringserumbloodureanitrogen(BUN)levels
3 Weighingtheclientdaily
4 Encouragingfluidintake
7. A nurse is preparing to administer a feeding to a client receiving nutrition through a

nasogastric tube. The nurse takes which most important action before administering
thefeeding:p
1 Measuringintakeandoutput
2 Weighingtheclient
3 Addingbluefoodcoloringtotheformula
4 Determiningtubeplacement
8. Aclientwithaperipheralintravenous(IV)sitecallsthenursetotheroomandtellsthe
nursethattheIVsiteisswollen.ThenurseinspectstheIVsiteandnotesthatitisalso
cool and pale and that the IV has stopped running. The nurse documents in the
clientsrecordthatwhichofthefollowinghasprobablyoccurred?
1 Infiltration
2 Phlebitis
3 Thrombosis
4 Infection
9. A nurse is providing home care instructions to a client who will be receiving

intravenous (IV) therapy at home. The nurse teaches the client that the most
importantactiontopreventaninfectionattheIVsiteisto:
1 AssesstheIVsitecarefullyeverydayforrednessandedema
2 RedresstheIVsitedaily,cleansingitwithalcohol
3 Carefully wash hands with antibacterial soap before working with the IV
siteorequipment
4 ChangeIVtubingandfluidcontainersdaily
10. A nurse prepares to assist a postoperative client to progress from a lying to a sitting
position to prepare for ambulation. Which nursing action is appropriate to maintain
thesafetyoftheclient?
1 Assist the client to move quickly from the lying position to the sitting
position
2 Assesstheclientforsignsofdizzinessandhypotension
3 Elevatetheheadofthebedquicklytoassisttheclienttoasittingposition
4 Allowtheclienttorisefromthebedtoastandingpositionunassisted
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CHAPTER 7
IELTS LISTENING (3)

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CHAPTER 8
IELTS LISTENING (4)

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CHAPTER 9
IELTS SPEAKING (3)

PREPARING YOUR TALK
1. BelowisanexampleofatopicforPart2.Look at
the topic and the three mini questions which
accompany it. The Part 2 topic will always follow
this format with one main topic and three sub
topics, and will usually focus on a familiar or
personalarea
2. First,readtheinstructioncarefullyanddecidehowyouaregoingtoapproachthe
topic. In this case you are asked to describe a place where you have lived. If you
haveonlyeverlivedinoneplace,thenyoushoulddescribethatplace.Ifyouhave
livedinanumberofdifferentplaces,thenyouwillneedtomakeaquickdecision.
3. Thinkaboutthetopicforamoment.
4. Underline any key words that strike you as important, e.g. describe, particularly
liked.
5. Decidewhichplaceyouaregoingtodescribe.
6. Jotdownsomekeyideasdrawingonyourownexperience.Hereisanexample.
7. Belowisalistofpossiblewaystointroducethistopic.
8. Practiseusingthemallsothatyouhaveanumberofdifferent'openings'foryour
talk.

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SAMPLE OF TOPIC CARD

Describeajobthatyouwouldliketodointhe
future.
Youshouldsay:
Whyyouareattractedtothisjob
Howmuchtraining,ifany,wouldbe
necessary
Whatkindofpersonalqualitiesitwould
require
Describeapersonwhohashadamajorinfluence
onyou.
Youshouldincludeinyouranswer:
Whothatpersonisandwhatheorshelooks
like
Howyoufirstmet
Hisorherspecialqualitiesandcharacteristics
...Andwhythatpersonissoimportantin
yourlife.
Describeyouridealstudyroom.
Youshouldsay:
Whereitwouldbe
Whatequipmentandfurnitureitwould
contain
Howitwouldbedecorated
Describeafamilycelebrationthatyouonce
attended.
Youshouldsay:
Whereittookplace
Whyitwasheld
Howyoufeltaboutit
Describeachildren'sstorythatyouknow
well.
Youshouldsay:
Whenyoufirstheardorreadit
Whatyouparticularlylikedaboutit
Whyyouthinkitbecamepopular
Describeaninterestinghistoricplace.
Youshouldsay:
Whatitis
Whereitislocated
Whatyoucanseetherenow
Andexplainwhythisplaceisinteresting.
Describeaninterestedhobbythatyouenjoy
Youshouldsay:
Howlongyoubecomeinterestedin
Howlongyouhavebeendoingit
Whyyouenjoyit
Andexplainwhatbenefityougetfrom
thisinterestorhobby
Describeariver,lakeorseawhichyoulike
Youshouldsay:
Whattheriver,lakeorseaiscalled
Whereitis
Whatthelandnearitislike
Andexplainwhyyoulikethisriver,lakeor
sea

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REFERENCES
Bosher, SD. 2008. English for Nursing, Academic Skills (Michigan Series in English for
Academic&ProfessionalPurposes).Michigan:USA
Hull, Melodie. 2010. Medical English Clear & Simple: A PracticeBased Approach to
EnglishforESLHealthcareProfessionals.
Greenan and Grice. 2009. Oxford English for Careers: Nursing 2: Nursing 2: Student's
Book.OxfordUniversityPress,USA
Magnall and Arakelian. 2006. Hospital English: Brilliant Learning Workbook for
InternationalNurses
Meehan and Grice. 2009. Oxford English for Careers: Nursing 1: Student's Book. Oxford
UniversityPress,USA
OxfordUniversityPress.2000.OxfordLearnersPocketDictionary.UK

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[RevisedEdition]

9 Pressing abdomen deeply to check the condition of underlying

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

7. A nurse is preparing to administer a feeding to a client receiving nutrition through a

9. A nurse is providing home care instructions to a client who will be receiving

SAMPLE OF TOPIC CARD

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