Part 1

PATIENT ADMISSION FORM

Patient’s name

Peter Catchart

Reason for admission

Excessive (Excessive / A lot of / Over) ketone production leading to suspected (suspected / guessed /
assumed) ketoacidosis. This is a potentially life threatening (endangered / threatening / risky) condition.

Symptoms

Abdominal pain (in pain / painful / pain) vomiting (vomiting / vomit / vomited) rapid (rapid / quickly /
speedy) breathing, extremely (extreme / extremely / very) tiredness, drowsiness (drowsy / drowsiness /
drowsily).

Action to be taken

Monitor blood sugar levels, give (give / take / apply) insulin injections. Dietician for (to / for / by)
discuss diet.

Patient to be shown how to self monitoring (self-monitoring / monitor self / self monitor) blood glucose
(SMBG).

Link SMBG to diet (eat / diet / feed)

Demonstrate to patient how to read (to read / reading / read) SMBG strips. underlining (Emphasize /
Stressful / Underlining) importance of monitoring blood sugar levels every morning and keeping record
of results to take(take / brought / fetch) to GP.

Part 2

Read this information about a patient and complete the section of the form that follows it:

John Docherty is 19. He is diabetic. This is his fifth admission to hospital. John recently cut his
thumb and his GP prescribed a course of oral antibiotics. The next day he was very unwell with pains,
nausea, dehydration and polyuria. He was admitted to hospital where he was nursed until his urine was
glucose free.

He is an articulate young man with a wide vocabulary. It appears that the he knows how to safely inject
insulin and is careful to protect himself from injection. He doesn’t understand the reason for this. He
passes urine 8 times a day and has regular bowel movements.
However, he is getting very little exercise – he works in an office and is driven to work. He is now putting
on weight and has started drinking alcohol. Going to the pub is favorite pastime
Communication Eliminating
He passes urin 8 time a day
He is articulate young man with a wide
vocabulary

Safely Mobility
He knows how to safely injection and is carefully
to protect himself from injection He is getting very little excersise – he works in an
office and he is driven to work

Eating and drinking

He is now putting weight and has started drinkin

alcohol

When Roberta Blackwood was admitted to A & E, she was sitting up, though she was a little vague and
sleepy. She responded to verbal commands and was able to transfer herself from the ambulance trolley to
the casualty trolley.

Roberta’s breath smelt of alcohol.

However, there were no signs that she had vomited. Base-line functions were recorded on the admission
from thus:

Base-line functions

Breathing Rate Cough

16/min nil

Circulation Pulse rate BP

92/min 105/65 mmHg

 Color Skin Lips

OK pink

Eyes Ga diisi kan? okee Ga diisi kan? okee

Pupils react to light OK Ga diisi kan? okee Ga diisi kan? Okee

Roberta was accompanied in the ambulance by her aunt, Mrs. Judith Smart. The patient had telephoned
her aunt an hour earlier telling her what she had done and asking her to take care of her baby. At the time
the admission form was completed, Roberta was very withdrawn, avoided looking at people and would
not speak. Later, however, after some counseling by an A&E staff nurse, she began to talk more openly.

Roberta has a baby. She is unskilled and unqualified and her husband works as a laborer. Roberta often
visits a local pub with her aunt, who is her best friend. Her husband is out most evenings and when he
returns, she says, he is usually drunk and often aggressive. She dreads her husband coming home at night
but, though he is fairly rough with her, he has not beaten her up.

Roberta said she felt unable to cope with the situation at home. She said that the baby cried a lot and was
very demanding and that she was not getting much sleep. Roberta is very anxious about the involvement
of the Social Services and worries in case they will take her baby away.
Her parents arrived soon after she did and her father showed he was irritated at his daughter’s actions. Her
husband so far has not visited.

1. On the Admission, the patient was:

a. Unconscious
b. Awake but drowsy
c. Conscious and alert
2. On admission, the patient:
a. Had been sick
b. Had not been sick
c. Was sick
3. The patient:
a. Came alone
b. Came with her baby
c. Came with her husband
4. Her base-line functions show that the patient:
a. Is not coughing
b. Cannot cough
c. Has not cough
5. The patient is :
a. Worried about the social services
b. Anxious to see someone from social services
c. Worried for the social services
6. The patient’s father is :
 a. Sympathetic
b. Indifferent
c. antagonist
7. The patient says
a. She has too much
b. There’s too much for her
c. Things are too much for her