Name : Ubaidillah

Class : PSIK 3B
NIM : 10190311467

ENGLISH LEARN
WORKSHEET 4

General Assessment
Related Vocabularies

Direction. Study the following vocabularies related to general assessment. Find out how to pronounce them and
write 6 more.

 First name /f3:st neim/ (np)

 Surname /’s3:neim/ (n)  Age/eidg/ (n)
 Next of kin /nekst av kin/ (np)  Address /e’dres/ (n)
 Disease /di’zi:z/ (n)  Phone /feun/ (n)
 Immunization /imjunai’zei⨜n/ (n)  Occupation and title /akju’pei⨜n ǽ nd
 Allergy /ǽ ledgi/ (n) ‘taitl/ (np)
 Complete name /kem’pli:t neim/ (...)
 Religion /ri’lidgen/ (n)

Integrated Listening and Speaking Exercise

Direction. Fill in the blanks with personal data (demographic data) according to the listening resource (audio
file).

Name : Barbara Johnson

Age : 45 y.o

Sex : female

Address : Indonesia, bandung

City, State : west java

Phone :

Ethnic origin : African American

Religion :

Marital status : Divorced

Health insurance :

Occupation and title :

Next of kin : her mother

Reason for contact :

Date, time of contact :

Communication Exercise

Direction. Choose a pair and write a complete conversation on the topic of general assessment. You can use the useful
expressions above. Then, practice and present your communication practice without looking at the text you have
written.

Nurse: Hi, good morning

Patient: Good morning ners

Nurse: Let me introduce my seld, my name is Muhammad Ibnu Nugroho, I will take care of
you today. Now It is time for me to Ask you some couples of question.

Nurse: What is your complete name?

Patient: My complete name is Triyandi

Algifari Nurse: How old are u?

Patient: Im 20 years old

Nurse: What is your address?

Patient: My address in Cikeusal pamarayan

Nurse: Any mobile phone number can call?

Patient: Yes ners, 082190492738

Nurse: Okay, so .. What is your status now? Are u married?

Patient: No, im Single

Nurse: Do you have any health insurance?

Patient: Yes I have it.

Nurse: What is your occupation?

Patient: My occupation is as a student

Nurse: where is your Ethnic origin?

Patient: My ethnic origin is Indonesia

Nurse: What is your religion?

Patient: My religion is Islam

Nurse: Why do you come to this hospital?

Patient: Because I must re-check my health

Nurse: Have you ever had measles?

Patient: Yes

Nurse: Have you ever had rubella?

Patient: Yes

Nurse: Have you ever been immunized against polio & DPT?

Patient: I have ben immunuzed polio & DPT

Nurse: Have you ever had covid-19 step 1&2

Patient: I have had covid-19 1 & 2

Nurse: do you have any allergies like eating seafood?

Patient: Yes I have, I feel itchy

Nurse: Do any of your family members suffer from hives allergies?

Patient: Yes, my mother have allergies.

Nurse: Do you have problems in the elimination section?

Patient: Yes, when I defecate what comes out is not solid, but

liquid Nurse: Ok, thank you sir for the information

Patient: your welcome nurse

Nursing Documentation

Direction. Work in pair to write a nursing documentation of your general assessment practice. The data you must
gather are mentioned on the useful expressions section. You can use the following form to jot down the general
assessment result.
 FALETEHAN HOSPITAL
Cilegon Street KM. 06, Pelamunan, Kramatwatu, Serang,
Banten Phone/Fax: 0254 232729/230054

Patient’s identity Immunization History

Name : Triyandi Algifari Vaccine Y N Not When
e o
sure
s
Age : 20 Polio 🗸

Address : Cikeusal pamarayan DPT 🗸

Occupation : As a student Measles 🗸

Phone number : 082190492738 Rubella 🗸

Marital status : Single Covid-19 step 1 🗸

Ethnic origin : Indonesia Covid-19 step 2 🗸

Religion : islam History of communicable disease: -

Health insurance : Have it
Next of kin : Isma Allergy: he is allergic to seafood and feels itchy
Doctor’s referral : - Family health history: he’s mother have allergy
Reason for : re-check he health
contact
Current Health Status
Elimination pattern:
when defecating that comes out is not solid, but liquid
Assessor :

-
Day, date, time : Monday, September 27, 2021