EPN Book 2

Book 2
English for Professional Nurse
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 ability to communicate with the other
people in their field including doctors and patients. English for
Professional Nurse Book 2 is prepared for the demands of professional
nursing also include English Competence. This book provides nurse
students to improve their English skills in listening, reading, speaking
and writing.
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 the nurses. This course book is
certainly help to facilitate the student to acquire the ability to perform
their duties in an environment where English is used and needed. I wish
that this book will be studied and practiced easily to achieve the
competence of Nursing English.
I hope that by the use of this book, the nursing students will be
able to learn and practice English according to their professional skills.
By mastering English for the Professional Nurses Book 2, it will improve
their quality of human resources and they will have added value so that
job opportunities will be widely open for them to reach a bright future.
Author
Page 2 of 40
Book 2
CONTENT
Preface
Content
Chapter 1: General Assessment
Chapter 2: Dimension of Symptom
Chapter 3: Patient Assessment
Chapter 4: Checking Vital Sign
Chapter 5: Discharge Instruction
Chapter 6: NCLEXRN (2)
Chapter 7: IELTS Listening (3)
Chapter 8: IELTS Listening (4)
Chapter 9: IELTS Speaking Part 2
Final Project
Final Project
CHAPTER 1
GENERAL ASSESSMENT
Learning Objectives
After completed this chapter, students will be able to:
1. Use expressions for collecting demographic data
2. Use questions to collect current and past healthillness data
Page 3 of 40
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Part 1 Collecting Demographic Data Elements

Vocabulary
Surname
Next of kin
Assess
Assessment
Useful Expression
a) Implementation step
Study these expressions to initiate communication
Explaining
whatyouaregoing
todoimmediately.
It is timeformeto.
I justwantto.
I wouldliketo.
I amgoingto.
I needto.
interview
you
assess
yourhealthcondition
b) Question to collect demographic data

elements Study and practice these useful
expressions
Question To Ask
NAME
AGE
ADDRESS
What is your name?

What is your complete name?
What is your surname?
How old are you?

What is your address?
Where do you live?
Page 4 of 40
Book 2
PHONE
Your phone number, please

What is your phone number?
Do you have a mobile phone number?
MARITAL STATUS
Are you married?
HEALTH INSURANCE
Do you have any health

insurance?
OCCUPPPATION & TITLE
What is your occupation?

Do you have any academic title?
What is your title?
What do you do?
NEXT OF KIN
Who is your next of kin?
REASON FOR CONTACT*)
What brings you in this hospital?

Who sends you to this hospital?
What makes you come to this
hospital?
*) It is a reason that makes you come to hospital. It can be a chief

complaint, medical checkup.
ACTIVITY 1 ROLE PLAYS
Task. Pair Work
Interview your partner
Fill in the blanks with his/her personal demographic data
Name
:
Age :
Sex :
Address
:
City, State :
Phone
:
Religion
:
Marital Status
:
Health Insurance :
Page 5 of 40
Book 2
Current Occupation and :

Title
Next of Kin :
Reason for contact
Date, time of contact
:
:
Part 2 CurrentHealth and Illness Status

Useful Expressions: Assessment step
Studythesequestions
CURRENT
HEALTH
STATUS
Whatdoyouthinkaboutyourhealth?
Wouldyoutellmeaboutyourhealthcondition
recently?
Sample
ofpatients
response:
Imusuallyhealthy,
haveusualcold,
andhaveto takemedicine
forhighbloodpressure
ELIMINATION
PATTERN
Wouldyoutellmeaboutyour?
Howmanytimesa daydoyoudo your?
Doyouhaveanyproblem
withyour?
bowel movement?
waterworks?
Is thestoolformed
or loosed?
Is yourwaterworks
sluggish?
Part 3 History of Past Health and Illnesses

Useful Expressions
Assessment
Step:
Asking
Common
Communicable
Disease
Haveyoueverhad+akindofdisease
?
Response:
Yes,I have/No,
I havent
Howoldwereyouwhenyougotit?
Response:
I wasaboutyears
old
Are
you
allergic
to(a
certain
food/medication)
(Example
: Areyouallergic
to penicillin/antibiotic)
Kinds
ofdiseases:
measles
mumps
chicken
poxrubella
rheumatic
fever
diphtheria
scarlet
fever
polio tuberculosis
Assessment
Step:
Asking
about
Immunizations
Page 6 of 40
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Haveyoueverbeenimmunized
against
+(akindofdisease
)?
Haveyouevergot+
(akindofdisease
).immunizations?
Example:
Haveyouevergotpolioimmunizations?
ACTIVITY 2 ROLE PLAYS

Task. Pair Work
Assess your partner current health condition by using question listed
above CHAPTER 2
DIMENSION OF SYMPTOMS
Learning objectives
1. Give communicative response to patients
complaint
2. Ask the dimensions
of symptoms
Vocabulary
Dull
Stabbing
Sharp
Aching
Aggravating factors
Alleviating factors
Useful expressions
Task. Study and practice these useful expressions
Page 7 of 40
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LOCATION
TASK
1. Make a complete conversation to explore the dimensions
of symptom 2. Take one case only
Page 8 of 40
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Success is climbing a mountain, facing the challenge of

obstacles, and reaching the top of mountain
CHAPTER 3
PATIENT ASSESSMENT
Learning Objectives
After completed this chapter, students will be
able to: Use expressions for assessing the
head, face and neck
Page 9 of 40
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Nursing Notes
Inspection, palpation, percussion and auscultation are examination
techniques that enable the nurse to collect a broad range of physical
data about patients.
1. Inspection
The process of observation, a visual examination of the patients
body parts to detect normal characteristic or significant physical
signs
2. Palpation
Involves the use of the sense of touch. Giving gentle pressure or
deep pressure using your hand is the main activity of palpation
3. Percussion
Involves tapping the body with fingertips to evaluate the size,
borders, and consistency of body organs and discover fluids in body
cavities.
4. Auscultation
Listening to sounds produced by the body
Task 1
Mention what activity you do for each case listed below.
Page 10 of 40
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Pressing abdomen deeply to check the condition of

underlying organ
10 Preparing a good lighting, then he observes the

body parts
Task 2. What kind of examination technique?
Useful Expressions
Page 11 of 40
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Instruction
Wouldyou?
NowI wantyouto?
remove
+your wig
putof
Please
+
hairpieces
riseyoureyebrows
frownyourforehead
smile
pufyourcheeks
shrugyourshoulder
flexyourneckwithchintoward
bendyourneck,witheartowardshoulder
takea sipof waterfromthisglass
Implementation
step
Explaining
whatyouaregoing
todoimmediately
NowI amgoingto
Itstimeformeto
NowI wantto
pressyour
+(partsof thebody)gently
examine
your+
(partsof thebody)gently
artery
cheeks
neck
Task
3. Whole class and pair work

Practice these instructions
Listen to teachers instruction and act them out
Then, practice these in pairs
1. Raise your eyebrows
2. Close your eyes tightly
3. Frown
Page 12 of 40
Book 2
4.
5.
6.
7.
8.
9.
Smile
Puf your cheeks
Shrug your shoulder
Flex your neck with chin toward
Bend your neck, with ear toward shoulder
Take a sip of water from this glass
Task 4. Pair work o Make a complete conversation on acts of assessing

head, face and neck o Use the expression above
CHAPTER 4
CHECKING VITAL SIGN
Learning Objective
Communicate about implementation of checking vital signs
Give some instructions during implementation of checking vital
sign
Vocabulary Pulse rate

Rhythm or regularity
Tension
Beats per minute
Patients chart
Normal pulse rhythm
Bradycardia
Tachycardia
Bounding
Thread/weak
Page 13 of 40
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Medical
Terms
Dyspnea
Expectorate
Expiration
Inspiration
Respiration
Sputum
Colloquial expression
Breathlessness, out of breath,
short of breath, fighting for
breath
To bring up/cough up
phlegm/spit
Breathing out
Breathing in
Breathing
Phlegm
Useful Expression
Task 1. Explaining the procedures
Itstimeforme
I justwant
I wouldlike
I amgoing
to measure
yourbloodpressure
to countyourpulse
to checkyourrespiration
to measure
yourtemperature
to putthiscuf(aroundyourupperarm)
to insertthis( thermometer
) intoyourarmpit
to putthis( thermometer
) intoyourmouth
Task 2. Giving instructions and expressions during the implementation
Page 14 of 40
Book 2
Wouldyou
Wouldyoumind*) Please
Now,I wantyouto
Task3.Nurse
response
lie downonthecouch
lieflatonthebed
rollyoursleeveup
givemeyourright/left
hand
raiseyourarm
takea deepbreath
breathe
in breathe
out
rollyourself
intosidelyingposition
OK,fine.Thatsit
Fine/good
Allis done
Finished
*) change the following verb into Ving from

Task 4. Pair Work
The illustration below show the implementation of checking vital signs
Choose one picture then, make a conversation exchange and give
appropriate instructions when you want to check patients vital signs
according to the illustration
Take only one kind implementation of vital signs checking
Page 15 of 40
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CHAPTER 5
DISCHARGE INSTRUCTION
Learning Objective
Give instructions and suggestions according to the patients health
problem
Deliver a therapeutic communication
Vocabulary
Avoid
Contraindicated
Indicated
Suggest
Pus
Suture
Sponge
Splint
Swollen
Numb
Paralysis
Convulsion
Patch
Hazardous
equipment
Rub
Greasy
Rash
Tightness
Page 16 of 40
Book 2
Useful Expression
Pattern 1: Recommendation
Pattern
Should
Must
Be + required
essential
important
indicated
have to
Had better + bare
infinitive
Advice
Suggest
Example
You should take the complete (entire)
dose prescribed
These tablets contain antibiotic. It is
required you to take the complete
dose prescribed
Youd better take your medicine

regularly
I advise you to see a doctor soon
I suggest you to drink a lot of water
Pattern 2: Prohibition
Pattern
Should
not
Must not
May not +
Should + avoid + ing
Have to + avoid + ing
Had better not + bare
infinitive
Example
You should not drink this antibiotic with
milk
You should avoid drinking alcohol
Page 17 of 40
Book 2
Instruction Chart 1
Task. Give appropriate suggestion and advice
Page 18 of 40
Book 2
SIMULATION
Make a conversation between a nurse and a patient.
Situation:
A patient has just got a medical treatment in outpatient clinic. Now you have to
give discharge instruction to your patient.
Steps:
1. Greet the patient; tell him/her that after getting the treatment he/she
may go home. And youll give some advice
2. Explain the medical suggestions and advices.
Page 19 of 40
Book 2
CHAPTER 6
NCLEX-RN (2)
1. A client is ready to be discharged to home health care for continued

intravenous (IV) therapy in the home. Home care instructions
regarding care of the IV have been given to the client. The best way
to evaluate the clients ability to care for the IV site is to:
1 Ask the client to verbalize IV site care
2 Ask the client to change the IV dressing
3 Review the entire discharge plan with the client again
4 Demonstrate the dressing change again for the client one last time
before 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
client which of the following to help prevent phlebitis and infiltration?
1 Gently massage the area around the site daily
2 Cleanse the site daily with alcohol
3 Keep the cannula stabilized or anchored properly with tape
4 Immobilize the extremity until the IV is discontinued
3. A home care nurse is making home visits to an older client with
urinary incontinence who is very disturbed by the incontinence
episodes. The nurse assesses the clients home situation to
determine environmental barriers to normal voiding. The nurse
determines that which item may be contributing to the clients problem?
1 Presence of hand railing in the bathroom
2 Having an bathroom on each floor of the home
3 Nightlight present in the hall between the bedroom and bathroom
4 Bathroom located on the second floor, bedroom on the first floor
4. A nurse is preparing to administer continuous intravenous (IV) fluid
replacement through a peripheral IV site to a client with a diagnosis
of dehydration. Which item is
essential for the nurse to assess before initiating the IV fluid?
1 Usual sleep patterns
2 Ability to ambulate
3 Body weight
4 Intake and output
Page 20 of 40
Book 2
5. A home care nurse is assessing an older clients functional abilities

and ability to perform activities daily living (ADLs). The nurse
focuses the assessment on:
1 Selfcare needs, such as toileting, feeding and ambulating
2 The normal everyday routine in the home
3 Ability to do light housework, heavy housework and pay the bills 4
Ability to drive a car
6. A nurse is caring for a client who is receiving total parenteral
nutrition (TPN). The nurse plans for which nursing intervention to
prevent infection in the client?
1 Using strict aseptic technique for intravenous site dressing changes
2 Monitoring serum blood urea nitrogen (BUN) levels
3 Weighing the client daily
4 Encouraging fluid intake
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 the feeding: p
1 Measuring intake and output
2 Weighing the client
3 Adding blue food coloring to the formula
4 Determining tube placement
8. A client with a peripheral intravenous (IV) site calls the nurse to the
room and tells the nurse that the IV site is swollen. The nurse
inspects the IV site and notes that it is also cool and pale and that
the IV has stopped running. The nurse documents in the clients
record that which of the following has probably occurred?
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
important action to prevent an infection at the IV site is to:
1 Assess the IV site carefully everyday for redness and edema
2 Redress the IV site daily, cleansing it with alcohol
3 Carefully wash hands with antibacterial soap before working with the IV
site or equipment
4 Change IV tubing and fluid containers daily
Page 21 of 40
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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 the safety of the client?
1 Assist the client to move quickly from the lying position to the sitting
position
2 Assess the client for signs of dizziness and hypotension
3 Elevate the head of the bed quickly to assist the client to a sitting
position
4 Allow the client to rise from the bed to a standing position unassisted
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
of a topicfor Part2. Lookat
1. Belowis an example
the topic and the three mini questionswhich

accompany
it. The Part2 topicwill alwaysfollow
this formatwith one main topicand threesub
topics,and will usuallyfocus on a familiaror
personal
area
2. First,readthe instruction
carefully
and decidehowyouare goingto approach
the
3.
4.
5.
6.
topic. In this case you are asked to describe a place where you
have lived. If you have only ever lived in one place, then you
should describe that place. If you have lived in a number of
diferent places, then you will need to make a quick decision.
Think about the topic for a moment.
Underline any key words that strike you as important, e.g. describe,
particularly liked.
Decide which place you are going to describe.
Jot down some key ideas drawing on your own experience. Here is an
example.
7. Below is a list of possible ways to introduce this topic.

8. Practise using them all so that you have a number of diferent 'openings'
for your talk.
Page 37 of 40
Book 2
SAMPLE OF TOPIC CARD

Describe a job that you would like to
do in the future.
You should say:
Why you are attracted to this job
How much training, if any, would
be necessary
What kind of personal qualities it
would require
Describe a person who has had a major

influence on you.
You should include in your answer:
Who that person is and what he or
she looks
like
How you first met
His or her special qualities and
characteristics
... And why that person is so
important in your life.
Describe your ideal study room.

You should say:
Where it would be
What equipment and furniture it
would contain
How it would be decorated
Describe a family celebration that

you once attended. You should
say:
Where it took place
Why it was held
How you felt about it
Describe a children's story that you

know well.
You should say:
When you first heard or read it
What you particularly liked about
it
Why you think it became popular
Describe an interesting historic place.

You should say:
What it is
Where it is located
What you can see there now
And explain why this place is
interesting.
Describe an interested hobby that

you enjoy You should say:
How long you become interested
in
How long you have been doing it
Why you enjoy it
And explain what benefit you get
from this interest or hobby
Describe a river, lake or sea which you

like
You should say:
What the river, lake or sea is called
Where it is
What the land near it is like
And explain why you like this river,
lake or sea
Page 38 of 40
Book 2
REFERENCES
Bosher, SD. 2008. English for Nursing, Academic Skills (Michigan Series
in English for Academic & Professional Purposes). Michigan: USA
Hull, Melodie. 2010. Medical English Clear & Simple: A PracticeBased
Approach to English for ESL Healthcare Professionals.
Greenan and Grice. 2009. Oxford English for Careers: Nursing 2:
Nursing 2: Student's Book. Oxford University Press, USA
Magnall and Arakelian. 2006. Hospital English: Brilliant Learning
Workbook for International Nurses
Meehan and Grice. 2009. Oxford English for Careers: Nursing 1:
Student's Book. Oxford University Press, USA
Oxford University Press. 2000. Oxford Learners Pocket Dictionary. UK
Page 39 of 40
Book 2
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What is the purpose of this book?

What is the purpose of this book?

What chapters are covered in this book?

What chapters are covered in this book?

Book 2

English for Professional Nurse

Nowadays, competence in English has become an urgent need

Part 1 Collecting Demographic Data Elements

b) Question to collect demographic data

What is your name?

How old are you?

Your phone number, please

Are you married?

Do you have any health

OCCUPPPATION & TITLE

What is your occupation?

Who is your next of kin?

REASON FOR CONTACT*)

What brings you in this hospital?

*) It is a reason that makes you come to hospital. It can be a chief

Current Occupation and :

Part 2 CurrentHealth and Illness Status

Part 3 History of Past Health and Illnesses

ACTIVITY 2 ROLE PLAYS

Success is climbing a mountain, facing the challenge of

Pressing abdomen deeply to check the condition of

10 Preparing a good lighting, then he observes the

3. Whole class and pair work

Task 4. Pair work o Make a complete conversation on acts of assessing

Vocabulary Pulse rate

Task 2. Giving instructions and expressions during the implementation

*) change the following verb into Ving from

Youd better take your medicine

Task. Give appropriate suggestion and advice

1. A client is ready to be discharged to home health care for continued

5. A home care nurse is assessing an older clients functional abilities

the topic and the three mini questionswhich

7. Below is a list of possible ways to introduce this topic.

SAMPLE OF TOPIC CARD

Describe a person who has had a major

Describe your ideal study room.

Describe a family celebration that

Describe a children's story that you

Describe an interesting historic place.

Describe an interested hobby that

Describe a river, lake or sea which you

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