Oefc Nursing1 Practice Files Answers

1 Nursing 1 Practice File Answers

Practice File Answers Unit 1 The hospital team 1 Grammar

4 Vocabulary

1 perform 2 deliver 3 ‘s responding 4 do 5 want 6 working 7 Are you 8 ‘m doing

1 f 2 a 3 e 4 g 5 c 6 b 7 d

2 Key words from the unit 1 auxiliary nurses 2 nursing officers 3 promotion 4 specialize 5 part-time 6 apply for a job 7 rewarding 8 qualified

3 Comprehension

5 Further vocabulary practice 1 the treatment 2 consult 3 specialist 4 reception 5 manages 6 train 7 nursing

6 Write your profile See example answer in unit. Student’s own answer

1 b 2 b 3 a 4 a 5 b 6 c

Oxford English for Careers Nursing 1 Practice File Answers © Oxford University Press 2011


Unit 2 In and around the hospital 1 Grammar 1 2 3 4 5 6 7 8

through left over up to on opposite the bottom of next

2 Key words from the unit 1 2 3 4 5 6 7 8

dispenses lift corridor stretchers reception waste mortuary transport

3 Comprehension 1 Hospitals that specialize in particular conditions, hospitals that specialize in particular patients and general hospitals. 2 general hospital 3 different hospitals use different names for the same departments 4 Gastroenterology and Hepatology 5 One 6 Ear, Nose and Throat (ENT)

4 Vocabulary 1 psychiatric illness 2 geriatrics 3 terminally ill 4 ambulance crews 5 intensive care 6 digestive system 7 pregnancy and childbirth

5 Further vocabulary practice 1 d 2 b 3 f 4 c 5 a 6 e

6 Writing directions Model answer …go through the main entrance and down the corridor. Take the second left and walk along the corridor past Obstetrics on the left and ENT on the right. When you come to the junction, turn right. Walk along to the end of the corridor and turn left. Coronary Care is the first door on the left.



Unit 3 Hospital admissions 1 Grammar 1 2 3 4 5 6 7 8

arrived didn’t call catch was walking did when wasn’t were


assessment life-threatening prescriptions appointments limbs treatment allergic cubicle

3 Comprehension 1 2 3 4 5 6

false true false true false false

4 Vocabulary 1 2 3 4 5 6 7

d f a g c e b

5 Further vocabulary practice 1 2 3 4 5 6 7

out next of kin marital status referral follow-up lifestyle discharge

6 Writing an admission summary Model answer Mariam Ghazi is a six-month-old baby girl whose next of kin is her father Mohammed. Mariam was admitted to hospital with a fever. She has a history of chest complaints. At six weeks she had a cough and at two months she suffered breathing difficulties. Her family has a history of asthma and allergies.



Unit 4 Accidents and emergencies 1 Grammar 1 2 3 4 5 6 7 8

Take have to I remove Make sure let him leave forget do I


blister sterilize foreign bodies swab cardiac arrest trauma hypodermic shock


E D B F A C

4 Vocabulary 1 2 3 4 5 6

casualty stable minor critical victim priority

5 Further vocabulary practice 1 2 3 4 5 6

awake and alert take off immobilize right now repeat critical

6 Writing instructions Model answer First wash your hands. Then clean the wound with running water. Press the wound firmly with a pad to stop bleeding. Gently dry the wound and clean the surrounding skin. Treat the wound with antiseptic cream and then cover it with a plaster. If the wound is deep, get expert medical help. You can use gravity to slow bleeding; raise the cut above the level of the heart and press it firmly with a pad.



Unit 5 Pain 1 Grammar 1 2 3 4 5 6 7 8

less serious itchier more better most more successful Most pain


gas and air migraine pain relief mild anaesthetics coughs agonizing sore


a b b b a c


T F T F T F

5 Further vocabulary practice a b c d e f

3 6 2 4 5 1

6 Writing a report Model answer At 19.00 last night the patient, Mrs Fawza Adnan, complained of occasional sharp pains in her upper abdomen. The pains ranged from mild to moderate. At 09.45 this morning the pain is now in her lower right abdomen. The pain is worse and it is now constant. The patient says the pain ranges from moderate to severe.



Unit 6 Symptoms 1 Grammar

4 Vocabulary

prescribed you Can you been Is the swelling will you How long have you been isn’t Could you tell

a b c d e f g

2 Key words from the unit

1 2 3 4 5 6 7

1 2 3 4 5 6 7 8

1 2 3 4 5 6 7 8

nausea bruising swollen spots stitches rash lump mood swings


true true true true false false

3 2 4 7 1 6 5

5 Further vocabulary practice pains dizzy itchy bruised nauseous lump deformed

6 Writing a symptom report Model answer The patient is a 55-year-old woman. She was admitted to hospital on 13th June at 18.35 with presenting symptoms of a burning pain in her chest. She complained of nausea and said her fingers were numb. An angina attack was diagnosed. The patient rested and was given glyceryl trinitrate. At 11.00 a.m. the next day, the patient showed no symptoms. She was discharged from hospital at 14.00.



Unit 7 Caring for the elderly 1 Grammar 1 2 3 4 5 6 7 8

will Will you won’t I’ll help won’t put will have won’t I’ll be


nap cognitive shuffling stimulation deaf immobile independence mobility aid

3 Comprehension 1 2 3 4 5 6 7

e d c f b g a

4 Vocabulary 1 2 3 4 5 6 7

d a c g b e f


independence mobility confined confinement deaf deafness mobile

6 Writing a letter Model answer Dear Mr Martin, This letter introduces Mrs Jasmina Said. She is 87 years old and was admitted to the Department of Psychiatry for assessment on the 7th of September. Mrs Said suffers occasional confusion and loss of memory. She is mobile but has a shuffling gait and uses a walking frame to get around. She requires physiotherapy in order to improve her balance, increase her mobility and regain some independence with activities of daily living. Yours sincerely, (Student’s name)



Unit 8 Nutrition and obesity 1 Grammar 1 2 3 4 5 6 7 8

You should shouldn’t should I you have eat must eat would be I’d


diabetic protein carbohydrates nutritionist junk food cravings diet addicted

3 Comprehension a b c d e f

a balanced mixture of food an imbalance in developed countries eating less than you need teenage girls psychiatric help and counselling

4 Vocabulary 1 2 3 4 5 6 7

f e a g d c b


obesity craving addiction balanced depresses constipated loses

6 Giving advice about an eating disorder Model answer The signs that you describe in your post are typical of someone with an eating disorder like bulimia nervosa. This is when someone ‘binge eats’ and then vomits up all the food. Eating disorders are quite common in teenage girls but nobody really knows very much about what causes them, so you must not blame yourself. The important thing at the moment is to get your daughter to talk about it and accept that she has a problem. If she won’t talk to your doctor, get her to speak to a counsellor who is trained in eating disorders. Do this before things get any worse.



Unit 9 Blood 1 Grammar 1 2 3 4 5 6 7 8

give is ’ll heal Unless don’t know clots Will you work ’ll get


arteries cells veins drop clot haemoglobin syringe microscope


false true false false false true


drops of blood wound forensic analysis test tube slide microscope


circular drop clot microscopic flows bleeding analyse

6 A description of healthy blood Model answer In healthy blood the plasma is clear and colourless. In unhealthy blood there is fat in the plasma. About 1% of healthy blood consists of white blood cells and in unhealthy blood there are fewer white cells. All the red cells in healthy blood are circular and even in size. They flow freely through the blood vessels with space between them. When the blood is unhealthy the red cells lose their even size and shape. They clump together and can’t flow freely.



Unit 10 Death and dying 1 Grammar 1 Maybe 2 Could she 3 mightn’t 4 could 5 ’s possible 6 get 7 It’s possible that she’s sick 8 help

4 Vocabulary 3 2

1

B

1 2 3 4 5 6 7 8

therapy body funeral consciousness cremation dementia carer grieving


B F A E D C

4

T

R

H

I

R

E

E

E

C 5

F U

E R E A V E M E N T A


G

E

A

E

P

T

R

Y

E

A L


fatal coma life support going downhill passed away mortuary post-mortem

6 Writing a summary of a death certificate Model answer Yusef Abu Yasu died in City hospital on the 15th of March at 06.30. He was 59 years old. Dr F. Kahn attended the death which was caused primarily by congestive heart failure. The patient had suffered from heart disease for the past five months. There is no next of kin on record to inform and there will not be an autopsy.



Unit 11 Hygiene 1 Grammar 1 2 3 4 5 6 7 8

must have Do I need to You mustn’t have to have collecting needs

2 Key words from the unit 1 bacteria 2 resistant 3 infection 4 antimicrobial 5 pathogen 6 spotless 7 susceptible 8 bin

4 Vocabulary a H b H c P d P e H f P g H

5 Further vocabulary practice 1 d 2 g 3 e 4 c 5 b 6 a 7 f

6 A warning notice Model answer

3 Comprehension 1 C 2 E 3 D 4 F 5 A 6 B

Notice to ward visitors MRSA Warning There is a contamination of the bacterium MRSA in this ward. MRSA can be dangerous to hospital patients and to prevent the spread of the bacterium we have isolated some patients in single rooms. To minimize the risk of cross infection, please follow these guidelines. When you visit, wash your hands. Do this before you enter the ward and before you leave. Use soap and hot water and the alcohol gels which are in the entrances to the wards. This way you will help prevent the bacteria spreading and also protect yourself. Remember that MRSA is only dangerous to people who are ill. It is not dangerous to healthy people, including pregnant women, children and babies.



Unit 12 Mental health nursing 1 Grammar

4 Vocabulary

1 ’s broken 2 had 3 suffered 4 ’ve never 5 for 6 hasn’t responded 7 has had 8 did

1 2 3 4 5 6


psychotic psychiatric tics suicide side effects bipolar placements traumatic

3 Comprehension 1 2 3 4 5 6 7

mentally ill mental disorder is distressing onset psychotic neurotic illness therapeutic relationship

distressing traumatic psychotic irrational uncommunicative therapeutic

5 Further vocabulary practice 1 4 5 6

✓ ✓ ✓ ✓

6 Responding to an advertisement Model answer Dear Sir or Madam, I am writing in response to your advertisement for a temporary nurse. At the moment I am training as a psychiatric nurse and I have a particular interest in child psychiatry. I consider myself to be imaginative and creative in my approach to patients and I am sure that I would be able to apply my personality and experience to the task of caring for the eleven-year-old boy mentioned in the advertisement. I am very interested in applying for the position and would be grateful for more information and application form. Yours sincerely, (Student’s name)



Unit 13 Monitoring the patient 1 Grammar 1 2 3 4 5 6 7 8

is monitored checked removed is were discovered wasn’t told given is

2 Key words from the unit 1 shivering 2 bpm 3 co-ordination 4 ultrasound 5 vital sign 6 brainwaves 7 abnormality 8 ventilator

3 Comprehension 1 a 2 b 3 a 4 a 5 b 6 c

4 Vocabulary 1 I 2 I 3 M 4 I 5 C 6 E 7 M

5 Further vocabulary practice 1 abnormally low 2 shake and shiver 3 lack co-ordination 4 paralysis 5 pale skin 6 slurred 7 irrational

6 Instructions Model answer Temperature Observe the patient’s general condition and colour, check their previous temperature records and record your observations. To take a temperature orally, first wash your hands, put on disposable gloves and explain the procedure to the patient. Check that the reading on the thermometer is 34°C. Ask the patient to open their mouth and place the thermometer under the tongue. Ask the patient to gently close their mouth. Remove the thermometer after the recommended time, read it and record. If it’s a single-use thermometer, dispose of it in a bin. Blood pressure To measure blood pressure you need a stethoscope and a sphygmomanometer. First clean the stethoscope. Sit the patient in a chair with the palm of their hand facing up. Let the air out of the cuff of the sphygmomanometer and wrap it firmly around the patient’s arm, just above the elbow. Find the pulse in the artery and place the stethoscope over it. Pump up the pressure in the cuff. Then start to release the air and note the point where you hear the pulse through your stethoscope. This is the systolic pressure. The point when you can no longer hear the pulse is the diastolic pressure.



Unit 14 Medication 1 Grammar 1 2 3 4 5 6 7 8

’m preparing is going ’m going to give aren’t going am is going to be is not going going to study

2 Key words from the unit 1 germs 2 diagnosis 3 prescribed 4 constipation 5 stimulant 6 dose 7 spread 8 mutate

3 Comprehension 1 false 2 true 3 false 4 false 5 true 6 false

4 Vocabulary 1 antiviral 2 antibiotic 3 antidepressant 4 inoculation 5 supplement 6 analgesic 7 antihistamine

5 Further vocabulary practice a laxative b 2 tablets c night d infusion e anticoagulant f 1000 units

6 Writing Model answer We administered a single 3 ml dose of adrenaline to an infant with acute bronchiolitis. When we administered the adrenaline the infant’s respiration rate was at 55 breaths per minute. For the first five minutes the respiration rate increased to 57 and then fell sharply for the next five minutes to 52. It dropped a little more and then 15 minutes after it was administered, respiration remained steady at 51 breaths per minute.



Unit 15 Alternative treatments 1 Grammar

4 Vocabulary

1 cure 2 sucking 3 that’s why 4 so 5 to 6 for 7 because 8 so

1 d 2 f 3 g 4 e 5 c 6 b 7 a


1 faith healing 2 placebo effect 3 aromatic herbs 4 holistic approach 5 qualified practitioner 6 unbalanced energy 7 pressure point

1 holistic 2 medicinal 3 eczema 4 healer 5 sceptical 6 worms 7 supplements 8 consultation

3 Comprehension 1 Conventional medicine 2 Conventional medicine 3 Interfere with conventional treatment 4 Treat the whole person 5 When conventional medicine offers no hope 6 Attitude of mind and belief in the treatment

5 Further vocabulary practice

6 Writing a letter Model answer Dear ________ I have heard of so-called cures like this before and in my experience they do not work. I understand that you are desperate to find a treatment for your headaches, but I don’t think this device is the answer. In my opinion, it would be a waste of money. If over-the-counter pain-killers don’t work, you could try acupuncture. I believe that it can be quite successful in treating chronic pain, especially with headaches. Would you like me to ask around at the hospital?

A001090

Best wishes


Oefc Nursing1 Practice Files Answers

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