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Question booklet 01 RES Number
FBCC01
Candidate Number
S.OET OCCUPATIONAL S.OET OCCUPATIONAL ENGLISH TEST WRITING SUB-TEST: NURSING TIME ALLOWED: READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Read the case notes below and complete the writing task which follows.
Notes:
You are a registered nurse working at The New Victoria Hospital. Your patient, Ms. Anna Dijana, is being discharged today. Patient:
Anna Dijana Dijana
Age:
42 year old
Admitted:
15th July 2018
Discharge:
25th July 2018
Diagnosis:
R proximal tibia fracture & lateral tibial plateau fracture , Compartment syndrome
Treatment:
External-Fixation, fasciotomies R lower leg S.OET Writing 101
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Past medical history:
Seizures on Carbamazepine
Medical Background:
On 15th July 2018, right knee pain after falling off stairs Unable to bear weight on R leg
Social background:
School teacher, married with two children. Non-smoker, social drinker.
Medical management and progress:
Pt was rushed to OR for two-incision (four-compartment) fasciotomies R lower leg PostOp > fractures stabilized w/ external fixator & fasciotomies performed Pain medications
Nursing management and progress: Wound vac on fasciotomy incisions
The wound and drainage from the wound assessed for signs of infection Assessment:
Discharge plan:
Patient is free of infection. Wound is red in color, free of drainage, no odor or redness. No swelling or pain. Vital signs are normal. Patient is resting comfortably. Patient teaching about the wound site, signs and symptoms of infection and to notify a nurse immediately if anything changes. teach the patient how to keep the area sterile by keeping blankets and clothing out of reach of the wound, resting the extremity, body part. Advising any visitors visitors of the same factors. factors. Teach the patient about the expected drainage.
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Writing Task:
Using the information given in the case notes, write a letter of discharge to Ms. Cathy Ina, the community nurse at Baillieston Community Care, informing her about the patient’s condition and her medical and nursing needs. Address your letter to Ms. Cathy Ina, Community Nurse, 6 Buchanan St, Glasgow G69 6DY, UK . In your answer: ● Expand the relevant notes into complete sentences ● Do not use note form ● Use letter format
The body of the letter should be approximately 180–200 words.
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Question booklet 02 RES Number
FBCC02
Candidate Number
S.OET OCCUPATIONAL S.OET OCCUPATIONAL ENGLISH TEST WRITING SUB-TEST: NURSING TIME ALLOWED: READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Read the case notes below and complete the writing task which follows.
Notes:
Caderina Piper is a 90-year-old woman has been a patient of the Beacham Ambulatory Care Center of which you are a Charge Nurse. Patient:
Caderina Piper
Age:
90 year
Marital status:
Widowed-the husband dies as a result of respiratory arrest
Social/family background:
Only relative is a nephew who talks with her about once a month. S.OET Writing 101
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Discharge:
03/01/2018
Diagnosis:
Post Traumatic Stress Disorder Chronic conditions are pernicious anemia, osteoarthritis, and urinary incontinence. She is fully functional and fully independent.
Medical history:
October 2016, her home is broken into and is ausculted and robbed She was very distressed, delusional and confused. She slowly improved over 2 months and was discharged to a senior living building in a community in eastern Baltimore County. In March of 2017, the patient is seen in the office. She is still very ill emotionally. She is crying, depressed (not suicidal), and stressed about her new home. She wants to move to a new Senior Housing unit because it would be on the bus route making it easier to get around.
is
In November 2017, 9 months after moving to a new facility, she becomes acutely ill with psychotic symptoms and severe paranoia. She hallucinates that men and women are in her bed and calls others all hours of the day. She hospitalized on a psychiatric unit and improves over about 14 days without antipsychotic medication. One week following discharge from the hospital, symptoms rapidly recurred when she returned to the senior apartment.
Medical Management:
Haloperidol 0.025 – 1.0 mg/day cognitive behavioral therapy and exposure therapy S.OET Writing 101
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Nursing management:
Encourage identification ineffective coping mechanisms and consequences Provide adequate time for pt to discuss and explore feelings Encourage acceptance of emotions Develop appropriate support systems/referrals for further therapies Administer Administer meds as ordered
Discharge plan:
Call the emergency number if she tries to hurt herself or others Call the doctor if she cannot sleep or sleeping too much
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Writing Task:
Using the information given in the case notes, write a letter of discharge to Ms. Bhavna Sandrine, the Charge Nurse at Palmer Home Care Facility, informing her about the patient’s condition and her medical and psychological needs. Address your letter to Ms. Ms. Bhavna Sandrine, Charge Nurse, Palmer Home Care Facility, Baltimore. In your answer: ● Expand the relevant notes into complete sentences ● Do not use note form ● Use letter format
The body of the letter should be approximately 180–200 words.
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Question booklet 03 RES Number
FBCC03
Candidate Number
S.OET OCCUPATIONAL S.OET OCCUPATIONAL ENGLISH TEST WRITING SUB-TEST: NURSING TIME ALLOWED: READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Read the case notes below and complete the writing task which follows.
Notes:
You are a Charge Nurse at Wentworthville Diabetic Care.
Patient:
Mr Paul Schroder
Age:
45 year
Marital Status:
Unmarried
Social history:
Live alone, separated from family and relatives, less contact with friends and neighbours. Chronic alcoholic and chain smoker.
Family history:
Type Type 2 dia diabe bete tes s on on his his mate matern rnal al side side
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Admitted:
13-9-2018 Patient was presented with a six-month history of fatigue and anxiety-type symptoms.
Discharge date:
13-09-2018
Diagnosis:
Type 2 diabetes
Medical background:
BP-110/70 Urinalysis- negative for glucose and ketones. BMI- 32 kg/m2 HbA1c of 72 mmol/mol
Medications:
Metformin 500 mg OD
Nursing Management And progress: Pt was given appropriate counselling about bloo blood d sug sugar ar moni monito tori ring ng and and hyp hypog ogly lyca caem emia ia
Discharge plan:
Pt is ready to be discharged Discharge medicines explained, Advised to quit smoking smoking and alcoholism Refer to dietitian for dietary management A review on 27-09-2018 27-09-2018 for for general general assessment. Contact: Dr Keeling in case of emergency
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Writing Task:
Using the given information write a letter to Brenna Hessel, Dietitian, Care And Cure hospital, 41 Campbelltown, New South Wales, for care and support at home. West End, 4101. In your answer: ● Expand the relevant notes into complete sentences ● Do not use note form ● Use letter format
The body of the letter should be approximately 180–200 words.
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Question booklet 04 RES Number
FBCC04
Candidate Number
S.OET OCCUPATIONAL S.OET OCCUPATIONAL ENGLISH TEST WRITING SUB-TEST: NURSING TIME ALLOWED: READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Read the case notes below and complete the writing task which follows.
Notes:
Mr Harley Chapman, an 82-year-old, is a patient in the medical-surgical unit of Barnsley Hospital, 35 Barnsley, South Yorkshire, England where you are a registered nurse. Patient Details: Patient Name:
Mr Harley Chapman
Next of kin:
Barbara Chapman (76, spouse)
Admission date:
08 April 2018
Discharge date:
28 April 2018
Diagnosis :
Right below knee amputation (BKA) S.OET Writing 101
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Past medical history:
Diabetes mellitus Type 2 since 2003 Hypertension Peripheral vascular disease Osteoarthritis Age-related Age-related dementia dementia Moderate cognitive impairment
Social background :
Retired postal worker Little social interaction outside family for 6 months Needs assistance with medication and activities of daily living (ADL’s)
On admission :
Infected right diabetic foot wound (diabetic neuropathy). Gangrene, pus, abscess. Fever, chills. Gram-positive cocci- Positive.
Medical progress :
Given IV antibiotics Vascular surgeon recommended BKA Surgery performed without complication. Changed to oral antibiotics and opiates for pain. Afebrile – wound is clean, dry, intact. intact. Requires assistance for ADLs
Nursing management:
Change dressings daily. Monitor surgical site for infection/drainage. Check for fever/chills + other signs of infection. Encourage oral fluids, nutrition. Assist with with ADLs and mobility. mobility. Avoid decubitus decubitus ulcers. ulcers.
Assessment :
Good progress pain under control No signs of infection S.OET Writing 101
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Blood cultures negative. Reduced mobility Requires assistance for ADLs Discharge plan :
Discharge to Skilled Nursing Facility for acute care and - physiotherapy. Continue antibiotics and pain medication. Will need to follow-up with vascular surgeon in 2 weeks. Physiotherapy and occupational therapy after 4 weeks
Writing Task:
Using the information given in the case notes, write a transfer letter to the receiving nurse at the skilled care facility, Broomgrove Nursing and Convalescent Home, 30 Broomgrove Road, Sheffield S10 2LR. In your answer: ● Expand the relevant notes into complete sentences ● Do not use note form ● Use letter format The body of the letter should be approximately 180–200 words.
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Question booklet 05 RES Number
FBCC05
Candidate Number
S.OET OCCUPATIONAL S.OET OCCUPATIONAL ENGLISH TEST WRITING SUB-TEST: NURSING TIME ALLOWED: READING TIME: 5 MINUTES WRITING TIME: 40 MINUTES Read the case notes below and complete the writing task which follows.
Notes:
You are a registered nurse visiting Mark A. Nelson at his home. Read the case notes below and complete the writing task. Patient:
Mark A. Nelson
Age:
60-years-old
Social/family background:
Retired, worked as a mattress salesman Married, wife (55) is the primary caregiver Two children, both visit them once in a month
Medical history: S.OET Writing 101
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11/2/18:
Admitted to the orthopedic orthopedic departmen departmentt of the Shepton Mallet NHS Treatment Centre with worsening left groin pain Examination revealed an antalgic gait with a negative Trendelenburg test. Thomas’ test revealed a 10° fixed flexion deformity with further flexion to just over 90°. Combined internal rotation and hip flexion consistently reproduced groin pain.
Discharge:
17/2/2018
Diagnosis:
Osteoarthritis
Medical Management:
Total hip arthroplasty
Medications:
Analgesic Analgesic use included included nonsteroida nonsteroidall anti-inflammatory drugs- naproxen
Oxford hip score score of 17/48 17/48 was recorded recorded Nursing management and progress: An Oxford immediately postoperative. Staples removed around 2 weeks after surgery. Routine face-to-face outpatient review at 6 weeks post operation revealed a pain free left hip, a negative Trendelenburg test and a satisfactory x-ray film. Discharge plan:
Pt’s wife educated on pain medication and incision care. Instructed to wear the support stockings you were given in the hospital for 24 hours a day for 3 to 4 weeks. S.OET Writing 101
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Home visits arranged with local community nursing service on wife’s request.
Home visit: 5/3/2018:
Mr Nelson complained severe hip pain. Swelling, tenderness and redness in the calf Fever of 100.4°F (38°C), HR-112, RR-28, BP-180/90
Assessment:
Deep Vein Thrombosis ?
Plan:
Refer pt to the Orthopaedic Surgeon for urgent assessment and management.
Writing Task:
Using the information given in the case notes, write a referral letter for Mr Nelson to the Orthopaedic Surgeon, Shepton Mallet NHS Treatment Centre, Balaclava Rd, St Kilda East VIC 3183. In your answer: ● Expand the relevant notes into complete sentences ● Do not use note form ● Use letter format The body of the letter should be approximately 180–200 words.
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