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​Question booklet 01

RES Number FBCC01 Candidate Number

S.OET​ OCCUPATIONAL ENGLISH


TEST

WRITING SUB-TEST: N​ URSING


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

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


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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: 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.

Discharge plan: 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 of the same 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.

​S.OET Writing 101

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​Question booklet 02

RES Number FBCC02 Candidate Number

S.OET​ OCCUPATIONAL ENGLISH


TEST

WRITING SUB-TEST: N​ URSING


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.
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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.

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
is 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
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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 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 ENGLISH


TEST

WRITING SUB-TEST: N​ URSING


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 2 diabetes on his maternal 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


blood sugar monitoring and hypoglycaemia

Discharge plan: Pt is ready to be discharged


Discharge medicines explained,
Advised to quit smoking and alcoholism
Refer to dietitian for dietary management

A review on 27-09-2018 for 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 ENGLISH


TEST

WRITING SUB-TEST: N​ URSING


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)

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Past medical history: Diabetes mellitus Type 2 since 2003
Hypertension
Peripheral vascular disease
Osteoarthritis
Age-related 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.


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 ADLs and mobility.
Avoid decubitus ulcers.

Assessment : Good progress


pain under control
No signs of infection
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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 ENGLISH


TEST

WRITING SUB-TEST: N​ URSING


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:
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11/2/18: ​ dmitted to the orthopedic department of
A
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 use included nonsteroidal


anti-inflammatory drugs- naproxen

Nursing management and progress: An Oxford hip score of 17/48 was recorded
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.

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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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