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Posts from the ‘Role Play’ Category

OET Role Play 11

SPEAKING SUB – TEST

ROLE PLAYER’S CARD        

NURSING SETTING - Hospital ward - PATIENT

You area 63 year-old truck driver and arrived in Emergency via ambulance two days ago, after you experienced dizziness, vomiting and severe pain in your right ear, which radiated to the right side of your face. All your symptoms came on suddenly while watching television.You have been told you had a stroke and are currently taking medication. You are due to go home today.

TASK

  • Tell the nurse you don’t really know anything about strokes or what causes them. Express your surprise at finding out you had a stroke.
  • Show anxiety as you have heard people can die from strokes.
  • Ask the nurse whether you will have another stroke in the future and whether you could die.
  • Ask about other measures besides medication which could assist in preventinganother stroke.

CANDIDATE’S CARD           

NURSING SETTING – Hospital ward – NURSE

The patientis a 63 year-old truck driver who arrived in Emergency by ambulance.HisCTscan showed he had a stroke.He was stabilized in hospital with medication. He is due togo home today.He is to betreated longterm with Warfarin6mg/day and is required to have regular blood tests.

TASK

  • Ask the patient what they know about strokes.
  • Explain what causes strokes and what the medication is for(ie. prevention andtreatment of thrombosis)
  • Reassure the patient that her/ hiscurrent condition is stable. Emphasise thepatient of the doctor’s orders to have regular blood tests, which will ensure she/he is closely monitored in order to prevent another stroke.
  • Advise the patient of preventive measures such as losing weight.

OET Role Play 10

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING - Hospital ward - PATIENT

 You are a 70 year-old patient who has had a bowel resection for colon cancer. Upon your recovery from surgery,the doctor wants you to startchemotherapy and then radiotherapy.Yourfather and brother both died of  cancer and you are worried that no matter what youdo, the cancer will return.

TASK

  • Ask the nurse about chemotherapy and radiotherapy. Express yourconcernabout side effects such as weakness and nausea, and hair loss.
  • Admit yourworriesto the nurse about managing alone at home
  • Ask the nurse about the possibility of the cancer returning.

CANDIDATE’S CARD           

NURSING SETTING - Hospital ward - NURSE

The patient is a 70 year-old who has had a bowel resection for colon cancer. He was obese, but lost a lot of  weight in the last few months. Since her/his hospitalisation, she/he has given up smoking. Upon recovery from surgery, she/he is due to start chemotherapy and then radiotherapy.

TASK

  • Answer the patient’s questions and give reassurance about the cancer treatment.
  • Reassure the patient she/ hewill be well looked after and explain that after she/he leaves hospital you will ensuresupport is available to her/ him.
  • Answer the patient’s questions in a reassuring manner.
  • Make sure the patient has no furtherconcernsto be dealtwith.

OET Role Play 9

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING - Hospital ward - PATIENT

You are aged 55, and while in hospital for elective surgery on your knee, you have beentold you have hypertension (high blood pressure). You play tennis intermittently and knowyou should reduce your cigarette smoking and your weight. As you are a busy businessperson with a high stress joband travel interstate frequentlyyou would prefer to manageyour health with medication. Your husband/ wife is constantlynagging you to drink lessbeer in order to lose weightand is very supportive of you.

TASK

  • Answer the nurse’s questions and explain that you often eat out at regular placeswith clients.You play  tennis, although not always regularly as you travel frequently for work.Ask what medication you can take to lower your blood pressure.
  • Ask the nurse how you could make effective changes to your lifestyle. Be hesitantat first about the nurse’s suggestions, but eventually be willing to compromise.

CANDIDATE’S CARD           

NURSING SETTING – Hospital ward – NURSE

His 55 year-old patient was found to have hypertension while in hospital for elective knee surgery. She/ he is quite obese, and the patient’ she patient’s history reveals she/ he is a heavy smoker and suffers alcohol abuse. Her husband/ his wife is concerned about her/his excessive drinking and thinks she/he should cut down. The Patient would prefer to use medication instead of trying diet and exercise programmes because she/ he has little time for such programs due to being You are certainly an important client for us. Please allow me to call you after a while. I am in a client meeting. with a stressful job and frequent travel interstate.

TASK

  • Ask the patient about her/ his diet and exercise.
  • Explain to the patient that medication alone would not be effective in this case because her/ hishigh blood pressure is due to excess calories and saturated fatsin her/ hisdiet, insufficient exercise, heavy smoking and drinking too muchalcohol. Strongly advise lifestyle changes.
  • Discuss strategies with the patient for dietary and exercise improvements.Emphasise the need for the patient to dramatically reduce her/ his intake ofalcohol and tobacco. Try to reach a compromise with the patient about lifestylechanges.

OET Role Play 8

SPEAKING SUB – TEST

ROLE PLAYER’S CARD  

NURSING SETTING - Hospital ward - PATIENT

You are a 35 year-old patient who had abdominal surgery four days ago for removal of a large benign tumour. Severe abdominal pain and vomiting over two days prompted you to have tests done as you are usually in good health. You had been suffering intermittent abdominal pain for about three months. Your recovery complicated by a wound infection. Now, you are anxious that not all of the mass was found and you are worrying that the tumour may have been malignant.

TASK

  • Ask the nurse whether it’s possible that thetumourwas malignant. How couldshe/ he be certain?
  • Don’t be easily reassured. Express your concern that notall of the tumourmasswas removed.
  • Ask how much longer you will need to stay in hospital. Is it possible the tumourwill reappear? When can you recommence your cycling routine?

CANDIDATE’S CARD          

NURSING SETTING - Hospital ward - NURSE

The patient is a 35 year-old who had abdominal surgery four days ago for removal of a large benign  tumour. Now, in the fourth day after surgery,her/ his recovery has beencomplicated by a wound infection. The infection is minor, but the patient appearsanxious

TASK

  • Reassure the patient about the certainty of the diagnostic process fortumours
  • Try to calm the patient by explaining the infection is not serious. Make somesuggestions to make her/ himmore comfortable (eg. More pillows, bedreadjustment). Check the patient knows how to readjust her/ hisbed.
  • Answer the patient’s questions and deal with the patient’s anxiety about thetumour.

OET Role Play 7

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING - Paediatrics ward - PATIENT

You are the mother/ father of Michael, aged ten, who has had a tonsillectomy and is due for discharge the day after surgery.You thinkMichael should stay longer,ashe says he isstill in severe pain and does not appear to bevery alert.Michaelhas a fever and looksunwell.He is having difficulty taking fluids. He is on Tylenol for the pain.

TASK

  • Express concern to the nurse about your son’s pain and request he be kept in hospital longerfor observation.
  • Ask for information about giving his medication at home. What dosage should hereceive and how often?
  • Show anxiety. If the pain worsens, what should you do?
  • Are there any special precautions you should take?
  • What should he eat and drink?
  • When can friends visit? When can he return to school?

CANDIDATE’S CARD           

NURSING SETTING – Paediatrics ward – NURSE

A 10 year- old boy named Michael, aged ten, has had a tonsillectomy and is due for dicharge the day after surgery. His mother/ fatherthinks Michael should stay longer, asshe says he is still in severe pain and does not appear to be very alert.  Michael has afever and looks unwell.  He is having difficulty taking fluids.He is on Tylenol for the pain.His recovery is expected to take between 10 and 20 days.The parent appears anxiousabout the child’s condition.

TASK

  • Reassure the patient about Michael’s pain.
  • Explain that atonsillectomy is a standard procedure and his current level of pain is normal.
  • Reassure the parent that a longer hospital stay is not necessary.
  • Explain to the parent how to administer his medication.
  • Answer the parent’s questions

 

OET Role Play 6

SPEAKING SUB – TEST

ROLE PLAYER’S CARD  

NURSING SETTING - Intensive Care Unit - PATIENT

You are a 67 year- old, hospitalized for exacerbation of chronic obstructive airways disease. You are worried and anxious about your husband/ wife who collapsed while visiting you. He/ She complained of suddenchest pain and then fainted. He/ She had mentioned he/ she had calf pain in the left leg over the previousweek.  A pulmonary angiogram revealed a large clot and so an urgent embolectomy was performed. Afterwards, he/ she was transferred to the Intensive Care Unit in a stable condition.

TASK

  • Be very anxious.Ask why your husband/ wife had to have an operation.
  • Ask the nurse what could have caused the clot. Is this normal for a man/womanin their sixties?
  • Askhow the risk of clots can be minimsed
  • Ask how long it will be before your husband/ wife can be taken home..

CANDIDATE’S CARD           

NURSING SETTING – Intensive Care Unit – NURSE

The patient is a 67 year- old, hospitalized for exacerbation of chronic obstructive airwaysdisease. She/ He is worried and anxious about her husband/ his wife who collapsed while visiting her/ him.Her husband/ H is wife complained of sudden chest pain and then fainted. He/ She hadmentioned He/she had calf pain in the le t leg over the previous week. A pulmonary angiogram revealed a large clot and so an urgent embolectomy was performed. Afterwards, he/she was transferred tothe Intensive Care Unit in a stable condition.

TASK

  • Reassure the patient and answer her/ his questions.
  • Explainstrategies to the patient for prevention of clots (such as not crossing her/his legs while sitting or lying).
  • Answer the patient’s questions andreassure them that their husband/ wife iscurrentlyin a stablecondition,andthat whendischargedregular blood tests willbe advised to ensure no risk of future clots.
  • Explain to the patient what he/ she can look out for in order to avoidthishappening again.

OET Role Play 5

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING - Hospital ward - PATIENT

You are 29 year – old multipara woman suffering from persistent vomiting and dehydration.You have been diagnosed with hyperemesis gravid arum and admitted to hospital. You have commenced on IV therapy, complete bed rest, and IV pyridoxine. Ongoing treatment includes an oral anti-emetic to continue until the end of the second trimester.Your husband is in the waiting room. Nultipara: a woman who has not givenbirth to aviable infant

TASK

  • Ask the nurse to explain what hyperemesis gravid arum is and what the implications are for the baby.
  • Display anxiety and persist with questions about your medicationyou have not taken any medication to date as you fearharm to the baby.
  • Further expressanxietyabout losing this baby.

CANDIDATE’S CARD           

NURSING SETTING - Hospital ward - NURSE

This 29 year- old nullipara woman is diagnosed with hyperemesis gravid arum and admitted to hospital.  She is commenced on IV therapy,complete bed rest,and IVpyridoxine. Ongoing treatment includes an oral anti – emetic to continue until the end of the second trimester.Nullipara: a woman who has not given birth to aviable infant

TASK

  • Answer the patient’s questions. Explain that hyperemesis gravid arum is an abnormal condition of pregnancy associated with prolonged vomiting, weight loss and fluid and electrolyte imbalance. Her case is not severe and the doctor expects she will recover fully and deliver a healthy baby.
  • Reassure the patient that the medication will not harm her baby.Ask if she would like to see her husband for some emotional support.
  • Ensure all the patient’s concerns are dealt with.

OET Role Play 4

SPEAKING SUB – TEST

ROLE PLAYER’S CARD 

NURSING SETTING - Hospital ward - PATIENT

You are 67 years old and have been admitted to hospital for balloon angioplasty.  Six months previously, you had a coronary artery bypass graft, from which you made a good recovery. This admission, there is obstruction to the coronary arteries by further atherosclerotic deposits. You have lived on your own since your wife’s /husband’s death three years ago.

TASK

  • Answer the nurse’s questions and explain that you get most of your nutrition from take away food. You have cut down on cigarettes from 20 to 10 a day. You don’t exercise out of fear of further heart problems. You have a son who lives on the other side of town.
  • Tell the nurse you fear for your health and ask for advice about lifestyle improvements.

CANDIDATE’S CARD           

NURSING SETTING - Hospital ward - NURSE

A 67 year- old patient is admitted to hospital for balloon angioplasty. Six months ago he/she had a coronary artery bypass graft, from which he /she made a good recovery. Now there is obstruction to the coronary arteries by further atheroscleroticdeposits. His/Her current medical history indicates that he may need to look at lifestyle changes. He/She has lived on their own since his wife’s/ her husband’sdeath three years ago.

TASK

  • Ask the patient about his/her diet, exercise, smoking and drinking habits , and any support networks of family and/or friends.
  • Reassure the patient that lifestyle changes can be made easily. Emphasise the importance of moderate exercise and eating healthier foods.
  • Discuss exercise options such as walking or lawn bowls and setting achievable goals for dietary improvements (eg. start by cooking once a week, avoid unhealthy foods when grocery shopping).

OET Role Play 3

SPEAKING SUB – TEST

ROLE PLAYER’S CARD      

NURSING SETTING – Day Clinic – PATIENT

You are a 52 year- old who has recently returned to Australia after a year away. Whilst overseas, you were involved in a traffic accident and suffered a head injury. Today the doctor has diagnosed you with post- traumatic epilepsy. You have been advised to take medication to help prevent further attacks.

TASK

  • Answer the nurse’s questions and explain that since your traffic accident you have had a history of recurrent blackouts.  Prior to the attacks, you have headaches and afterwards, you feel lethargic and less alert than usual.
  • Ask how long you will need to take medication and what the risks of the medication are. Ask about epilepsy and the implications of epilepsy on a travelling lifestyle.
  • Be concerned about long term use of the suggested medication and be reluctant to accept what the nurse is telling you. You have heard that the medication can prevent travel in some countries that you wish to travel to in the future.

CANDIDATE’S CARD           

NURSING SETTING – Day Clinic – NURSE                   

This52 year-oldpatienthas recently returned to Australia after a year away. Whilst overseas, he/she was  involved in a traffic accident and suffered a head injury. Today the doctor has diagnosed him/her with post-traumatic epilepsy and advised him/her to take medication to help prevent further attacks.The doctor toldthe patient

TASK

  • Sympathetically ask the patient how she/ he has been feeling since the traffic accident.
  • Answer the patient’s questions and reassure her/ him of the safety of the prescribed medication.
  • Explain that because it is usual to continue medication until there have been no seizures for at least four years, it is possibly a lifelong course of medication.
  • Explain that the headaches and blackouts can be effectively and safely controlled by the medication and enable a person to lead a normal lifestyle.
  • Reassure the patientthat her/ histravel planswill not be affected bymedication.Offer them some literatureabout epilepsy and support servicesavailable

OET Role Play 2

SPEAKING SUB – TEST

ROLE PLAYER’S CARD     

NURSING SETTING – Hospital ward – PATIENT

As a 72 year- old patient you have developed a urinary tract infection after you underwent surgery 4 days ago for cancer of the colon. You were commenced on an antibiotic (trimethoprim) and Ural. You live with your husband, who has chronic obstructive airways disease and is partially blind and very reliant on you. Despite your condition, he is your biggest concern as he is currently home alone.

TASK

  • Ask questions about how long you need to take medication, how long you will need to stay in hospital, and whether chemotherapy will be dangerous at your age.
  • Answer the nurse’s questions and explain that you had an episode of unconsciousness and were not feeling well for a few months, lacking energy and tiring quickly.
  • Express concern about staying in hospital as your husband is home alone and relies on you for help. Be very worried about this.

CANDIDATE’S CARD                      

NURSING  SETTING – Hospital Ward – NURSE                   

This 72 year-old patient has developed a urinary tract infection after he/she underwent  surgery 4 days ago for cancer of the colon. She was commenced on an antibiotic(trimethoprim) and Ural. The patient lives with his wife/her husband, who has chronicobstructive airways disease and is partially blind and very reliant on you. He/ She is concerned about a prolonged stay as her husband/his wife is home alone.

TASK

  • Answer the patient’s questions in a reassuring manner.
  • Ask the patient about his/her general heath over the last six months and how he/ she has been coping at home.
  • Sympathies with the patient and try to calm them down by offering home help for the care of the patient’s husband/wife. Give advice about diet and lifestyle to

 

OET Role Play 1

SPEAKING SUB – TEST

ROLE PLAYER’S CARD  

NURSING SETTING - Maternity Ward - PATIENT

You are in hospital for delivery of your third child by Caesarean Section, when you are diagnosed with rheumatoid arthritis. You have severe pain in your wrists and also shoulders, and you are feeling very fatigued, as the pain is disturbing your sleep. You are worried about using any medication while breastfeeding.

TASK                   

  • Complain to the nurse about your pain but insist on not taking any oral medications for the pain or sleeping problems.
  • Express your fear that the medication may harm your baby and you are determined    to breastfeed the baby.
  • Firmly insist on using a natural gel product which contains capsaicin and is reputed to help with pain relief. Be very agitated by the nurse’s insistence on prescribed medication.
  • Ask how soon you should expect to be able to go home.

 


CANDIDATE’S CARD

NURSING SETTING - Maternity Ward - NURSE                   

This 41 year-old patient is in hospital for delivery of her third child by Caesarean Section, when she is also diagnosed with rheumatoid arthritis. She has severe pain in her wrists and shoulders and is feeling very fatigued, as the pain is disturbing her sleep. She is worried about breastfeeding whilst using any medications.

TASK  

  • Respond sympathetically to the patient’s demands and questions.
  • Explain the reasons for the oral medication prescribed by her / his doctor and try   to persuade the patient to take this medication.
  • Reassure the patient of the safety of the oral medication. Try to calm the patient down by suggesting other ways to also cope with the pain (hot/cold pack, arrange for friend/relative support, review by doctor).

OET Role Play 26

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Hospital Ward /PATIENT

You are Harry Jones aged 78. You are a bachelor who lives on his own. You were admitted to hospital to have a large  lesion removed from your back. You know you’ll be discharged in the next few days but meantime you want to make the most of the rest and the hospital food. You want the nursing staff to leave you in peace but a nurse says it’s time to get up and have a shower. You are feeling quite cranky.

Task

  • point out that you will be home in a few days and there will be plenty of time to shower then.
  • Explain that at your age you need rest not exercise.
  • Argue that a shower will only wet the dressing on your shoulder.

CANDIDATE’S CARD

NURSING SETTING / Hospital Ward / NURSE

Your patient, Harry Jones age 78,s in after surgery to remove a large lesion from his back. He is recovering well And you want him to get up and walk about and to have a shower. You have observed that he neglected his  personal hygiene and appearance.

Task

  • Encourage the patient to have a shower, wash his hair and generally get cleaned up.
  • Be tactful as he can be often cranky if he doesn’t want to do something.
  • Say you will place a waterproof dressing over the lesion area.
  • Stress the importance of exercise and good hygiene in ensuring a speedy recovery.

OET Role Play 25

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Children’s Hospital Ward / PATIENT

The patient is your three year daughter Elizabeth. She is being admitted to hospital for hospital for treatment of an ear abscess. This is the first time your child has been in hospital and you are anxious about how she will manage.  you can’t be at the hospital all the time as you have two other children aged Joan aged 5 and Sam aged 7. The nurse has requested information about your daughter’s normal routine at home.

Task

  • Explain your concerns to the nurse.
  • Answer the nurse’s questions about your daughter’s routine. Give a brief answer. Wait for the nurse to ask further questions.
  • Ask about the flexibility of visiting hours.

CANDIDATE’S CARD

NURSING SETTING / Children’s Hospital Ward / NURSE

Elizabeth, a three year old girl has come with her mother to be admitted with an ear abscess. Her mother Is anxious about how she will settle in. You need information about the child’s normal routine and habits to prepare  amusing care plan.

Task

  • Reassure the mother about the care Elizabeth will receive.
  • Ask whether she has any siblings she usually plays with at home.
  • Ask about her normal routines at home
  • Usual bedtime – morning or afternoon sleep?
  • Food preferences – able to feed herself?
  • Is she fully toilet trained?
  • Has she brought any favourite toys or books with her?
  • Outline visiting hours – 11am-8pm but stress that overnight stays are possible in a special visiting room.

OET Role Play 24

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Rural Community Health Clinic / PATIENT

You are 79 year old woman who lives on her own. You have one son who lives in the city who helps you when he can. Recently he paid for a gardener and a cleaning lady to visit you regularly. He has also arranged for a neighbour to do your shopping. You have come to ask the community health nurse who knows your family for help because you are having a real problem with all these helpers but won’t want to complain to your son. You are finding life very difficult because the cleaning lady is obviously hiding and taking things and putting others in the wrong place. Your   neighbour claims to have bought groceries that you can never find. When you complain she says that you forget where you put them. The gardener is obviously stealing lots of your tools and claims to have come when you know he hasn’t

Task

  • Explain to the nurse that you are finding it more and more difficult to cope because these people are taking advantage of you.
  • Say you have got to a point where you don’t like to go out yourself because nothing seems the same and sometimes you get lost.
  • Admit that you are a bit forgetful but insist that the real problem is the people who are supposed to be helping you.
  • Answer the nurse’s questions as best you can.
  • Finally agree to her suggestion to contact your son.

CANDIDATE’S CARD

NURSING SETTING / Rural Community Health Clinic / NURSE

A 79 year old woman who lives in your community has come to see you. You have known her had her son For several years and are concerned by how she appears to have aged recently and seems very agitated. You also know that the people her son arranged to help her are completely trustworthy. You want her to Agree to let you contract her son as soon as possible to explain her situation to him.

Task

  • Be sympathetic and understanding of her problems.
  • Ask if there are any others things that are making her life difficult – does she think her memory is not as good as it used to be.
  • Ask if she is eating well and cooking for herself without difficulty.
  • Stress that you know her son cares for her and would want to be informed of her present situation.
  • Ask her permission to phone him so that he can help with finding a solution to make her life easier.

OET Role Play 23

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING /Children’s Hospital Ward / PATIENT

You are a the parent of a young boy aged 4 who was admitted through the children’s Emergency Department for acute meningoencephalitis as a result of a complication following mumps. He has fully recovered an is ready to be discharged home. You are unaware that a vaccine is available in Australia which protects against mumps. You would like further information and guidance regarding vaccination. You also have a 2 year old son and have only   lived in Australia 6 months. You are concerned because some people say that vaccinations are dangerous. Ask the following questions;

Task

  • Has your child has fully recovered?
  • What vaccinations are available?
  • What are the advantaged & disadvantages of vaccinations?
  • Are there any side effects from the vaccination?
  • Are they expensive?

CANDIDATE’S CARD

NURSING SETTING / Children’s Hospital Ward / NURSE

A young boy aged 4, was admitted to hospital through the Children’s Emergency Department for acute  meningoencephalitis as a result of a complication following mumps. He has fully recovered and is ready to be discharged home. His parents are unaware that a vaccine is available in Australia which protects against mumps. They would like further information and guidance regarding vaccination for Mumps. They also have a 2 year old  son and have only lived in Australia 6 months. Explain to the parent:

Task

  • That the boy has fully recovered.
  • The importance of a full vaccination program for both children.
  • What vaccination is required for mumps and when to have it.
  • The risks and benefits of the vaccination for mumps.
  • Explain any side effects that might occur from the vaccination.
  • That vaccination is a requirement of many school.
  • That vaccination can be obtained from free health clinics.

OET Role Play 22

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Suburban Health Clinic /PATIENT

You are a 45 year old male who has had rheumatoid arthritis. Your hands, wrists, knees and feet are swollen and hurt all the time. The pain wakes you up at night when you try to roll over. You also have a rash which is itchy and therefore you seek advice regarding a change of medication. You have come to the clinic today for evaluation and recommendations. You have a physical job which is becoming harder to do due to your condition.

Task

  • Explain your current symptoms.
  • Inquire about possible change in medication due to rash.
  • Demonstrate concern about ability to work.

CANDIDATE’S CARD

NURSING SETTING / Suburban Health Clinic /NURSE

Mr David watts is a 45 year old male who has had rheumatoid arthritis for 5 years. Was seen by the doctor for Generalized skin rash due to side effect of medication and asked to return in one month. He has come to the clinic today for evaluation and recommendations. Examination reveals mild rash and inflamed joints.

Task

  • Elicit patients current condition
  • Explain that the mild rash is not uncommon with this medication, and stress that patient should continue with medication in order to control the arthritis and reduce inflammation.
  • Explain importance of regular rest and avoidance of strenuous activities and exercise until symptoms reduce
  • Recommend moisturizer to ease itchiness cause by rash.

OET Role Play 21

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Hospital Ward / PATIENT

You are a 42 year old male who arrived at the hospital via ambulance 10 days ago after suffering from acute Sub – sternal chest pain radiating to left arm. You have been diagnosed with myocardial infarction. You are a businessman, married with 3 children. Your condition is now stable, however, you are restless and worried that you will have to make big changes to your lifestyle. Seek reassurance from the nurse.

Task

  • Express nervousness about future health.
  • Ask if all the medications are necessary.
  • Will you be able to work soon
  • Express concern that it will be hard to make changes to your lifestyle.
  • Request advice about suitable diet/ exercise routine.

CANDIDATE’S CARD

NURSING SETTING / Hospital Ward / NURSE

Patient is a 42 year old male who arrived at the hospital via ambulance 10 days ago after suffering from acute  Sub-sternal chest pain radiating to left arm. Patient has been diagnosed with myocardial infarction. Patient is a businessman, married with 3 children. His condition is now stable, however, he appears restless and worried about his condition. He is overweight ind is a smoker. He has high blood pressure.

Task

  • Provide comfort and stress the importance of a gradual transition back to normal life.
  • Reassure the patient that he can expect a full recovery if he follows doctor’s advice.
  • Discuss importance taking medications regularly.
  • Discuss the importance of giving up smoking.
  • Provide advice on what assistance is available to assist in quitting smoking.
  • Provide advice on suitable diet and exercise.
  • Discuss importance of regular rest periods between activities.
  • Respond to patient questions and provide reassurance

OET Role Play 20

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / State School / PATIENT

You are Leanne Wilson, a sole parent with three children – Ronnie aged 8, Dexter aged 12 and Marie  aged14. The school nurse has asked you come to the school at 9.30 am to discuss concerns about Ronnie’s  general health. You know recent school reports indicate he visited the school nurse frequently last term complaining of tiredness  and headaches.You work Monday – Friday, 7am – 2.30pm at a local factory.  Although   you are worried about  Ronnie you are upset about taking time off work to come to the school this morning. It means your pay will be reduced.  You would have preferred to come alter work around 3pm. You rely on Marie to get herself and her brothers ready for school. Often they don’t have time for breakfast.

Task

  • Explain the work problems caused by having to come up to the school this morning.
  • Acknowledge that you have been a bit worried about Ronnie complaining about tiredness and headaches at school. You work hard and go to bed early. The kids when they are tired. Generally they watch a bit of TV.
  • Say that Ronne seems to be OK at home after he has a bowl of coco pops and some soft drink when he gets home in the afternoon.
  • Point out you leave for work at 6.30am so can’t be responsible for getting breakfast for the family.

CANDIDATE’S CARD

NURSING SETTING / State School / NURSE

You are the school nurse at a State School. Ronnie Wilson aged 8 has been sent to you quite frequently after School commences complaining of tiredness and headaches. He sparks up after a rest and some milk and biscuits. You suspect he is regularly missing out on breakfast although he says his older sister always looks after him well because his mother has to go to work. You have made an appointment for MS Wilson to come to your office at   9.30 today.

Task

  • Explain why you arranged the appointment.
  • Ask about Ronnie’s general health.
  • Ask about family routines in relation to meals and bed times.
  • Discuss importance of a proper diet including a nourishing breakfast and suggest how this might be achieved.
  • Make an appointment for a follow-up visit.

OET Role Play 19

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Children’s Hospital Ward / PATIENT

You are Sonia Affleck, a young married woman who had an emergency appendectomy las! night. Twice during the night you pressed the nurses call bell for assistance. On the first occasion you needed pain relief and it took at least  20 minutes before anyone answered the call. On the second occasion you needed assistance to go to the toilet. You rang the call bell but because of the belay in response you were forced to struggle to the toilet yourself. When the nurse finally arrived she reprimanded you for getting out of bed unassisted. You are upset and angry and want to be discharged today. You ask to see the nurse manager.

Task

  • Express anger at the poor response to you calls for assistance and at the attitude of the nurse who  reprimanded you.
  • Claim you would be better be better off at home where you mother and husband would look after you.
  • Agree that there are occasions there may be problems with fully staffing a busy surgical ward but that does not excuse nurse reprimanding you.
  • Admit you still require regular pain relief and help in walking.

CANDIDATE’S CARD

NURSING SETTING / Children’s Hospital Ward / NURSE

You are the nurse manager of a very busy surgical ward. There were four emergency operations last night. Due to a flu epidemic the night shift was understaffed so less experienced on-call nursing staff filled in. On your morning round you check on Sonia Affleck who had an emergency C-section appendectomy last night. She is upset and angry about the poor nursing care she has received. She want be discharged today.

Task

  • Ask about what happened to upset her.
  • Explain the ward’s staffing situation last night.
  • Address her anger at nurses.
  • Discuss her present condition and usual hospital recovery time.
  • Explain why it would not be in her interests to be discharged today, especially without consultation with her surgeon.

 

 

OET Role Play 18

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / General Practice / PATIENT

You are a 25-year-old apprentice, who has a pilonidal sinus (cyst) for excision next week. You have Quite a bit of  pain but you are embarrassed. You have seen the doctor and you are discussing your treatment and preoperative documents with the nurse.

Task

  • Tell the nurse you feel as though you are weak because of this ailment, but need painkillers more often than you take them
  • Emphasis how embarrassed you are, therefore did not pay attention to the doctor when he/she explained what a pilonidal sinus is. Can you still find out?
  • Argue that you are very clean and due to your work you shower in the morning and have a bath at night.
  • Ask what you need to do after the procedure.
  • Reassure the nurse that you will follow the doctor/nursing staff’s advice when in hospital, and adhere to the medication regime, rather than suffer pain.

CANDIDATE’S CARD

NURSING SETTING / General Practice / NURSE

You are preparing a 25-year-old apprentice for excision of a pilonidal sinus (cyst) next week. The patient is in Pain but is embarrassed about the problem and thinks taking medication to alleviate pain is a sign of weakness.  You are discussing treatment and preoperative documents, following the doctor’s appointment.

Task

  • Express concern that the patient has pain and views taking analgesic as a weakness.
  • Assure the patient that you understand the embarrassment but doctors and nurses are used to a huge range of medical issues.
  • Explain that a pilonidal sinus is a small opening, a tract on the surface of the skin predominantly caused by an ingrown hair, exacerbated by sweat and prolonged sitting.
  • Reassure the patient that you were not indicating that he /she is dirty and salt baths post-operatively will help facilitate healing.
  • Provide information on post-operative care (e.g., bleeding, signs of infection, importance of taking analgesia appropriately, use of antiseptic dressings, etc.).

 

OET Role Play 17

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Private Clint / PATIENT

You are a 52-year-old working long hours in customer service. You are tired and have been experiencing aching feet. Sometimes you have numbness and tingling, which is worse at worse at night. You uncle has Multiple  Sclerosis and your aunt has Parkinson’s disease.

Task

  • Tell the nurse that you are very tired, you suffer from symptoms in the feet, your memory is not too good and  when you are stressed your hands shake.
  • Explain that your work is stressful, moves at a frantic pace and you have dozens of things to remember, but don’t write them down. What can be done?
  • Accept that perhaps stress is causing your symptoms.
  • Agree to a referral to a podiatrist and seek advice from a doctor.
  • Reluctantly express the ‘real’ reason you are here – you are extremely ‘paranoid’ about the chance that you many have a neurological disease because of your family history.

CANDIDATE’S CARD

NURSING SETTING / Private Clinic / NURSE

You are attending to a 52-year-old who works long hours in customer service. The patient complains of being tired and has been experiencing aching feet. Sometimes he/she has numbness and tingling, which is worse at night. The patient admits to being ‘paranoid’ as his/her uncle has Multiple Scleroses and his/her aunt has Parkinson’s disease.

Task

  • Explain that working long hours and stress may produce symptoms such as tiredness and poor memory.
  • Suggest initial steps to improve sore feet issues (e.g. comfortable shoes, orthopedic shoes; compression stockings, etc.).
  • Emphasis that you think the patient may be putting too much pressure on him/herself.
  • Explain that you will examine his/her feet for obvious signs of injury and suggest a visit to a podiatrist.
  • Advise the patient to arrange a medical appointment.
  • Highlight the importance of not self-diagnosing and thinking the worst.

OET Role play 27

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Community Health Clinic / PATIENT

You are the mother of three children aged 3,4 and 6. You have just discovered your 6 year old daughter has head  lice. You are upset and embarrassed as you always wash the children’s hair regularly. You have never encountered this problem before.

Task

  • Respond to the nurses questions.
  • Ask about any natural remedies you can use as you don’t like chemicals.
  • Ask about whether your other children will be infected also.

CANDIDATE’S CARD

NURSING SETTING / Community Health Clinic / Community NURSE

A young woman, the mother of their children aged 3,4, and 6 has come to the clinic and assures you  she Has just discovered her eldest daughter has head lice. She is upset and embarrassed and assures you she  always washes the children hair regularly. She has no experience in dealing with the situation as it has never happened before.

Task

  • Reassure the mother and explain that head lice are contagious and anyone no matter how regularly they wash their hair can head lice.
  • Suggest the mother contact any school or kindergarten her children attend as it quite probable other children are also affected.
  • Recommend and explain the use of a head lice comb.
  • Suggest the mother visit the local pharmacy to obtain a herbal product with natural (no chemical) pyrethrums.
  • Say that because head lice spread when people play, cuddle or work together, it is important to check the whole family.
  • Offer to provide the client with a detailed leaflet on treating and controlling head lice.

OET Role Play 16

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Hospital / PATIENT

You are 55 years old. You have End-stage Renal Disease (ESRD) and your health is steadily deteriorating. You are an   inpatient in a Renal Ward and feeling lonely and depressed. You are reluctant to talk about your situation as you are scared. You require dialysis three times a week and are on a kidney transplant waiting list

Task

  • With reluctance, slowly explain your fears about your condition.
  • Tell the nurse you hate having dialysis and feel that a donor will never be found in time.
  • Demand to be nominated as Not for Resuscitation (NFR) if you have a cardiac arrest.
  • Reluctantly agree to see a counselor.
  • Tell the nurse that you want to be able to die with dignity with your family present.

CANDIDATE’S CARD

NURSING SETTING / Hospital  / NURSE

You patient is 55 years old. He/ She has End – stage Renal Disease (ESRD). You see his/her health is steadily deteriorating. The patient is an inpatient on your Renal Ward and you notice he/she appears lonely and depressed. He/she requires dialysis three times per week and is a candidate for a renal transplant.

Task

  • Ask the patient to tell you how he/she is feeling.
  • Encourage the patient to talk about his/her fears about the condition.
  • Inform the patient that without dialysis he/she would suffer more.
  • Reassure the patient that there is always hope a donor will be found in time.
  • Suggest that a counselor be consulted to support the patient’s decision to be listed as Not for Resuscitation (NFR).
  • Provide reassurance that, if he/she wants to put his/her request in writing, it is hospital policy for staff to respect that, and having the family present is important.

OET Role Play 15

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING / SETTING  / Home Visit / PATIENT

You are a busy 50-year-old waitress, recently diagnosed with Type 2 diabetes. You had a wedge resection 12 days  ago and have post-operative infection in your right large toe. You are resting at home and the district nurse is visiting to change your dressing.

Task

  • Admit that you should have followed the surgeon’s advice, but did not, so now you have an infection.
  • Argue that you need a quick fix to the toe because you need to get back to work; the antibiotics obviously aren’t working.
  • Agree to use the nurse’s list of suggestions and accept that you did not cause your own infection.
  • Tell the nurse that you know the risks that diabetics experience with circulation, but would like a brochure on how to manage your illness.

CANDIDATE’S CARD

NURSING SETTING  / Home Visit / NURSE

Your patient is a busy 50-year-old waitress, recently diagnosed with Type 2 diabetes. The patient had a wedge resection12 days ago and has post-operative staphylococcus aureus (staph infection, non- MRSA) on the right large toe. You are visiting the home to change the dressing whilst the patient is resting from work duties.

Task

  • Find out about the patient’s general daily habits after the operation. Did the patient rest adequately?
  • Highlight the fact that sometimes people get post operative infection but it is not really their fault.
  • Persuade your patient to rest and that the toe will heal with attendance to dressings, fresh air and daily exposure to the sun, antibiotics, etc.
  • Explain the risks of circulation problems for diabetics and sometimes greater risk of infection.
  • Supply a patient information brochure to the patient and agree to call again next week.

OET Role Play 14

SPEAKING SUB – TEST

ROLE PLAYER’S CARD

NURSING SETTING / Home Visit / PATIENT

You are a 90-year-old client, who has lived alone fairly independently for many years in a unit on your daughter’s property. Your daughter’s family are going overseas for two weeks and you are going to a lovely retirement home. You are having an assessment by a community nurse

Task

  • State that you are happy to go into care so your family can have a pleasant and worry-free trip.
  • Emphasize your independence but you are worried about lack of privacy/rigid time tables.
  • Agree to give an overview of your daily routine – sleep in, late breakfast, shower whilst daughter in your    unit (minimal assistance). Relatives take you out often and you attend a senior citizen‘s club.
  • State that you only take occasional anti-inflammatory or analgesic medication for ‘old age’ aches/pains.
  • Ask the nurse to tell your daughter you are content with the arrangements so they can have the break they deserve.

CANDIDATE’S CARD

NURSING SETTING /Home Visit / NURSE

You are visiting a 90-year-old client, who has lived alone fairly independently for many years in a separate unit on  a family property. The family are going overseas for two weeks and your client is going to a retirement home to avoid being isolated on a large property. You are conducting an aged care assessment.

Task

  • Compliment the elderly client on the positive and unselfish attitude.
  • Reassure the client of privacy/flexible house rules
  • Explain the home’s philosophy – making clients feel at home, respecting wishes, unrestricted visiting hours to meet quality of life desires, etc.
  • Ask about his/her daily routine (e.g., sleep habits, meals, etc.).
  • Highlight the fact that you are nothing his/her usual daily routine in your care plan.
  • Ask about his/her medication regime.
  • Summaries your discussion and assure the client that you will pass on his/her contentment with the arrangements to his/her daughter.
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