TEMPLATE SAMPLE 1 NURSAMPLE05 - OET

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NURSAMPLE05WRITING SUB-TEST – TEST BOOKLETINSTRUCTIONS TO CANDIDATESYou must write your answer for the Writing sub-test in the Writing Answer Booklet.You must NOT remove OET material from the test room.www.occupationalenglishtest.org Cambridge Boxhill Language Assessment – ABN 51 988 559 414 (2020)

Occupational English TestWRITING SUB-TEST:TIME ALLOWED:NURSINGREADING TIME: 5 MINUTESWRITING TIME: 40 MINUTESRead the case notes and complete the writing task which follows.Notes:You are a nurse conducting a Nurse Home Visit as part of routine follow-up care after this patient’s recenthospital discharge.PATIENT DETAILS:Name:Ms Patricia StylesDOB:27.04.1957 (Age 62)Address:57 Market Drive, NewtownSocial background:Retired primary school teacherLives on her ownHusband died 3 yrs ago (lung cancer); no childrenMedical history: Hypertension (HT) Diagnosed 2011 – mild 145/95 2013 – moderate 168/105, commenced quinapril Regular monitoring, currently well managed at around 140/90Diabetes mellitus (DM) Type 2 Diagnosed 2013 – Pt counselled re diet/lifestyle, incl. weight loss 2014 – commenced oral hypoglycaemics (metformin gliclazide) Well managed generallyDepression Diagnosed June 2016 Triggered by death of husband Regular counselling since July 2016 to control mood swings and support DM managementFamily medical history:Mother – HT, ; 1-2 glasses wine/wkExercise:Walks dog 20mins/dayDiet:Ongoing counselling re DM management to maintain balanced dietQuinapril (Accupril) oral 40mg/2xdayMetformin (Diabex) oral 500mg/2xdayGliclazide (APO-Gliclazide MR) oral 30mg daily

Green Valley Hospital Treatment Record:23/08/2019Pt visiting sister for weekend, sister lives 3hrs away from Newtown in Green ValleyPt admitted to Green Valley Hospital late evening with fever, sharp & pleuritic chest pain (worseon breathing), general weakness & malaise, tachycardia (rapid heartbeat)24/08/2019Assessment:Vital signs RR 29; BP 170/106; HR 98; T 39.3ºCFull blood examination (FBE): Ó ESR (erythrocyte sedimentation rate), Ó CRP (C-reactiveprotein), Ó WCC (white cell count) i.e. inflammation/stressThroat swab: viral influenza type BChest X-ray (CXR) – normalEchocardiogram – pericarditisManagement:IV salineIbuprofen 600mg every 8hrsEvaluation:25/08/2019Viral influenza type B plus pericarditisPt discharged and advised on self-care at homeNiece drove Pt home & agreed to stay overnight for 3 nightsFollow-up Nurse Home Visit arranged for 30/08/2019Nurse Home Visit – 30/08/2019:Observations: Pt unhappy. Reports feeling chest pain (relieved by sitting up), shortness of breath (SOB),fatigue. Frustrated with progress of recoveryMedication adherence – reports compliance & regular blood glucose monitoringVital signs: low-grade fever: T 38.1 C. Elevated RR 28 & HR 115BP: 125/78 (usual BP 140/90)Niece no longer staying overnight – work commitments in Green ValleyAssessment:Pt unwell. Nil improvement?relapse/complications of pericarditisPlan:Organise urgent hospital transfer to Newtown Hospital (nearest hospital)Write referral to Emergency Department, include relevant: Medications Patient history Test results/observationsWriting Task:Using the information in the case notes, write a letter of referral to the Emergency Department Consultanton Duty, outlining the case and requesting urgent assessment and management for pericarditis. Addressthe letter to Emergency Department Consultant on Duty, Newtown Hospital, 100 Main Street, Newtown.In your answer: Expand the relevant notes into complete sentences Do not use note form Use letter formatThe body of the letter should be approximately 180–200 words.

Any answers recorded here will not be marked.BALKN

Occupational English TestNURSAMPLE05WRITING SUB-TEST: NURSINGSAMPLE RESPONSE: LETTER OF REFERRALEmergency Department Consultant on DutyNewtown Hospital100 Main StreetNewtown30 August 2019Dear DoctorRe: Ms Patricia StylesDOB 27.04.1957Thank you for seeing Ms Styles, a 62-year-old widow and retired school teacher, who requires your urgentinvestigation of a possible relapse of pericarditis.Today, Ms Styles reports chest pain, relieved by sitting up, shortness of breath and fatigue. She has a low-grade fever(38.1 C), tachypnea (28bpm) and tachycardia (115bpm). Her blood pressure is 125/78, lower than her usual 140/90.Ms Styles became unwell on 23 August while visiting her sister in Green Valley. She was admitted to Green ValleyHospital with fever, pleuritic chest pain, tachycardia and general malaise. Throat swab investigations confirmedviral influenza type B and an echocardiogram indicated pericarditis. Her chest X-ray was normal and Ms Styles wasmanaged with IV saline and ibuprofen. She was discharged home on 25 August. A Nurse Home Visit was arranged fortoday.Ms Styles has hypertension, diabetes type 2 and depression, managed with quinapril (Accupril) 40mg twice daily,metformin (Diabex) 500mg twice a day, and gliclazide (APO-Gliclazide MR) 30mg daily.I suspect a relapse of pericarditis, perhaps with complications. I refer her to you for urgent assessment andmanagement.Yours faithfullyNurse

SAMPLE RESPONSE: LETTER OF REFERRAL NURSAMPLE05 Emergency Department Consultant on Duty Newtown Hospital 100 Main Street Newtown 30 August 2019 Dear Doctor Re: Ms Patricia Styles DOB 27.04.1957 Thank you for seeing Ms Styles, a 62-year-old widow and retired school teacher, who requires your urgent investigation of a possible relapse of .

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