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BAHASA INGGRIS

KEPERAWATAN
Program D3

Diba Artsiyanti E.P.

BAHASA INGGRIS
KEPERAWATAN
Program D3
Modul 1

Oleh:
Diba Artsiyanti E.P.

STIKES AISYIYAH
BANDUNG

Daftar Isi
PETA MODUL.......................................................................................................... 5
UNIT 1: INTRODUCTION AND PATIENT ADMISSION.................................................7
A.

Introduction and Questions for Patient Admission........................................7

B.

Vocabulary................................................................................................... 7

C. Conversation................................................................................................ 8
D. Writing.......................................................................................................... 9
E.

Grammar.................................................................................................... 10
Basic English Structure..................................................................................10
To be in English.............................................................................................. 10
Pronouns as objects....................................................................................... 10
Variations in sentence................................................................................... 10
Auxiliaries in English...................................................................................... 11

UNIT 2: MEDICAL PROFESSIONS...........................................................................12


A.

Vocabulary................................................................................................. 12

B.

Listening..................................................................................................... 12

C. Grammar.................................................................................................... 13
Simple Present Tense..................................................................................... 13
Present Continuous Tense.............................................................................. 13
D. Reading and Grammar Exercise.................................................................14
E.

Writing........................................................................................................ 14

UNIT 3: HOSPITAL................................................................................................. 15
A.

Vocabulary................................................................................................. 15
Medical Instruments...................................................................................... 15
Departments in a hospital............................................................................. 15

B.

Grammar.................................................................................................... 16
Prepositions of Place and Movement.............................................................16

C. Listening..................................................................................................... 17
D. Writing........................................................................................................ 17
UNIT 4: ACCIDENTS AND EMERGENCIES..............................................................19
A.

Vocabulary................................................................................................. 19

B.

Grammar.................................................................................................... 19
Imperatives................................................................................................... 19
Asking for instructions...................................................................................20

C. Listening..................................................................................................... 20
D. Writing........................................................................................................ 21
E.

Vocabulary 2.............................................................................................. 21

F.

Conversation.............................................................................................. 22

G. Writing........................................................................................................ 23
UNIT 5: PAIN......................................................................................................... 24
A.

Vocabulary................................................................................................. 24
Types of Pain.................................................................................................. 24
Review on Body Parts.................................................................................... 24

B.

Conversation.............................................................................................. 24

C. Listening..................................................................................................... 25
D. Reading...................................................................................................... 25
E.

F.

Grammar.................................................................................................... 26
1.

Review on present tenses.......................................................................26

2.

Past Tenses.............................................................................................. 27
Conversation 2........................................................................................... 28

G. Writing........................................................................................................ 28
UNIT 6: SIGNS AND SYMPTOMS............................................................................29
A.

Vocabulary................................................................................................. 29

B.

Listening..................................................................................................... 29

C. Writing........................................................................................................ 30
D. Grammar and Structure (Review)...............................................................30
UNIT 7: VITAL SIGN CHECKS................................................................................. 33
A.

Vocabulary................................................................................................. 33

B.

Listening and Conversation........................................................................34


Listening........................................................................................................ 34
Conversation................................................................................................. 35

C. Writing........................................................................................................ 35
D. Reading...................................................................................................... 35
E.

Grammar.................................................................................................... 36
Simple Past Tense.......................................................................................... 36
Present Perfect Tense.................................................................................... 36

UNIT 8: DEATH AND DYING.................................................................................. 38


A.

Vocabulary................................................................................................. 38

B.

Listening..................................................................................................... 38

C. Conversation and Writing...........................................................................39


D. Grammar.................................................................................................... 39
UNIT 9: MEDICATION............................................................................................ 41
A.

Vocabulary................................................................................................. 41

B.

Listening..................................................................................................... 42

C. Vocabulary 2 and Writing........................................................................... 42


Vocabulary..................................................................................................... 42
Writing........................................................................................................... 43
D. Reading...................................................................................................... 43
E.

Grammar.................................................................................................... 43
Passive Voice................................................................................................. 43

LAMPIRAN............................................................................................................ 45
DAFTAR PUSTAKA................................................................................................. 46

PETA MODUL
Unit

Keterampilan

Pengetahuan
Kosakata
Struktur & Tata

1. Introduction
and
Patient
Admission
2. Medical
Profession

Bahasa
Kalimat Sederhana

1. Berbicara
2. Mendengarkan
3. Menulis

Tubuh manusia
bagian luar

1.
2.
3.
4.
1.
2.
3.

Berbicara
Mendengarkan
Membaca
Menulis
Berbicara
Mendengarkan
Menulis

Profesi di rumah
sakit

Simple Present Tense


Present
Continuous
Tense
Preposisi
Verbs of movement

4. Accidents
and
Emergencies

1.
2.
3.
4.

Berbicara
Mendengarkan
Membaca
Menulis

5. Pain

1.
2.
3.
4.
1.
2.
3.
4.

Berbicara
Mendengarkan
Membaca
Menulis
Berbicara
Mendengarkan
Membaca
Menulis

1. Peralatan
Medis
2. Bagian
di
Rumah Sakit
3. Arah
1. Kata kerja di
bidang
medis
2. Singkatan
dalam
kondisi
kedaruratan
Kosa
kata
mengenai nyeri
Kosakata
mengenai tanda
dan
gejala
penyakit

Mengkaji
ulang
struktur dasar bahasa
Inggris,
Present
tenses, Past tenses
dan Imperatives.
Simple Past Tense
Present Perfect Tense

3. Hospital

6. Signs
and
Symptoms

7. Vital
Check

Sign

1.
2.
3.
4.

Berbicara
Mendengarkan
Membaca
Menulis

8. Death
Dying

and

1.
2.
3.
1.
2.
3.
4.

Berbicara
Mendengarkan
Menulis
Berbicara
Mendengarkan
Membaca
Menulis

9. Medication

Kosa
kata
terkait
pemeriksaan
tanda vital
Kosa
kata
terkait kematian
Kosa
kata
mengenai obatobatan

Imperatives

Simple Past Tense


Past Continuous Tense

Possibility
Kalimat pasif

UNIT 1: INTRODUCTION AND PATIENT ADMISSION


A. Introduction and Questions for Patient Admission
Name
Age

QUESTION
What is your name?
(Whats your name?)
How old are you?

STATEMENT
My name is Fikri
(My names Fikri)
I am 17 years old
(Im 17 years old)

Address

Where do you live?

Occupation

What do you do?

Origin

Where are you from?


(Wherere you from?)
Where do you come from?
What is your religion?
(Whats your religion?)
What is your marital status?
(Whats your marital status?)

Religion
Marital
Status

Nationality

What is your nationality?


(Whats your nationality?)

Reason for
coming to
hospital/clinic

What happened to you?


What is your reason for visiting
this hospital/clinic?
(Whats your reason for visiting
this hospital/clinic?)

I live in Bandung
I live on Jl. Banteng No.5
I live at Ciumbuleuit
Apartment No.3
I am a student
(Im a student)
I am from Soreang
(Im from Soreang)
I come from Soreang
I am moslem
(Im moslem)
I am single (Im single)
I am married (Im married)
I am divorced (Im divorced)
I am a widow (Im a widow)
I am a widower (Im a
widower)
I am Indonesian (Im
Indonesian)
I am Japanese (Im Japanese)
I fell from a ladder
I have a severe headache

B. Vocabulary
Admission
DOB (Date of Birth)
First name
Surname
Gender
Occupation
Marital Status
Next of kin

Contact No.
Smoking intake
Alcohol intake
Reason for admission
Medical history
Allergies
GP (General Practitioner)

C. Conversation
P = Patient
N = Nurse
N : Hello, good morning.
P : Hello
N : My name is Kate Johnson and Im here to help you with the admission
P : All right.
N: What is your name?
P: Mustafa
N: Mustafa
P: Right
N: So, what happened to you?
P : I was working on a ladder. It was raining and I slipped and fell.
N: Did you hit your head?
P : Yes, I saw stars and felt sick at first. But now its OK.
N : OK, you may have concussion. First, Ill take down your details and fill in
this form. So, whats your surname?
P : Its Hussein
N : Can you spell that for me?
P : H-U-S-S-E-I-N
N : What do you do?
P : Im a painter
N : Right. Whats your date of birth?
P : first of September, eighty two
N : OK, and where were you born?
P : Karachi, Pakistan
N : Whats your marital status?
P : Sorry
N : Are you married?
P : No, I am single
N : And do you have a contact telephone number for your next of kin?
P : 07709-401229 its my brother, Yusuf.
N : Do you smoke?
P : Yes
N : How many do you smoke a day?

P : Twenty a day
N : Ok. Do you drink alcohol?
P : No.
N : Right. Are you allergic to anything?
P : No
N : Now, family history. Do any of your close family suffers from any of the
following Mental illness?
P : No.
N : Diabetes?
P : My mothers parrents are both diabetic.
N : Tuberculosis?
P : No
N :HIV/AIDS?
P : No

D. Writing
Surname: ............................................
.....
DOB: ...................................................
...

First name .........................................


Gender
M/F

Occupation
_____________________________________________________
Marital Status
_____________________________________________________
Next of kin
_____________________________________________________
Contact No. _____________________________________________________
Smoking intake _____________________________________________________
Alcohol intake
_____________________________________________________
Reason for admission _________________________________________________
Medical history ______________________________________________________
Allergies
______________________________________________________
GP
______________________________________________________

E. Grammar
Basic English Structure

S+V+O+C
Or

S + to be + C
To be in English

Subject
I
You

Present
Am
Are

Past
Was
Were

Perfect
Been
Been

Future
Be
Be

We
They
He
She
It

Are
Are
Is
Is
Is

Example:
a.
b.

Were
Were
Was
Was
Was

Been
Been
Been
Been
Been

Be
Be
Be
Be
Be

I see a dog in the shop


S
V
O
C
They
are
beautiful
S
to be
C

Pronouns as objects

Subject
I
You
We
They
He
She
It

Object
Me
You
Us
Them
Him
Her
It

Variations in sentence

(
(
(
(
(
(

a. With verb
+ ) S + V + O + C : They read novels every day
- ) S + Aux + Not + O + C: They do not read novels every day
? ) Aux + S + O + C? : Do they read novels every day?
b. With to be
+ ) S + to be + C: They were happy
- ) S + to be + not + C: They were not happy
? ) to be + S + C? : Were they happy?

Auxiliaries in English

Tense

Auxilliary

Present

Do (I, you, we, they)/Does (He, She,


It)
Did

Past

Group Work
Fill in
1.
2.
3.
4.
5.
6.
7.
8.

the blanks
I ____________ not a doctor
_________________she send the letter yesterday?
She _____________ a dancer
London ________________ a big city
The cats _______________ cute
_____________ you like candy?
We _______________ like watching TV
The book __________________ interesting

9. ___________ I bring the book last week?


10.
The class _________________ so fun
11.
_______________they arrive yesterday?
12.
______________we need to read the book every day?
13.
He ___________________very kind
14.
___________ they go to the cinema every week?
15.
_____________he show up last night?
16.
You __________ a smart girl
17.
I ____________ a nurse
18.
_____________cats like fish?
19.
___________ she often watch movies?
20.
_____________ he always sing so loud?

UNIT 2: MEDICAL PROFESSIONS


A. Vocabulary
1. Jobs
Anesthesiologist (U.S)/Anaesthetist
(Br.)
Cardiologist
Consultant
Lab Technician
Midwife
Pediatrician (U.S)/ Paediatrician
(Br.)
Paramedic

Pharmacist
Physiotherapist
Porter
Radiologist
Receptionist
Scrub nurse
Surgeon

2. Verbs for describing jobs


Moves
Gives
Supports
Delivers
Performs

Examines
Treats
Specializes
Prepares
Takes

3. Exercise
a. A pediatrician _______________________children.
b. A ____________________attends births and ________________________babies
c. A __________________ __________________ in ilnesses of the heart and
blood vessels.
d. A ______________________
__________________ equipment, furniture,
patients, etc. around the hospital.
e. A _____________________ __________________ x-rays and other images
f. A _____________________ ___________________ surgeons in the operating
theater.
g. A ____________________ __________________ medicines to give to medical
staff or patients
h. A ____________________ responds to emergencies and ________________
first aids
i. A _____________________ __________________operations.
j. A ____________________ ____________________ samples and tissues under
a microscope.

B. Listening
1. Mrs. Benson is admitted to hospital. Listen to the five short conversations,
and decide who is speaking to her in each one. Write 1-5
2. Listen again. Decide whether the sentences are true (T) or false (F)
1. Mrs. Benson has had a fall
2. This is not Mrs. Bensons first x-ray.
3. Mrs. Benson cant find the toilet.
4. She has a heart problem.
5. The consultant sends her home.
6. Mrs. Bensons appointment is next week.

C. Grammar
Simple Present Tense
Functions:
- General facts
- Habitual actions
(I, You, We, They)(+) S + V1 + O + C
I read novels every day
(-) S + do + not + V1 + O + C
I do not read novels every day
(?) Do + S + V1 + O + C
Do you read novels every day?
(He, She, It)
(+) S + V1 + s/es + O + C
She reads novels every day
(-) S + does + not + V1 + O + C
She does not read novels every day
(?) Does + S + V1 + O + C
Does she read novels every day?

Present Continuous Tense


Functions:
- Actual current activities
- Activities that are currently in process
- Planned future activities (almost certain)
(+) S + to be + Ving + O + C
I am reading a novel now
(-) S + to be + not + Ving + O + C
I am not reading a novel now
(?) To be + S + Ving + O + C
Are you reading a novel now?
(Future planned action)
(+) S + to be + Ving + O + C (future)
I am going to Jakarta tomorrow (almost 100%
possibility)
(-) S + to be + not + Ving + O + C (future)
I am not going to Jakarta tomorrow
(?) To be + S + Ving + O + C (future)
Are you going to Jakarta tomorrow?

D. Reading and Grammar Exercise


Hi Ivana,
I write/am writing to say thank you for the birthday card and to tell you
how I get on/am getting on. The course is hard work, but Im
enjoying/enjoy it so far. We usually have/are having classes every
morning, but his week Im working/work in Geriatrics all day. Its
interesting, although of course I want/am wanting to work as a scrub
nurse.
On the geriatric ward Im making/make beds and checking/check
patients blood pressure and temperature. Im learning/learn a lot, and the
experience is very useful.
Im going out/go out most Satudary nights, but stay in/staying in and
study/studying on other days. Tomorrow I go/am going to a restaurant for
my birthday! I make/am making a lot of friends, but I wish you were here
too. Write to me!
Love,
Maria Carmen

E. Writing
Use the interview sheet and interview your partner. Write a report on your
partner based on the interview result.

UNIT 3: HOSPITAL
A. Vocabulary
Medical Instruments
Look at these instruments and write down the function and and
name of the instruments

Example:
a. This instrument is for monitoring the heart. The name is ECG
(Electrocardiography)
b. ......................................................................................................................
......
c. ......................................................................................................................
......
d. ......................................................................................................................
......
e. ......................................................................................................................
......
f. ......................................................................................................................
......
g. ......................................................................................................................
......
h. ......................................................................................................................
......
i. ......................................................................................................................
......
j. ......................................................................................................................
......
k. ......................................................................................................................
......
Departments in a hospital
Which of the departments in the box that do the activity in a-l
Pathology
Orthopedics (US), Orthopaedics
Cardiology
(UK)

Physiotherapy
Renal Unit
Pharmacy
Obstetrics

a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.

Neurology
Pediatrics (US), Paediatrics (UK)
Dermatology
Hematology (US), Haematology
(UK)
Surgery

Dispense medicines? Pharmacy


Treats kidney diseases? -----------------------------------Specializes in pregnancy -----------------------------------Studies illnesses and analysies samples?----------------Treats diseases of the skin? -------------------------------Performs operations on patients? -----------------------Designs special exercises for patients? ------------------Studies blood disorders? ----------------------------------Treats bones? -----------------------------------------------Specializes in the heart? -----------------------------------Deals with sick children? -----------------------------------Treats disorders of the nervous system? ----------------

Other Departments
Psychology
Psychiatry
Nutrition
Central Sterile Supply

Internal Medicine
Oncology
Intensive Care Unit
Pediatric Care Unit

B. Grammar
Prepositions of Place and Movement
a. Preposition of Place
In
Outside
On
Near
On top of
Next to
At the top of
By
At the bottom
In front of
Behind
of
Inside
b. Preposition of movement
Up
Through
Down
Across
Into
Along
Out of
Past
Away from
Back to

Opposite
Under
Over
At
On the left
On the right

Left
Right
To
Around

c. Verbs used together with prepositions of movement


Go
Take
Carry
come
Push

Complete the sentences with the appropriate prepositions.


1. The toilets are __________________ the ground floor,
_____________________reception
2. I always keep a pen ____________________my pocket.
3. Press the button _______________________your bed if you need the nurse.
4. Ill put your bag ________________________your bed, out of the way.
5. The restaurants _______________________top of the building, so take the lift!
6. Reception is ______________________the main entrance,
___________________the left
7. See that door over there? The car park is just ___________________________
8. Hes _____________Ward 3, _______________________the end of this corridor

C. Listening
Listen to these people giving direction and fill in the blanks
a. A : ........................here and the door you want is just..........................
Go...............the door and give your prescription to the
man ..........................counter
B: So, its just outside here?
A: Yes, just across the corridor.
b. A: .................................the hospital ......................these swing
doors. ...........................the corridor, take the first ......................, and
its the second door on your...................
B: ........................the swing doors, .............................the corridor,
first..................., second..............
A: Thats right.
c. A:....................................this corridor and turn left at the.......................
Go ......................the next corridor. Take the...........................left and
go..................................along that corridor. The ward you want is
right .........................................., ......................................you.
B: Thank you

D. Writing
Put the words under the correct picture

Exercise 1
Read the following descriptions, and then look at the map and follow
the directions. Write down the name of the place that you reach in the
end
1. Go straight on. Then take the first left on to Green Street. Walk past
the library and its the building next to the library on the left.
2. Go straight on. Go past the traffic lights. You will see a shop on the
right. Go past that and its on the right next to the shop.
3. Go straight on. Go past the traffic lights and go straight on until you get
to the roundabout. At the roundabout turn left. Go past the theatre. Its
the building next to the theatre, opposite the hospital.
4. Go straight on. Go past the traffic lights and take the second right on
to Kings Road. Go past the bookshop. Its the building next to the
bookshop opposite the caf.

Exercise 2
Look at the map again. Work in pairs. Give directions to your partner on how to
go to a place (factory, museum, etc.). Take turns.

Exercise 3
Write down the directions you gave to your partner in Exercise 2

UNIT 4: ACCIDENTS AND EMERGENCIES


A. Vocabulary
Apply
Check for
Immerse
immobilize

Keep
Make sure
Puncture
Remove

Squeeze
Sterilize
Swab
Treat

a. ....................a clean, sharp needle with alcohol.


b. .....................there is no glass or other foreign body in the wound.

c.
d.
e.
f.
g.
h.
i.
j.
k.
l.

Use the needle to .........................the blister


Dont.............................burnt clothing
..........................................a main artery if necessary
..........................the injured person lying down
...............................the injured body part once the bleeding has stopped
......................................the person for shock
Dont ...............................severe large burns in cold water
..............................signs of circulation
...............................with iodine or rubbing alcohol
...............................antibiotic ointment and cover with a bandage

B. Grammar
Imperatives
Functions:
Tell somebody what to do
- Check for signs of circulation
- Apply the pads to his chest
Tell somebody not to do something
- Dont remove the clothing
- Dont move the person
To emphasize what is important
- Make sure the wound is clean
- Make sure you dont touch his body
Pattern:
V+O+C
Close/the door/next to you
to be + C
Be/here at nine oclock
Asking for instructions
- What do I do now?
- Do I have to immobilize his leg?
- Shall I take of the dressing now?
- What dosage should I give him?

C. Listening
1. Listen and put the pictures in order

2. Listen again, underline the correct option in italics


a. The nurse gives two/three breaths into the patients mouth
b. The paramedic counts up to three/four after each push down on the
chest
c. The nurse pushes down on the chest fifteen/sixteen times
d. They set the charge on the defibrillator at 100/200
e. The nurse applies the pads on each side of/above and below the heart
f. The patient starts to respond after the first/second charge from the
defibrilator
g. The patient is given lidocaine/atropine
h. The dosage is 200 ml over one minute/100 ml over two minutes
3. Complete each sentence with a verb from the list, then listen
again to check
Check
Hold
Repeat
Give
Press
Set up
give
Put
Stand
Support

1. ...........................him CPR
2. ................................him mouth-to-mouth first.
3. ................................his head
4. Right, .........................his nose closed, then
5. ..............................your hand on his chest
6. ....................clear of his body.
7. Then.............................the buttons and hold for two seconds
8. ...............................his pulse again
9. OK. ..........................the procedure
10.Well done. Now...........................an IV and give

D. Writing
Write an SOP based on the CPR instructions in the Listening Part

E. Vocabulary 2
Cardiac monitor
Defibrillator
Bag-valve mask
IV pump
Bags of blood
Oxygen cylinders

AMBO
AMI
ATA
BHT
C
Cat
CPR
CVA
DoA
Dx
ETA
Fx
ICU
N/A
Pos
Pt
RTA
SHO
S/N
UNK

Oxygen regulator
Drug box
Ramp
Stretcher
Suction unit
Ambulance chair

Ambulance
Acute myocardial infarction (heart attack)
Actual time of arrival
Blunt head trauma
Critical
Category
Cardiopulmonary resuscitation
Cerebrovascular accident (stroke)
Dead on arrival
Diagnosis
Estimated time of arrival
Fracture
Intensive care unit
Not appropriate
Possible
Patient
Road traffic accident
Senior house officer
Staff nurse
unknown

F. Conversation
O = operator
C = caller
D = ambulance dispatcher
O : Emergency services. Which service do you require?
C : Ambulance, quick!
O: Connecting you.
D : Ambulance emergency. What number are you calling from?
C : Theres been a terrible accident.
D : OK, caller. Can you first give me your number so if we get cut off, I can call
you back?
C : Im on a mobile. Its zero zero seven nine double three triple six.
D : And where is the emergency?
C : Here, just outside my house
D : Its OK Sir, keep calm. I need to know where. Are you at the scene now?
C : Yes.
D : Where are you?
C : I am on Second Avenue in Newton
D : Second Avenue, right. And your name?
C : Alexander. Alexander Petit.
D : OK, Alexander. Tell me whats happened.
C : A lorry. Its a tanker. It was this terrible noise. A big crash and the shop wall
fell down. The driver he doesnt look too good.
D : Try to calm down, Alexander. Now, lets take it slowly. You say that a tanker
has crashed into a shop?
C : Yes.
D : In Second Avenue?
C : Yes. Is an ambulance coming?
D : Its on its way now. Dont worry. But I need some information from you to
give to the ambulance crew. Tell me who has been injured.
C: The drivers been thrown out of his can. He is not moving and I think someone
in the shop has been hurt too. Its Mrs. Williams, I think. A wall has fallen on her
and theres a lot of blood coming from her head. Shes not moving. The driver
doesnt look good. My God! I think hes having a heart attack!
D: What about the tanker? Do you know what its carrying?
C: No, but theres some liquid leaking from the back. It smells like petrol.
D: Hello, Alexander?
C : Hello, I can hear the ambulance now.

G. Writing
Date : 15/03
Time of call: 01.26
Type of emergency: RTA
Ambo ETA: 01.40
Ambo ATA: 01.32

Pt 1. M cat. C Pos. AMI


Pt. 2. F cat. C BHT
The ambulance was called out on the fifteenth of March
at ............................................to a serious........................after someone had
made an emergency call. A tanker carrying petrol had crashed into the wall of a
shop. The ambulances ...............................................was 1.40 a.m. but
its ................................................................was earlier.
There were two casualties.......................................was a male. He was not
moving and possibly suffering an..................................He was
categorized ............................................ ..............................was a female. Blood
from her head indicated that she was suffering a.............................

UNIT 5: PAIN
A. Vocabulary
Types of Pain
Throbbing pain
Sharp pain
Burning pain
Shooting pain
Dull ache
Gnawing pain
Cramping pain
Review on Body Parts
Head
Adams apple
Neck
Nape
Shoulder
Back
Armpit
Waist
Chest
Hip
Arm
Thigh

Bottom
Hair
Face
Eyes
Nose
Chin

Stomach
Ankle
Nail
Sole
Heel
Temple

Hand
Elbow
Palm
Fingers

Knee
Leg
Foot
Toes

Cheek
Lips
Mouth
Nostrils

Forehead
Ear
Earlobe
Eyebrows

B. Conversation
Nurse (A)
Patient (B)
A
B
A
B
A
B
A
B

: Good morning, Mr. Smith? How are you today?


: Im not feeling well today, actually.
: Whats wrong?
: Theres a pain around my stomach. Its quite bad.
: What kind of pain is it?
: Its a burning pain
: Do you always have it?
: It never goes away. Never.
: Is it getting worse?
: No, its staying the same.

C. Listening

Try to
1.
2.
3.
4.
5.

complete these phrase, then listen again and check.


Are you still ................ pain
Well, ..........................pain around my stomach
I ........................a slight pain, just here....................my right side.
Ive .................................this throbbing pain.........................my head.
I.....................getting this terrible pain............................ my left arm.

D. Reading
PAIN
Pain is a vital part of our body defenses, and without it we could not survive.
Pain warns us about things that are dangerous, and so helps us avoid
damage to our body. If the body is already damaged, pain helps with healing
because it makes us protect our injuries. Some babies are born with a rare
condition that makes them unable to feel pain. They do not learn the lessons
that the pain teaches, and as a result, suffer from many fractures and
infections.
Pain happens when nerve endings in our skin and our internal organs send
messages through the central nervous system to our brain. The brain itself
cannot feel the pain. There are two types of pain acute pain, which lasts a
short time and is removed when the cause is cured, and chronic pain, which

can last a lifetime and cannot be usually treated. Chronic pain must be
managed using drugs or other method.
Drugs relive pain in two ways. Some block the nerves messages and prevent
them getting to the brain. Others change the way the brain receives the
messages, reducing their effect. Many methods of controlling chronic pain
without drugs have been developed. These include hypnosis, acupuncture,
massage, and electronic stimulation of nerves.
Pain sometimes works in strange ways. It is possible, for example, to suffer
serious injury but not feel any pain soldiers in battle may not feel pain from
wounds until after the battle. The opposite can happen too patients who
lose a limb can continue to feel pain in the limb long afterwards, even though
it is missing. This phantom limb pain is an example of neuropathic pain,
caused by damage to the remaining nerves.
True or false
1. People who are born unable to feel pain are unlucky.
2. Pain starts in the brain
3. Chronic pain last longer than acute pain
4. All drugs which stop pain work directly on the brain
5. Phantom limb pain is felt by people who have lost an arm or leg

E. Grammar
1. Review on present tenses
Choose the correct option: Present Simple or Present
Continuous.
1. Mark usually goes / is going home on foot.
2. Listen! Ted plays / is playing the piano.
3. My mother is a good cook. Everything she cooks / is cooking is
excellent.
4. Now Stanley answers / is answering the phone.
5. They often watch / are watching TV in the evening.
6. Today Jessica goes / is going to school by car.
7. The dog sleeps / is sleeping under the table right now.
8. Water boils / is boiling at 100 Celsius.

Fill in the blanks with either the Present Simple or Present


Continuous form of the verbs in brackets.
1. Jason _______________(not / listen) to the radio very often.
2. Turn off the TV. You ______________(not / watch) it.
3. Where ______________ Sally usually ______________(spend) her summer
holidays?
4. Mr. Watson ______________(take) very good photos. Look! He
______________(take) a photo of you right now.
5. It always ______________(rain) at the weekend. But today the sun
______________(shine).
6. My friends ______________(leave) for Budapest tomorrow.

7. Carol ______________ (phone) her grandmother every day. She


______________(phone) her now.
8. Bob and Toms parents usually ______________(drive) them to school,
but today they ______________(go) by bus.
2. Past Tenses
Simple Past Tense
Functions:
To describe past events. Does not relate to the present.
Pattern:
(+) S + V2 + O + C
I met my highschool friend yesterday
(-) S + did + not + V1 + O + C
I did not meet my highschool friend yesterday
(?) Did + S + V1 + O + C
Did you meet your highschool friend yesterday?
Past Continuous Tense
Functions:
To describe an activity that was happening in the past. Usually used in conjuction
with Simple Past
Pattern:
(+) S + to be (past) + Ving + O + C
I was reading a novel
(-) S + to be (past) + not + Ving + O + C
I was not reading a novel
(?) To be + S + Ving + O + C
Were you reading a novel?
To in past tenses
Was I, you, he, she, it
Were they, we, you (plural)
Exercise
1. My son .........................a firework when
it................................and ......................his hand (explode, hold, burn)
2. I..........................of the car. My dad .................................the door
and.....................my fingers (get out, break, close)
3. My mum..................................is in the bathroom.
She...........................and .................her head. (hit, fall, get dressed)
4. I................................to music, when suddenly I........................................a
whistling in my ear and I..............................deaf. (hear, go, listen)
5. I......................................in the park, and a man......................me
and..........................me (punch, chase, run)

F. Conversation 2
Questions to assess pain
Where does it hurt?
Does it hurt all the time?
When did it start hurting?
Does the pain stay in one place or move around?
How much does it hurt?
Can you describe the pain?
Does anything make the pain feel better?
What makes it worse?
Nurse (A)
Patient (B)
A
B
A
B
A
B
A
B
A
B
A
B

: Good morning, Miss Coldwell? How are you today?


: Im not feeling well. This is so painful.
: Where does it hurt?
: My head. Oh, it is so painful
: How much does it hurt?
: It hurts so much that I find it hard to open my eyes
: Does the pain stay in one place or move around?
: It stays on my temples.
: Can you describe the pain?
: It is a constant stabbing pain.
: Does anything make the pain feel better?
: I feel better when I lay down.
: What makes it worse?
: If I see bright lights, it hurts more.

Do the same conversation with your partner and note down the information that
your partner gives you.

G. Writing
See the pain report below. Write a similar pain report using the
information you have collected from your partner
The patient experiences abdominal pain. It began suddenly last night as mild but
constant pain all over the abdomen. Now, the pain is worse and is on the right
hand side of the abdomen. The pain is worse when he coughs.

UNIT 6: SIGNS AND SYMPTOMS


A. Vocabulary
A rash

Dizziness

Numbness

Bruising
Constipation
A cough
Cramp
Deformity
Spots
Tiredness

Fever
Itching
Diarrhea (US), Diarrhoea (Br.)
A lump
Nausea
Swelling
Redness

Vomiting
Runny nose
Sickness
Sneezing
A sore throat
Aching
Dizziness

B. Listening
Listen to the patients describing their symptoms and match each one with their
condition

Listen again and tick the words you hear from this list

Listen again and fill in the blanks


1. How ..............it feel?
2. A little deformed, .....................?
3. ................... painful when you move it?

4. ...........................move your toes?


5. How...............................feeling?
6. ...............................a sore throat?
7. ...............................redness?
8. .......................going?
9. ..........................dizzy at all?
10.When................................sick, mostly?
11........................pain

C. Writing
Write down a report on the patients signs and simptoms for the patients in the
listening part.
Example for Patient 1:
Patient has a huge lump just a bove the ankle with quite a lot of bruising. The
ankle is a little deformed and swollen. She has difficulties to move her toes
because she cannot feel them.

D. Grammar and Structure (Review)


Basic English Structure
a. Statement (+)
S + V/to be + O + C
His name is Mr. Bracknell
b. Negative (-)
S + V/to be + not + O + C
His name is not Mr. Bracknell
c. Interrogative (?)
V/to be + S + O + C
Is his name is Mr. Bracknell?
Wh- question
a.
b.
c.
d.
e.
f.

What is your name?


Where are you from?
Where do you live?
What is your date of birth?
Where were you born?
What is your marital status?

Simple Present Tense


Functions:
- General facts
- Habitual actions
(I, You, We, They)(+) S + V1 + O + C
I read novels every day

(-) S + do + not + V1 + O + C
I do not read novels every day
(?) Do + S + V1 + O + C
Do you read novels every day?
(He, She, It)
(+) S + V1 + s/es + O + C
She reads novels every day
(-) S + does + not + V1 + O + C
She does not read novels every day
(?) Does + S + V1 + O + C
Does she read novels every day?
Present Continuous Tense
Functions:
- Actual current activities
- Activities that are currently in process
- Planned future activities (almost certain)
(+) S + to be + Ving + O + C
I am reading a novel now
(-) S + to be + not + Ving + O + C
I am not reading a novel now
(?) To be + S + Ving + O + C
Are you reading a novel now?
(Future planned action)
(+) S + to be + Ving + O + C (future)
I am going to Jakarta tomorrow (almost 100%
possibility)
(-) S + to be + not + Ving + O + C (future)
I am not going to Jakarta tomorrow
(?) To be + S + Ving + O + C (future)
Are you going to Jakarta tomorrow?
Imperatives
Tell somebody what to do
- Check for signs of circulation
- Apply the pads to his chest
Tell somebody not to do something
- Dont remove the clothing
- Dont move the person
To emphasize what is important
- Make sure the wound is clean
- Make sure you dont touch his body
When asking for instruction
- What do I do now?
- Do I have to immobilize his leg?
- Shall I take of the dressing now?
- What dosage should I give him?
Simple Past Tense
To describe past events. Does not relate to the present.
(+) S + V2 + O + C

I met my highschool friend yesterday


(-) S + did + not + V1 + O + C
I did not meet my highschool friend yesterday
(?) Did + S + V1 + O + C
Did you meet your highschool friend yesterday?
Past Continuous
Functions:
To describe an activity that was happening in the past. Usually used in conjuction
with Simple Past
I was reading when he knocked the door
(+) S + to be (past) + Ving + O + C
I was reading a novel
(-) S + to be (past) + not + Ving + O + C
I was not reading a novel
(?) To be + S + Ving + O + C
Were you reading a novel?
To be in past continuous
Was I, you, he, she, it
Were they, we, you (plural)

Exercise
1. Last year I (not / work) hard enough for English, that's why my marks
(not / be) really that good then.
2. During my last summer holidays, my parents (send) me on a language
course to London.
3. It (be) great and I (think) I (learn) a lot.
4. Before I (go) to London, I (not / enjoy) learning English.
5. But while I (do) the language course, I (meet) lots of young people from all
over the world.
6. There I (notice) how important it (be) to speak foreign languages
nowadays.
7. Now I (have) much more fun learning English than I (have) before the
course.
8. At the moment I (revise) English grammar.
9. And I (begin / already) to read the texts in my English textbooks again.
10.They (build) a new power station at the moment.

11.When I was buying the stamps somebody (call) my name.


12.What time (Kevin come)?' 'An hour ago.'
13.

I (not go) to the cinema last night. I


did Kevin come

'What time (Kevin

was too tired.


14.

Carol invited us to the party but we


did not go

I (not go) * to the

(not go). We had other things to do.


15.

I saw Bridget at the museum when


did not go

Carol invited us to

I was going to the restaurant but she (not see) me.

UNIT 7: VITAL SIGN CHECKS


A. Vocabulary

Admission
Obs (Observation)
Oxygen Sats (Saturation)
Weight
Weigh
Scales
Tympanic thermometer
Blood pressure cuff
DOB (Date of Birth)
First Name

Surname
Sleeve
Hold out ...hand
Lead
Spygmomanomater
Diastolic pressure
Systolic pressure
Roll up
BP (Blood Pressure)

B. Listening and Conversation


Listening
Stephen (S)
: Good morning, Mr. Bracknell. Im here to do
your ...........................Obs.
Mr. Bracknell (B) : Obs?
S
: .................................... Its your weight, temperature, pulse
and respirations. Also, your ........................ and oxygen sats
that is the amount of oxygen in .........................
B
: Oh, right
S
: Ill weigh you first. Can you stand on .........................,
please?
B
: Yeah, sure. Whats my weight?
S
: Let me see. Its 78 kilos.
B
: Oh well, thats all right.
S
:
Yes,
thats
fine.
Now,
Im
going
to
take .........................................
B
: OK
S
: Im going to take it in your ear with this
tymphanic ................................
B
: Thats new.

S
B
S
B
S
B
S
B
S
B
S
B
S
B
S
B
S
B
S
B
S

: Yes. ....................................... your head to one side for me,


please?
: Sure. This side?
: Thats fine. Ill just wait for the beep. Right.
Its .............................. three
: Now what?
: Ill put the ............................... cuff on. Can you roll up your
sleeve, please?
: Sure, no problem
: Can you put .............................. out straight? Thats it. Ill
put on the blood pressure cuff.
: Thats for my blood pressure?
: Yes, the machine will read your blood pressure
and ......................
: OK. Whats the other lead for?
: It reads the amount of .............................. in your blood.
: Oh yes. I remember. ......................., right?
: Yes, very good. Can you ......................... your hand, please?
: This hand?
: Thats fine. Im going to clip the lead onto .............................
so itll give me a reading for oxygen sats.
: Mm. So, how are my readings? Are they normal?
: Let me see. Your BPs a hundred and twenty
.......................seventy five. Thats quite normal
: Thats good. Is ..................... all right, too?
: Its 68. Thats fine
: What about the ..........................?
: Your oxygen sats are 98%. Thats fine too. Now, Ill finish by
noting down your respiration they were 16 ....................per
minute. I counted them while

Conversation
Do the conversation with your partner by asking these questions and by doing
vital sign checks. Fill in the medical record in the writing part based on the
information you collected.
What is your name?
How old are you?
Where do you live?
What do you do?
Where are you from?
What is your religion?
What is your marital status?
What is your nationality?
What is your reason for visiting this hospital/clinic?
Do you have any allergy?

C. Writing
Surname: ............................................
.....
DOB: ...................................................
...

First name .........................................


Gender
M/F

Occupation
_____________________________________________________
Marital Status
_____________________________________________________
Next of kin
_____________________________________________________
Contact No. _____________________________________________________
Smoking intake _____________________________________________________
Alcohol intake
_____________________________________________________
Reason for admission _________________________________________________
Medical history ______________________________________________________
Allergies
______________________________________________________
Blood Pressure ______________________________________________________
Temperature _______________________________________________________
GP
______________________________________________________

D. Reading
Tongue Diagnosis
Zetsu shin is used in traditional Chinese medicine. Practitioners examine the
tongue in order to diagnose illness and to find out about the personality of the
patient. Complete the text about zetsu shin using the words below.
Disorder
Balance
Sign
State
Condition
Problems
Effectively
Indicates
Thinking
Aggressive
Color
Blood
..............................are
associated
with
a
white
tongue.
Yellow.....................................a disordered liver and gallbladder. Blue or purple
shows up a ...........................................in the digestive system. Purple on the
underside shows the immune system is not working................................. A dark
red tongue can be a .........................................of inflammation or ulcers in the
body.
Movement
The flexibility of the tongue shows the general ...................................................of
the digestive system.
Width
A
wide
tongue
is
good,
for
it
shows
a
physical
and
psychological..................................
A
narrow
tongue
indicates
sharp ........................................
Tip
A rounded tip shows a...........................................of good physical and mental
health.
People
whose
tongues
have
a
pointed
tip
have............................................personalities.

E. Grammar
Simple Past Tense
Functions:
- Past stories
- No connection with the presence
(+) S + V2 + O + C
I met the patient yesterday
(-) S + did + not + V1 + O + C
I did not meet the patient yesterday
(?) Did + S + V1 + O + C
Did you meet the patient yesterday?

Present Perfect Tense


Functions:
- Starting in the past until now
- Emphasize on effect
(+) S + has/have + V3 + O + C
She has taken care of the patient since yesterday
(-) S + has/have + not + V3 + O + C
She has not taken care of the patient since yesterday
(?) Has/have + S + V3 + O + C
Has she taken care of the patient since yesterday?

Exercise
Before I (visit)...............................Australia, an Australian friend in London
(tell)......................me that I would learn the Australian salute. What is that? I
(ask)....................... Youll find out when you get there, he (say)...........I
(arrive)....................in Perth last week. Since then I (stay)...........................at a
nice hotel near a beautiful beach. I (never visit)....................................Australia
before and I am enjoing my stay. Yesterday, an Australian friend (suggest).........a
tour into the bush. I (agree)........................at once. The first thing I
(notice).....................when we (to be) .....................in the bush (to
be)................................the flies. I suddenly (remember)................................the
conversation I had had in London before I
(come)...............................here.
Whats
the
Australian
salute?
I
(ask)...........................while I waved my right arm to keep the flies away. Thats
it! my friend said as he (wave)............................back!

UNIT 8: DEATH AND DYING


A. Vocabulary
1. Match the words with a definition
1. Terminal
2. Fatal
3. Go downhill
4. Coma
5. Life support
6. Pass away
7. Mortuary

a. (of an accident or illness) that


causes death.
b. To become more and more weak
or ill.
c. An examination of a body to find
out how the person died.
d. The use of machines to keep a
person alive.
e. (of an illness) that cannot be
cured, and causes death.
f. A room in a hospital where dead
bodies are taken and stored.
g. An unconscious state that a

8. Post-mortem

person cannot wake from.


h. A polite word meaning to die

2. Complete these sentences using the words in number 1.


a. This
boy
has
serious
head
injuries.
He
has
been
in
a.......................................for a week.
b. The
patient
stopped
breathing,
and
is
now
on
a.....................................machine.
c. We need a porter to take the body to the..............................................
d. Im afraid your father................................in his sleep last night.
e. There was a...........................................accident outside the hospital.
Both drivers were killed.
f. The.......................................showed that the elderly lady died of a
stroke.
g. After a bad fall, Mr. Deans ....................................very fast and died the
following weak.
h. This gentleman has.................................cancer. With treatment, he
may live another year.

B. Listening
1. A nurse visited Henry Jacobs in the days before he died. Listen to him
reporting to his supervisor and answer the questions.
a. When did the nurse first visit Mr. Jacobs?
b. What happened at four on Monday?
c. When did Mr. Jacobs die?
2. There are some things that can happen when a person is dying. Listen
again and circle the things that the nurse mentions.
a. The patients hands, arms, and feet become cool.
b. They become incontinent.
c. They hallucinate (see people or things that are not really there).
d. They want to sleep all the time.
e. They have difficulty breathing.
f. They become restless (unable to rest).
g. They lose consciousness.
h. They become confused about time, place, and who people are.
i. The color of their skin changes.
j. Their breathing becomes irregular.
k. They dont want to eat or drink.

C. Conversation and Writing


4. Work in pairs. Report on a death of a patient based on the information on
your card to your partner.
5. Based on the report from your partner, write a death certificate using the
following form.
DEATH CERTIFICATE
Name
Age

:
:

Date of Death
Place of Death
Date last seen by the doctor

:
:

Please tick one of the followings:


- There wll/ will not be a post-mortem
- the death will be reported to a coroner
Cause of death
1a Primary cause of death
1b Due to
1c Due to
Other important conditions
-

D. Grammar
Expressing possibility
May
Might
Could

She may come tomorrow.


It might rain this afternoon.
Tony has developed a rash. He could
be allergic to penicillin.
He says his ear hurts. Perhaps he has
an infection.
She is talking to herself. Maybe shes
having hallucinations.
It is possible that he has cancer.

Perhaps
Maybe
It is possible that

Exercise
Complete these sentences using an item from the top group and a verb from the
bottom group.
May
Maybe

Might
Perhaps

Could
Its possible that

Left
Be

Is
Go

Has gone
Have to

1. I cant find my phone. I ____________________ ___________________ buy another


one.
2. I ________________________ _________________ a little late for my shifit. My bus
isnt here yet.
3. I ________________________ ______________________________ to the cinema
tonight. I havent decided yet.

4. Marie isnt here? _______________________ she _____________________ill today.


5. The bed is empty. ______________________Mrs. Lewis _______________home.
6. Youve lost your notebook? __________________________ you
________________________ it at the reception.

UNIT 9: MEDICATION
A. Vocabulary
A painkiller
A sedative
An anti-inflammatory
An inoculation
An antibiotic

An antihistamine
A stimulant
An antidepressant
A laxative
A supplement

Which type of medicine matches these condition?


a. Infection
f. Headache
b. Malnutrition
g. Swelling
c. Constipation
h. Vaccination
d. Weakness
i. Allergy
e. Minor surgery
j. Depression
Match the pictures with the name

Syringe
Inhaler
Ointment

Suppository
Adhesive patch
Tablespoon

Capsules
IV drip
Dropper

B. Listening
1. Listen to the nurse giving information about patients medication. Match
each patient with the problem they have and with a medication type.
Patient
Mr. Gupta
Mr. Gill
Mr. Sawyer
Mr. Thomas
Mr. Cheong

Problem
Allergy
Constipation
Skin infection
Respiratory tract
infection
Abdominal pain

Medication
Antibiotic
Painkiller
Laxative
Antibiotic
Antihistamine

2. Listen again and write down the dosage for each patient
a. Mr. Gupta
..........................mg of Morphine every ................hours
b. Mr. Gill
a ...............mg infusion of Clindamycin over a ........
hour period
c. Mr. Sawyer
one ................mg tablespoon of
metamucil.............times a day

d. Mr. Thomas
.....................mg of Cephalexin
every........................hours.
e. Mr. Cheong
an injection of ................. mg of dimotane
every..............hours.

C. Vocabulary 2 and Writing


Vocabulary
Common abbreviations for medication dosage
Abbreviation
q.d.
q.h.
q.2.h
q.3.h......(q.4.h., q.5.h, and so on)
b.i.d
t.i.d
q.i.d
q.a.m.
h.s.
a.c.
stat

Frequency
Every day
Every hour
Every two hours
Every three hours.......(every 4 hours,
every 5 hours, and so on
Twice a day
Three times a day
Four times a day
Every morning
At bedtime
Before meals
Immediately

Common abbreviations for medication route


Abbreviation
PO
IM
IV

Meaning
Per oral, through mouth.
Intramuscular injection
Intravenous

Example:
Amoxicillin PO t.i.d
Writing
Try writing down the dose and route youve heard in the listening part in
abbreviation.

D. Reading
Read the following text
Pandemics and Tamiflu
When someone who has flu sneezes nearby, you take tiny droplets of their saliva
into your lungs. The droplets contain viruses that are looking for a new home.
They get into your lungs and then into your blood, and can quickly take over your
whole body, using it as a factory in which they can reproduce.

At any time, a deadly macterium or a virus can become very successful and
spread across the world, killing millions of human beings. When this happens, it
is called a pandemic.
There was a pandemic in 1918. An influenza virus called H1N1 or Spanish flu
killed between 50 and 100 million people. More people died from H1N1 than
were killed in the First World War.
Since 1918, the H1N1 virus has mutated. Now, there is a mutation called H5N1.
When this mutation first appeared in China in 1996, there was a desperate
search for a medicine to deal with it. The pharmaceutical company Roche came
up with a drug called Tamiflu.
Tamiflu does not kill H5N1, but stops it making copies of itself. If given early
enough, vaccinations of Tamiflu could perhaps save many lives. However, the
virus will continue to mutate, and might become resistant to Tamiflu. The next
mutation may already be with us by the time youre reading this!

Exercise
Decide whether the following sentences are true (T) or false (F)
1.
2.
3.
4.
5.
6.
7.

A pandemic is a type of virus.


Viruses reproduce outside your body.
More people died from Spanish flu than were killed in the First World War.
H1N1 is the name of a pandemic.
H5N1 is an antiviral drug.
Tamiflu is made by Roche.
Tamiflu stops H5N1 spreading.

E. Grammar
Passive Voice
Function:
Passive voice digunakan ketika fokus dari kalimat adalah tindakannya, dan bukan
orang yang melakukan tindakan tersebut.
Pattern:
S + to be (according to the tense) + V3 + O (if necessary) + C
Example:
Tamiflu
was
invented
in 1996
S
to be
V3
C
He

was

hit

by a bus
S

C
Exercise:
Rewrite the following sentences in passive voice.
1. He opened the door.
2. The mayor will write a decree.

yesterday
to be
V3

3. The car has hit the cat twice.


4. He doesnt read the book.
5. She has eaten two slices of bread.
6. Rani sang three songs.
7. The lecturer wrote three textbooks.
8. The patient has not taken the medicine.
9. The nurse bathe the patient.
10.The man has painted the wall.

LAMPIRAN
INTERVIEW SHEET
1. Ask your partner:
Name:
Address:
Where they are from:
Age:
Occupation:
Hobby:
2. Ask the following questions to your partner:
Why do you want to be a nurse?
What kind of nurse would you like to be? Why?
Where do you hope to work?
What are you good at?

What do you usually do in your free time?

EXAMPLE OF REPORT SHEET


I would like to introduce my friend. His name is Farhan. He lives on Jalan Sekeloa
No. 2 Bandung. He is originally from Cianjur. He is now 20 years old. He is a
student and he likes hanging out with his friends. He also likes fishing and
singing, although he admitted that his voice is not really good.
He wants to be a nurse because he likes working with people and shes
interested in science but she really doesnt like doing paper work.
Hed like to be a pediatric nurse because he really enjoys working with children.
He hopes to work in a childrens hospital in Australia because the nurses pay
there is good and he wants to go around Australia to meet the kangaroos and
koalas.
He is good at talking to people and making them feel comfortable. He is also
very organized. In his free time he plays guitar and hangs out with his friends on
weekend.

DAFTAR PUSTAKA
1. Allum, V., Patricia McGarr. 2013.Cambridge English for Nursing:Preintermediate.Cambridge University Press: UK.
2. Alexander, L.G..1998. Longman English Grammar Practice
(Intermediate). Longman Group:UK.
3. Eastbook, J. 1987. Basic English Grammar Exercise.Oxford: UK
4. Grice, T.2013. Oxford English for Careers: Nursing 1. Oxford University
Press: UK.
5. Grice, T., James Greenan. 2013.Oxford English for Careers: Nursing 2.
Oxford University Press: UK
6. Hoshima, Alice, Anne Hogue. 2005. Writing Academic English. Pearson
Longman: UK.

7. Pyle, Michael A., Mary Ellen M.P.1995. Cliffs TOEFL Preparation Guide.
Cliffs: US.

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