0% found this document useful (0 votes)
24 views5 pages

Nurse Patient Assessment Dialogue

A nurse named Khaerul assesses a 19-year old patient named Deni at a hospital in Bandung, Indonesia. The nurse collects Deni's personal information, including his name, age, address, insurance, and occupation as a student. The nurse then checks Deni's vital signs and examines his throat, head, face, and neck. Deni complains of a dull throat pain for the past 3 days. The nurse finds Deni's vital signs are normal and reassures him not to worry. After completing the assessment, the nurse says they will consult with the doctor about Deni's condition.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
24 views5 pages

Nurse Patient Assessment Dialogue

A nurse named Khaerul assesses a 19-year old patient named Deni at a hospital in Bandung, Indonesia. The nurse collects Deni's personal information, including his name, age, address, insurance, and occupation as a student. The nurse then checks Deni's vital signs and examines his throat, head, face, and neck. Deni complains of a dull throat pain for the past 3 days. The nurse finds Deni's vital signs are normal and reassures him not to worry. After completing the assessment, the nurse says they will consult with the doctor about Deni's condition.
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

English Task

Nama : IYAM DAUD

h, on a scale of 1 to 10, with ten the worst, how would you rate what you feel right now?
Patient : I tNim : 841416148

Ners B

In the morning at the hospital Bandung area, a nurse named is Khaerul will to assess patient
named Mr Deni.

Nurse : Good morning Mr. (gereted with a friendly)


Patient : Good morning nurse.
Nurse : Well Mr, I need to collect your personal data. Im going to ask you some question.
Petient : Certainly, nurse.
Nurse : Ok Mr, what is your name?
Patient : My name is Deni.
Nurse : How old are you Mr. Deni?
Patient : Im 19 years old.
Nurse : Where do you live?
Patient : I live i
Nurse : Are you married?
Patient : No, Im single, nurse.
Nurse : Do you have any health Insurance?
Patient : Yes, I have health insurance.
Nurse : What is it?
Patient : My health insurance is ASKES, nurse.
Nurse : What is your occupation?
Patient : Im a student
Nurse : Dou you have a doctors referral?
Patient : No, I dont have. Because Iv never sick nurse, if I have pain usually I just eat
vitamins.
Nurse : Ok, first Im going to check your vital sign Mr. Deni.
Patient : Ok
Nurse : (Doing it) Sorry Mr. what do you feel now?
Patient : My throat is very painful,nurse.
Nurse : Are you saying that your throat is painful Mr.?
Patient : Yes nurse
Nurse : When did you first notice your pain?
Patient : I have this pain since 3 day ago, Is my condition very bad nurse? Im very afraid
Nurse : Dont be afraid Mr Deni, you will be ok.
What is your pain like? Sharp, dull, stabbing, or acching?
Patient : Its like dull pain,nurse.
Nurse : Owhink the feeling of pain I felt right now on a scale of 4.
Nurse : oke,, I have a finish to check your vital sign, your blood pressure is 100/80 mmHg, your
temperature 36,5C, your respirate rate is 21x/minute, and your heart rate is 86x/minute.
Patient : Is that normal nurse?
Nurse : yes Mr. Deni doesnt be afraid, this is never mind
Patient : oke nurse.
Nurse : Excuse me, ok.. . .Now I want to asses your head, face, and neck.
Patient : oke nurse
Nurse : Mr. Deni, Please do my intruction...ok??
Patient : okk
Nurse : Excuse me Mr,.. now I want to observe your head and your hair..
Patient : Oke Nurse
Nurse : Would you raise your eyebrows?
Patient : yes
Nurse : Please close your eyes tighly Mr
Patient : (close my eyes)
Nurse : now, I want to observe you eyes colour.
Patient : oke nurse
Nurse : its time for me to check check your nose
Patient : yes nurse
Nurse : Im going to press your frontal sinus, if you fell painful, please talk to me...
Patient : oke on the
Nurse : Mr. Deni please breathe with your other nostril, And I will press the other one
Patient : oke nurse
Nurse : do you have difficultly breathing throught the nose?
Patient : no
Nurse : Will you do the same the opposite part?
Patient : yes ..of course
Nurse : Do you have nasal discharge?
Patient : no,
Nurse : have you experienced any injury to your nose?
Patient : no, Nurse
Nurse : have you ever head bleeding from your nose Mr. Deni?
Patient : no, nurse
Nurse : oke, next... I would like to examine your mouth, Are you ready Mr.?
Patient : oke, I ready
Nurse : Mr. Please smile
Patient : (doing the instruction)
Nurse : Would you show your teeth?
Patient : (doing the instruction)
Nurse :Do you brush your teeth every day?
Patient : yes...of course
Nurse : How many time in the day?
Patient : 3 x nurse
Nurse : its good..can you open your mouth?
Patient : yes...AAAAAAA
Nurse : now, I want to check your reflexplease say AAAHHH
Patient : AH
Nurse : sipppp
Patient : okkk
Nurse : Please, put of your cheeks
Patient :upppsss
Nurse : Please shurg your shoulders
Patient : eehhhhmmmm
Nurse : Would you flex your neck with ear toward your left and right shoulder?
Patient : oke
Nurse : oke Mr. I have finish to asses your personal data and assesment your head,face, and
neck. Now, I will consultation with the doctor about your condition,
Patient : thanks you very much nurse
Nurse :youre welcome
In the morning at the hospital Bandung area, a nurse named is Khaerul will to assess patient
named Mr Deni.

Nurse : Good morning Mr. (gereted with a friendly)

Patient : Good morning nurse.

Nurse : Well Mr, I need to collect your personal data. Im going to ask you some question.
Petient : Certainly, nurse.
Nurse : Ok Mr, what is your name?
Patient : My name is Deni.
Nurse : How old are you Mr. Deni?
Patient : Im 19 years old.
Nurse : Where do you live?
Patient : I live in Jatihurip.
Nurse : Are you married?
Patient : No, Im single, nurse.
Nurse : Do you have any health Insurance?
Patient : Yes, I have health insurance.
Nurse : What is it?
Patient : My health insurance is ASKES, nurse.
Nurse : What is your occupation?
Patient : Im a student
Nurse : Dou you have a doctors referral?
Patient : No, I dont have. Because Iv never sick nurse, if I have pain usually I just eat
vitamins.
Nurse : Ok, first Im going to check your vital sign Mr. Deni.
Patient : Ok
Nurse : (Doing it) Sorry Mr. what do you feel now?
Patient : My throat is very painful,nurse.
Nurse : Are you saying that your throat is painful Mr.?
Patient : Yes nurse
Nurse : When did you first notice your pain?
Patient : I have this pain since 3 day ago, Is my condition very bad nurse? Im very afraid
Nurse : Dont be afraid Mr Deni, you will be ok.
What is your pain like? Sharp, dull, stabbing, or acching?
Patient : Its like dull pain,nurse.
Nurse : Owh, on a scale of 1 to 10, with ten the worst, how would you rate what you feel right
now?
Patient : I think it is about 4.
Nurse : oke,, I have a finish to check your vital sign, your blood pressure is 100/80 mmHg, your
temperature 36,5C, your respirate is 21x/minute, and your heart rate is 86x/minute.
Patient : Is that normal nurse?
Nurse : yes Mr. Deni doesnt be afraid, this is never mind
Patient : oke nurse.
Nurse : Excuse me, ok.. . .Now I want to asses your head, face, and neck.
Patient : oke nurse
Nurse : Mr. Deni, Please do my intruction...ok??
Patient : okk
Nurse : Excuse me Mr,.. now I want to observe your haed and your hair..
Patient : Oke Nurse
Nurse : Would you rise your eyebrows?
Patient : yes
Nurse : Please close your eyes tighly Mr
Patient : (close my eyes)
Nurse : now, I want to observe you eyes colour.
Patient : oke nurse
Nurse : its time for me to check check your nose
Patient : yes nurse
Nurse : Im going to press you on the spot (frontal sinus), if you fell painful, please talk to me...
Patient : oke
Nurse : Mr. Deni please breathe with your other nostril, And I will press the other one
Patient : oke nurse
Nurse : do you have difficultly breathing throught the nose?
Patient : no
Nurse : Will you do the same the opposite part?
Patient : yes ..of course
Nurse : Do you have nasal discharge?
Patient : no,
Nurse : have you experienced any injury to your nose?
Patient : no, Nurse
Nurse : have you ever head bleeding from your nose Mr. Deni?
Patient : no, nurse
Nurse : oke, next... I would like to examine your mouth, Are you ready Mr.?
Patient : oke, I ready
Nurse : Mr. Please smile
Patient : (doing the instruction)
Nurse : Would you show your teeth?
Patient : (doing the instruction)
Nurse :Do you brush your teeth every day?
Patient : yes...of course
Nurse : How many time in the day?
Patient : 3 x nurse
Nurse : its good..can you open your mouth?
Patient : yes...AAAAAAA
Nurse : now, I want to check your reflexplease say AAAHHH
Patient : AH
Nurse : sipppp
Patient : okkk
Nurse : Please, put of your cheeks
Patient :upppsss
Nurse : Please shurg your shoulders
Patient : eehhhhmmmm
Nurse : Would you flex your neck with ear toward your left and right shoulder?
Patient : oke
Nurse : oke Mr. I have finish to asses your personal data and assesment your head,face, and
neck. Now, I will consultation with the doctor about your condition,
Patient : thanks you very much nurse
Nurse :youre welcome

You might also like