OET Nursing Roleplay: Hypertension Follow-Up
Nurse (Candidate):
Good morning, Marcia. It’s nice to see you again. How are you feeling today?
Patient (Roleplayer):
Oh… hello nurse. I’m alright, thank you. A bit nervous, actually.
Nurse:
I understand. Don’t worry, this is just a routine follow-up. I can see from your notes that
your blood pressure is a little higher than we’d like. Would you mind if I ask you some
questions to understand how things have been going at home?
Patient:
Yes, alright.
Nurse:
First, have you been taking your blood pressure medications regularly?
Patient:
Well… not always. To be honest, sometimes I forget, and sometimes I just don’t bother
because I feel fine. I’ve retired, you know, so I’m actually just very relaxed about
everything.
Nurse:
Thank you for being honest. Congratulations on your retirement, it must be good to feel
free. It’s quite common for people to miss doses, but I should explain that high blood
pressure doesn’t usually cause symptoms. Even if you feel well, your blood pressure can
still be putting a strain on your heart and blood vessels. That’s why it’s important to take
the tablets every day as prescribed.
Patient:
Hmm. I see. Well, sometimes I just sleep until late, so I end up missing the prescribed
time.
Nurse:
I understand, especially now with new routines. However, you must know that the is
fundamental to keep your blood pressure under control. When taken correctly, it is more
effective at reducing your risk of serious problems such as stroke, heart attack, or kidney
damage. Taking them regularly is the best way to protect your health.
Patient:
I hadn’t thought about it like that.
Nurse:
That’s understandable. Apart from medication, lifestyle also plays a big part. Can I ask—
how has your exercise and diet been lately?
Patient:
Oh… not great. Since I retired, I’ve let things slide. I don’t really exercise anymore, and I eat
what I like. But I feel fine, so I didn’t think it mattered.
Nurse:
I hear you. It can be difficult to keep up routines once your daily schedule changes. The
thing is, diet and exercise make a big difference to your blood pressure. For example,
walking for just 30 minutes most days and eating more fruit and vegetables can lower your
blood pressure naturally.
Patient:
Hmm… but at my age, is it really worth it?
Nurse:
Absolutely. Even small changes can improve your energy levels, keep your blood pressure
stable, and reduce the risk of future complications. And we can start gradually, maybe a
short walk after lunch and cutting back a little on salt in meals.
Patient:
Well… I suppose I could try walking a bit more. I only go for a walk once a week, I have the
time now.
Nurse:
That sounds like a great start. If you like, I can give you some written information with
simple steps to follow. We can also schedule another appointment in a few weeks to see
how you’re getting on.
Patient:
Alright, nurse. I’ll give it a try.
Nurse:
Excellent. So, to summarise, the main points are: take your medications every day, try to
include some gentle exercise like walking, and aim for healthier meals with less salt and
more vegetables. Does that sound manageable?
Patient:
Yes, I think so. Thank you for explaining, it makes more sense now.
Nurse:
You’re very welcome. And remember, we’ll support you along the way.