Page 70 - Modul English Communication In Nursing

Scenario 2: Activities-Exercise Pattern

Background:
A 40-year-old patient, Mrs. Malika, reports difficulty breathing after short walks and mentions that her feet
swell by the end of the day. She has also noticed a persistent cough and occasional discomfort in her chest.
The nurse needs to assess her respiratory and cardiovascular health, as well as possible circulation issues.

Nurse Vina : “Assalamu alaikum, Mrs. Malika. I hope you’re feeling comfortable today despite
the challenges you’ve been experiencing.”
Mrs. Malika : “Wa alaikum assalam, Nurse Vina. Thank you. I’ve been struggling with my
breathing and feeling quite uneasy.”
Nurse Vina : “I’m sorry to hear that. Let’s start with some questions to better understand your
situation. (1) ____________ cause you to feel out of breath?” (Clue: Asking about
activities)
Mrs. Malika : “Even short walks or climbing stairs make it hard to breathe.”
Nurse Vina : “I see. (2) ____________ you usually notice the swelling in your feet?” (Clue:
Asking about time)
Mrs. Malika : “It gets worse by the end of the day, especially after standing or walking for a long
time.”
Nurse Vina : “That’s helpful to know. (3) ____________ helps you with daily tasks when you’re
feeling too weak to move around?” (Clue: Asking about the person assisting)
Mrs. Malika : “My daughter helps me with chores and cooking when I can’t manage.”
Nurse Vina : “Alhamdulillaahirobbil'alamiin. Having family support is a blessing. Let me check
your breathing and heart now using (4) ____________ to listen for any (5)
____________ or abnormal sounds.” (Clue: Listening to internal sounds and a type
of heart abnormality)
(After completing auscultation)
Nurse Vina : “Alhamdulillaahirobbil'alamiin. I didn’t detect any significant (6) ____________,
but we’ll monitor closely. (7) ____________ your chest feel when you’re breathing
deeply or coughing?” (Clue: Asking about how it feels)
Mrs. Malika : “It feels tight and uncomfortable, especially when I cough.”

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