Page 80 - Modul English Communication In Nursing

Vocabulary: Independent and Collaborative Nursing Care Plan

Complete the following dialogue by filling in the blanks with the appropriate nursing vocabulary
a. from the list provided:

Nursing Care Plan Nursing Intervention Implementation Documentation
Assessment Patient Outcomes Evaluation
Nursing Diagnosis Goals Collaboration

Nurse Aisha : “Assalamu alaikum, Mr. Fajar. I’m here to check on you and review your 1) ________.
How are you feeling right now?”
Mr. Fajar : “Wa alaikum assalam, Nurse Aisha. I’m feeling very weak and my breathing is heavy.”
Nurse Aisha : “Thank you for sharing that with me. Let’s start with a quick 2) _________. I’ll take your
vital signs and listen to your lungs. This will help me better understand your condition
for the 3) ________.”
: (Nurse Aisha assesses Mr. Fajar’s breathing and vital signs.)
Nurse Aisha : “Alhamdulillaahirobbil'alamiin. Based on my 4) _________, your blood pressure is
elevated, and your oxygen level is lower than we’d like. So, I’ve recorded this as part of
your nursing diagnosis—your current needs require a high level of attention.”
Mr. Fajar : “Is it very serious, Nurse?”
Nurse Aisha : “We’re taking it very seriously, Mr. Fajar. We have set specific 5) ________ for your
care plan. For now, our main goal is to increase your oxygen level to above 92% and
lower your blood pressure to a safer range. We’ll use SMART 6) _________ to ensure
everything is measurable and achievable.”
Mr. Fajar : “What does that mean for me?”
Nurse Aisha : “It means that we will have targeted steps to help you improve, with clear criteria for
success. Right now, I’ll start the 7) __________ we have outlined for you. One 8)
_________ is to provide oxygen therapy. This is an independent action I can take right
now. Also, I’ll work in 9) __________ with the physician to adjust your blood pressure
medication, which is a collaborative intervention.”
Mr. Fajar : “How long will it take to feel better?”
Nurse Aisha : “With the 10) __________ in place, we’ll monitor your patient outcomes closely. I’ll
check your oxygen and blood pressure every 15 minutes to see if we’re reaching our
goals. Your improvement will show us how effective our interventions are.”
Mr. Fajar : “And if I don’t improve?”
Nurse Aisha : “If we see that the goals are not being met, we’ll perform an 11) ________ of the
nursing care plan and make any needed adjustments. This step is essential to ensure
your care is as effective as possible. Finally, all of my actions will be included in your
records as part of your 12) _________, so all team members are up-to-date and can
continue providing the best care.”
Mr. Fajar : “Thank you, Nurse Aisha. I feel better knowing there’s a clear plan.”
Nurse Aisha : “Alhamdulillaahirobbil'alamiin. Before we end, let’s recite a prayer together for your
recovery. Allahumma rabban naas mudzhibal ba'si isyfi antasy-syaafii laa syafiya illaa

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