门诊及住院护理常用英语口语-.ppt

,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,学习目的要求,以实用为原则，以门诊临床日常工作为模板。,1,、掌握护理程序的步骤,.,2,、分别讲解体温,呼吸,脉搏和血压的,正常范围值,测量方法和影响因素。,3,、查体的方法,4,、掌握注射的常用方法,/,途径,;,及其选择注 射部位的要求,;,掌握注射法（除静脉注 射外）的共同操作程序,.,5,、描述伤口的基本护理方法,.,1,教学内容,一、门诊接待问候语,三,.Information collection,（收集信息）,二,Receiving the patient,（接待病人）,四,Physical examination,（查体）,五,communication.,（交流）,六,Comforting,（安慰）,七、同事,朋友用语,2,教学重点、难点：,重点,：,1,、分别讲解体温,呼吸,脉搏和血压的正 常范围值,测量方法和影响因素。,2,、查体的方法。,3,、掌握注射的常用方法,/,途径,;,及其选 择 注射部位的要求,;,掌握注射法（除静脉注 射外）的共同操作程序。,难点,：掌握注射的常用方法,/,途径,;,及其选 择 注射部位的要求,;,掌握注射法（除静脉注 射外）的共同操作程序。,3,教学时间,约,8,课时。,使用教具：,多媒体幻灯片演示。,（写出主要内容的名称备查）,教学过程,4,一、门诊接待问候语,(,一,).,护士与患者初次见面语,1.What is the matter,Sir/Madam?,先生,/,女士,你怎么啦,?,2.I feel really terrible.,我感觉很难受,.,5,3.Right.Now you just go and sit down here.,马上坐下,.,4.Ill make an appointment for you.Just 5 minutes.,我通知医生,就是,5,分钟,.,6,大家有疑问的，可以询问和交流,可以互相讨论下，但要小声点,7,5.Are you sure?,真的吗,?,6.Yes,of course.,当然啦,.,7.You are so kind,thanks.,你太好啦,!,8,8.Well.Have you got the,medical record?,你带,病历,了吗,?,9.Yes,I have.,带啦,.,10.Thank you.,谢谢,.,9,(,二,).,护士工作对话,1,What can I do for you,？,你有什么事？,2,May I help you,？,我能帮你什么忙？,3,Please take a seat!/Please sit down,！,请坐下,10,4,Wait a moment,please,请等一等,5,Sorry to have kept you waiting.,对不起,让你久等了,6,It is not serious,病情不严重,11,7.Dont worry./There is,nothing to worry about.,不必顾虑。,8.You need a,thorough,r,examination,你需要做一个,全面,检查,12,9,You will have to stay in hospital for several days,你需要在医院里住几天,10,You should stay in bed for a few days.,你需要卧床几天,13,11,You can keep on working./You can carry on with your work.,可以继续工作,12,You should be very careful for a week or two.,这一两周内，你需要很注意。,14,13.Try to relax and,keep,calm,尽量放松,保持镇静,。,14,You,ll soon be all right,你很快就会好起来的,15,I,m sure this medicine will help you a great deal,这药对你肯定会很有效的,15,16,Feeling well again is a rather slow process,，,Im afraid.,恐怕痊愈将是一个很慢的过程,17.You will have to wait for,twenty minutes,你需要等,20,分钟,16,18.Complete recovery will,take a rather long time,彻底恢复需要一段很长的时间。,19.You will have to come here,for,periodical,【pirid,i,kl】,check-ups,你需要,定期,来门诊检查,17,20.If you feel worse,please,come back to the clinic,right away.,要是你觉着病加重了，,就请马上来门诊。,18,(,三,),再次见面,1.Good morning.Mr.Wang,are you feeling all right?,早上好,王先生,!,现在好点吗,?,19,2.Good morning.Doctor Wang,Im all right now.Thanks for your help,早上好,.,王医生,.,我的感觉很好,.,谢谢你帮助,.,3.You are welcome.,不客,气。,20,（四）健康教育,1.May I give you some suggestions?,我能给你一些建议吗,?,2.OK,行,.,21,3.First,have a good rest.Then,give up smoking and drinking.Have more,nutritious,nju,tris,food.,首先要休息好,.,然后戒烟,戒酒,.,最后食物要,有营养,.,22,4.Well,don,t,stimulate,stimjuleit,the,incision,in,sin,when you have a bath.,对了,当你洗澡时不要,刺激伤口,.,23,二,Receiving the patient,（接待病人）,1.How do you do?/Good morning!,您好,?,（初次见面时使用）,/,早上好！,2.What can I do for you?/Can I help you?,您需要我帮助吗？,24,3.I,ll bring you to your bed side,please follow me.This is your bed.,我要领您到床边去,.,请跟我来,.,这是您的床位,.,4.The toilet is over there.,卫生间在那边,.,5.We supply hot water.,我们供应热水。,25,6.Please wait a moment.Ill let your doctor know./Ill inform your doctor.,请等一会儿,我去通知医生,.,7.Mary is the nurse/doctor,in charge of,you.,玛丽是您的,负责,护士,/,医生,26,8.Please let us know if you need any help.,您需要帮助时，请告诉我们,.,9.Smoking is not allowed here.,这里不允许吸烟,.,27,三,.Information collection,（收集信息）,1.Do you mind if I ask you a few questions?,您介意我问您几个问题吗,?,2.We need some information from you.,我们需要从您这儿收集一些信息,.,28,3.Is your,tummy,tmi,still sore?,您的,肚子,还疼吗,?,4.Does your pain come on,after or before meal?,您的疼痛是在饭前还是饭后发作？,29,5.Does it hurt to pass,urine,jurin?,/when I press here?,排,尿,时痛吗？,/,当我按压这儿时痛吗？,6.Does your back ache?,您的后背痛吗？,7.Do your feet,swell,?,您的脚,肿,了吗,？,30,8.Do you have a cough/fever?,您咳嗽吗？,/,您有发热吗？,9.Do you bring up any,sputum,spju:tm,？,您咳,痰,吗？,31,10.Is there any,radiation,reidi,ein,of the pain to the shoulder,?,有,放射,到肩部的痛吗？,11.How long have you had the pain?,您的痛有多长时间了？,32,12.When did the pain start?/where is your pain?,疼痛从什么时候开始的,/,什么地方疼痛？,13.Are your periods regular?,您的月经规则吗？,33,四,Physical examination,（查体）,1.Will you please undress for,medical examination,?,请您脱下衣服做,体检,好吗？,2.Take off your clothes,please.,请把衣服脱下来,.,34,3.Lie down on the couch,please./Just lie still on the couch and relax.,请躺在治疗床上,./,请安静地躺在治疗床上,放松,.,4.Bend your knees,please.,请屈膝,.,35,5.Open your mouth and say ah!,张开口,说,:,啊,!,6.Breathe deeply,please.,/take a deep breath,please.,请深呼吸,.,36,7.May I examine your tummy,please?,我要检查下您的肚子,好吗,?,8.Roll up your sleeves,please.,请卷起袖子,.,37,五,communication.,（交流）,1.I am going to take your temperature./Please put the,thermometer,mmit,under your,armpit.,我要测一下您的体温,/,请把,体温计,放在您的,腋下,.,38,2.Let me feel your pulse.,让我测一下您的脉搏,.,3.Ill test/take your blood pressure.,我要测量您的血压,.,39,4.Im afraid I have to prick your finger and take a drop of blood for blood sugar level.,我要取一滴指血做血糖测定,需要刺一下手指,.,5.Ill take some blood from your arm now.,现在我要从您的胳膊抽血,.,40,6.Dont take any thing by mouth after midnight until the blood is drawn tomorrow morning.,半夜之后不要吃喝任何东西，,明天早上抽血,.,41,7.Please bring,a specimen,spesimin,of your urine/,stool,/,sputum,spju:tm.,请留一份尿,/,便,/,痰,的,标本,.,Please collect your,MSU.,请收集您的,中段尿,.,42,8.Please have your blood and urine tests done.,请做一下您的血和尿试验,.,9.You are going to have a,CT-scan of your chest/head,today.,今天您要做一个,胸部,/,头部,CT,扫描,.,10.I,m going to do an,ECG,for you.,我要给您做,心电图,。,43,11.You are going to have a,chest X-ray,this morning.,今天早上您要拍一个,胸片,.,12.You are going to have a,BUE.,Please keep your bladder full.,您要做,B,超,检查,请留尿,使膀胱充盈,.,44,13.You are going to have a,GE,tomorrow morning.please dont eat or drink anything after 12 oclock tonight.,明天上午您要做,胃镜,检查，今晚,12,点之后，请不要吃喝任何东西,.,45,14.The results are,normal,n:ml.,结果,正常,.,15.You have to stop smoking and alcohol,.,lkhl,您必须戒烟、戒酒,.,16.Please take some more,nourishing,nrii,food.,请食,营养多的,食物,.,46,17.I,m going to do,bladder irrigation,【,，,ir,gen,】,for you.,我要给您做,膀胱冲洗,18.I,m going to give you,oxygen,【,ksidn】,now,我要给您吸,氧,。,47,20.What color of your urine?,您的尿液什么颜色？,21.How much urine do you pass each time?,您每次排尿多少？,19.You are going to have a blood transfusion.,要给您输血,.,48,22.Would you please let the fluid drop more quickly?,请您把液体滴速调快点儿好吗？,23.Your,IV,fluids must be given slowly so as not to overload your,heart,您的,静脉,输液必须慢速,不然会增加心脏负荷。,49,24.Take more exercises.,Do some light work,have a,happy outlook,avoid excitement and too much worry.Be careful not to stumble.,多做锻炼,.,做一些轻体力活动，保持良好的心态，避免兴奋和过度忧虑，小心不要摔倒,50,25.How are you today?How was your sleep last night?How is your appetite?,您今天怎么样？您昨晚睡得怎么样？您的食欲怎么样？,26.Did you pass motion yesterday?/Are your bowel movements normal?,昨天您排便了吗？,/,您的大便正常吗？,51,六,Comforting,（安慰）,1.Never mind!/It doesnt matter!,没关系,2.Dont worry!,不要担心,3.Dont be nervous.You are in good hands.,不要紧张,操作者是高手,!,52,4.You will recover soon!,您很快就会康复的,!,5.Please come back to see the doctor for check-up in two weeks.,请两周后来复查,!,53,七、同事,朋友用语,1.Morning/Good morning!,早晨好！,or Good morning every body,大家早晨好！,2.How are you?,你好吗？,54,3.I am fine.Thanks!How about you?,我很好，谢谢。你呢？,4.I am fine too.,我也一样。,5.How is your family?,你家里好吗？,6.We are all fine.Thanks,很好，谢谢。,55,7.How are you doing?,你好吗？,8.Good/Great.,好！,9.How is your work?,最近工作怎么样？,56,10.OK./Fine./Not bad.,不算太坏。,11.I must be going.,我不得不走了。,12.See you soon/See you later.,再见！,13.Keep in touch,Please!,保持联系。,57,Practice,一、单选题：请选出一个最恰当的答案。,1,We didnt want to get in trouble,_ we parked in the lot around the corner.,A.so B.but C.because D.although,2.Are you and Richard in the same apartment building?No,we _.,A.isnt B.werent C.are D.arent,3,My brother is studying hard to be _.,A.writer B.write C.a writer D.writes,58,4,If you _ faster,we could have turned in the project before the deadline.,A.work B.had worked C.have worked D.working,5,She has computer class _ noon.,A.with B.at C.on D.in,6,My family and I _ through the desert on our last vacation.,A.drive B.drives C.driving D.drove,7,_ time do you spend on your homework every day?,A.How much B.How well C.How often D.How long,59,8,What programs _?He mostly uses Microsoft Word and Excel.,A.is he using B.does he use C.he used D.he use,9,Since they changed jobs,their life _ been much easier.,A.are B.was C.has D.had,10,Is that Martins new car?Yes,its _.,A.him B.himself C.his D.he,11,What television shows did you watch when you were a child?I _ watch comedies.,A.was B.liked C.used to D.did,60,12,My _ usually goes to the office on foot.,A.best friend B.best friends C.best friend she D.best friend is,13,If we _ some more money,we could go away this weekend.,A.are having B.have C.had D.would have,14,We went to the doctor _ she couldnt seem to get rid of her cold.,A.so B.for C.that D.because,61,15,The secretary asked me _ I wanted to meet with.,A.who B.how C.why D.when,16,If you feel full,dont _ any more of that pizza.,A.ate B.eating C.eat D.eats,17,I forgot my keys on the desk._ giving me a lift home?,A.Could you B.Can you,C.Will you D.Would you mind,62,18,My classmates and I enjoy doing similar things._ favorite activity is going cycling.,A.Our B.We C.Us D.They,19,Amy lives in Thailand now.She _ at a large university there.,A.teach B.taught C.is teaching D.teaching,20,She always gets good evaluations.She must be _ employee in the company.,A.the most valuable,B.more valuable C.the valuable D.valuable,63,21,Has he ever _ to swim?,A.learned B.learn C.learning D.learns,22,When I last saw them,my sisters were on their way _ the mall.,A.on B.in C.at D.to,23,I want to send the Smiths an email.Do you have _ email address?,A.they B.them C.their D.there,64,24,The movie was over before we had time _ the plot.,A.for understand B.to understand C.understanding D.understand,25,_ was a big parade in front of the university campus.,A.Their B.They C.These D.There,26,My teacher was living in Dubai when she _ her future husband.,A.will meet B.met C.was meeting D.meets,65,27,Before _ a decision on what to order,John asked the waiter for his,recommendation.,A.make B.made C.making D.being made,28,There isnt _ milk left.I need to go out and get some.,A.many B.some C.no D.any,29,If you dont slow down,you _ have a heart attack.,A.would B.will C.can D.should,66,30,The project was _ complicated than they had expected.,A.so B.most C.more D.too,31,My father is a surgeon._ works in a hospital.,A.It B.Father C.He D.She,32,If you _ eating so much junk food,youll lose weight.,A.stopped B.stop C.might stop D.are stopping,67,33.A 65-year-old male is admitted to your unit.He says,“,My wife and I have not,been apart for 45 years,”,.Your best response would be,A.,“,It must be difficult for you to be separated from her.,”,B.,“,Your wife will be able to visit you every day.,”,C.,“,You,ll be fine once you get adjusted to the hospital routine.,”,D.,“,Your time in the hospital will pass very quickly.,”,68,34.A client recently diagnosed with lung cancer says to the nurse,“,I,m still going to,smoke,”,.The nurse,s best response to this client would be,A.,“,I can,t believe you would still want to smoke.,”,B.,“,When did you start smoking?,”,C.,“,Let,s talk more about this.,”,D.,“,I,m sure your family will be upset.,”,69,35.A client brought to the emergency department appears very anxious and tearful.,The nurse,s best response would be,A.,“,I,m sure you have been in the hospital before.,”,B.,“,There is really nothing to worry about.,”,C.,“,I know this is frightening for you.,”,D.,“,The hospital really isn,t,so bad.,”,70,36.A newborn died from an intraventricular hemorrhage,（颅内出血）,.Which of the following responses would be most appropriate for the nurse to make to the mother?,A.,“,Well at least your baby is with God now and is not suffering from brain,damage.,”,B.,“,Would you like for me to be with you while your hold your baby?,”,C.,“,I know that it does not seem possible right now,but you can get pregnant,again.,”,D.,“,Just try to think about how wonderful your pregnancy was.,”,71,37.Which of the following statements,if made by a patient who has terminal cancer,demonstrates the stage of bargaining as described in the theory of death and dying?,A.,“,I know I,m going to get better.,”,B.,“,I have put my financial affairs in order.,”,C.,“,I do not understand why this happened to me.,”,D.,“,I plan to be around until my grandson,s graduation.,”,72,38.A nurse is assessing the stoma,（人造孔）,of a client after a urethrostomy,（尿道造,口术）,.Which of the following would the nurse expect to note?,A.Pale.B.Red and moist.C.Dry.D.Dark-colored.,39.A patient has a nasogastric,（鼻胃管）,tube which is draining,（引流）,large amounts of fluid.To which of the following nursing diagnoses would a nurse give priority?,A.Diarrhea.,B.Risk for infection.,C.Ineffective thermoregulation.,（体温调节无效）,D.Risk for fluid volume deficit.,73,40.To which of the following nursing diagnosis would a nurse give priority when caring for a patient in the immediate postoperative period following an ileostomy?,（回肠造口术）,A.Fluid volume deficit.,B.Body image disturbance.,C.Pain.,D.Diarrhea,（腹泻）,.,74,41.A patient who has a borderline personality disorder,（边缘性人格障碍）,asks the nurse on a psychiatric unit,（精神科病房）,if she may stay up beyond the designated bedtime,（规定的就寝时间）,.When the nurse says no,the patient says,“,The nurse on duty,（值班）,last night let me stay up late.,”,Which of the following responses by the nurse would be therapeutic?,A.,“,You shouldn,t have been given that privilege.,（特权）,”,B.,“,You can stay up for one more hour.,”,C.,“,Why do you want to stay up?,”,D.,“,Everyone is required to go to bed now.,”,75,42,The most appropriate approach for the staff to take with the client who demonstrates manipulative or aggressive behavior is to,A.allow the client,s favorite nurse to be her primary counselor.,B.sedate,（镇静剂）,the client with medication at signs of aggression.,C.set clear limits on the client,s behavior.,D.tell the client that his behavior is disruptive,（捣乱的）,to other clients.,76,