| Interlocutor Role Play Card Patient Setting: Emergency Department of a Hospital |
| You are a 45-year-old hobby farmer who has been driven by your brother to the emergency department of a nearby hospital because you have sustained many bee stings while working on bee hives on the hobby farm you both own. Your hands and ankles are swollen, red and itchy. Your breathing is becoming more laboured and you are getting agitated. You believe you are going to die at any moment. You hate getting injections. Your brother had been smoking marijuana for a number of hours before he drove you to the hospital. TASK Respond to the nurse’s efforts to calm you down by expressing your fear of dying as you can’t breathe properly. Tell the nurse that you are terrified of having injections. Reluctantly agree to have the antihistamine injection. Tell the nurse when asked about going home, that your brother drove you here but that he was smoking marijuana before he drove you here. Agree to the advice given by the nurse about getting home and post-hospital care. |
| Nurse Setting: Emergency Department of a Hospital |
| You are a nurse in the emergency department of a hospital. The patient is a 45-year-old person who has sustained many bee stings while working on bee hives on the hobby farm he/she owns. The patient’s hands and ankles are swollen, red and itchy. The patient’s breathing is becoming more laboured and the patient is becoming agitated. You suspect the patient is going into anaphylactic shock and there is no time to waste. TASK Try to calm the patient down. Respond to the patient’s fear of imminent death in a positive way and tell the patient you must administer an Epipen antihistamine injection immediately. Tell the patient you notice that he/she is becoming less agitated and the swelling is starting to go down. Ask the patient how he/she is going to get home. Advise the patient you will order a taxi home for both him/her and the brother, and for the patient to get plenty of rest for the next few hours, applying the Benadryl cream you have given him/her. Finish the consultation by telling the patient that if things have not normalised within 12 hours he/she must see a doctor. |
Tag Archives: oet role play
Sport injury OET role play
| Interlocutor Role Play Card Patient Setting: Emergency Department |
| You are a friend accompanying the patient. You and your mate were having a game of touch football after a few drinks when your mate fell and seems to have broken their arm. As you were over the alcohol limit to drive, you hired a cab to take them to the public hospital emergency department. They are in pain and you are feeling aggressive and angry. It has been over an hour and no doctor has seen you. You are determined to get some action and soon. Refuse to see reason. TASK Tell the nurse you want a doctor to attend to your mate immediately. Insist it is their turn – others who came after them have been seen. Say he pays tax — they have a right to be seen without delay. Tell the nurse if she doesn’t act you’ll make trouble. |
| Candidate Role Play Card Nurse Setting: Emergency Department |
| You are a nurse in the Emergency Department of a public hospital. You are short staffed and the available doctors are dealing with patients on a critical priority basis. An aggressive person who has obviously been drinking has demanded a doctor see their mate with a suspected broken arm immediately. TASK Introduce yourself and explain your role. Acknowledge their concern for their mate and ask for details. Explain that a triage nurse has reviewed their friend and that they will be seen as soon as possible. Explain that patients are seen in order of medical priority – not arrival time. Let the person know that they are disturbing other patients. Advise them that alcohol consumption/intoxication is not permitted on hospital premises. Suggest they make arrangements to go home. Advise on hospital security staff action in cases of threatening behavior. |
Admission to retirement home role play
| Interlocutor Role Play Card Patient Setting: Home Visit |
| You are an 80-year-old client, who has lived fairly independently for a number of years in a granny flat beside your son’s house on a rural property. Your son’s family is going to live overseas for one year and you are going into a retirement home while they are away. You are having an assessment by a community nurse. Your favorite pastime is playing video games. TASK State that you are happy to go into care so your family can have a pleasant and productive time away. Tell the nurse you are a little worried about lack of privacy there and having to socialize with people who may not share his/her favorite pastime, and mention what this is. Describe your daily routine: sleep in, late breakfast, shower without assistance, then pursue your favorite pastime, followed by lunch, afternoon nap, watch a game show then the evening news, then bed by 8.30pm, Your son and his family take you out quite often for meals and movies. State that you only take blood pressure tablets (Atacand) and a medication to control acid reflux (Pariet) plus occasional analgesic medication when needed. |
| Candidate Role Play Card Nurse Setting: Home Visit |
| You are a community nurse visiting an 80-year-old client, who has lived alone fairly independently for a number of years in a granny flat beside his/her son’s house on a rural property. The client’s son’s family is going to live overseas for one year and to avoid being isolated while they are away the client is going into a retirement home. You are conducting an aged care assessment for admission. TASK Ask the client how he/she feels about moving into a retirement home. Compliment the client on his/her positive attitude and ask if there are any concerns at all about the move. Reassure the client of the retirement home’s house rules i.e. making clients feel at home and respecting their wishes, and mention the fact there may well be residents there who will share his/her interests, Ask about his/her daily routine (e.g. sleep habits, meals, etc.), Emphasise the fact that you are noting his/her usual daily routine in your care plan to give to the retirement home. Then ask him/her about regular medications taken. Summarise by assuring the client that you will pass on his/her requests about the arrangements to the retirement home as well as to the son. |
Appendectomy OET role play
| Interlocutor Role Play Card Patient Setting: Paediatrics Ward |
| You are the parent of Aiden, aged thirteen, who had an appendectomy (by open surgery) yesterday and is due for discharge tomorrow. You think Aiden should stay longer, as he says he is still in pain and does not appear to be very alert. However, Aiden is keen to go home to attend an athletics training camp beginning in 3 days’ time. He is on Tylenol for the pain. TASK Express concern to the nurse about your son’s pain and request he be kept in hospital a little longer for observation. Ask for information about giving his medication at home. What dosage should he receive and how often? Show anxiety. If the pain worsens, what should you do? What about the camp Aiden wants to attend in 3 days’ time? Can he attend it? He is very keen to go and pursue his dream of becoming an Olympic champion. Answer the nurse’s questions about the nature of the camp. Reluctantly agree to the nurse’s advice and thank him/her. |
| Candidate Role Play Card Nurse Setting: Paediatrics Ward |
| You are speaking with the mother of a 13-year-old boy named Aiden who had an appendectomy (by open surgery) yesterday and is due for discharge tomorrow. He is on Tylenol for the pain. His recovery at home is expected to take between 10 and 20 days. The parent appears anxious about the child’s condition. TASK Ask the parent if he/she has questions or concerns about the boy’s condition or discharge. Reassure the parent about Aiden’s pain. Explain that an appendectomy is a standard procedure and his current level of pain is normal. Reassure the parent that a longer hospital stay is not necessary. Explain to the parent how to administer his medication and what he/she should do if the pain worsens. Answer the parent’s questions about Aiden’s planned activities after he returns home. Give sympathetic but professional advice on this issue. Be firm about Aiden restricting his physical activity for the next 2 to 3 weeks. Conclude by summing up the recommended post-operative care for the boy, wishing the boy a quick recovery. |
Liver cirrhosis OET role play
| Interlocutor Role Play Card Patient Setting: Hospital Ward |
| You are a 29-year-old heavy drinker who has been admitted to the hospital with liver cirrhosis. The admissions nurse is collecting information from you. You share an apartment with 2 friends who also drink alcohol often. You enjoy partying at weekends and drinking alcohol most weekday evenings. However, your parents are teetotallers and strongly disapprove of your drinking and partying habits. You have been a heavy drinker since you were in your late teens. You would like to give up drinking but are reluctant to change your lifestyle to achieve this. TASK Answer the nurse’s questions about your home and family situation. Ask for advice about how to give up drinking. Be pessimistic about your ability to follow the nurse’s advice. Thank the nurse for the advice and say that you will do your best to change your drinking habits. |
| Candidate Role Play Card Nurse Setting: Hospital Ward |
| Your patient is a 29-year-old heavy drinker who has been admitted to the hospital with liver cirrhosis. You are collecting information from the patient. TASK Ask the patient about his/her general background: family, home, and habits. Respond to the patient’s question about how to give up drinking. Give your advice in a positive and friendly way. The advice can include joining Alcoholics Anonymous; finding new friends to share an apartment with; the patient moving back home to live with his/her parents, and a few other suggestions. Counter the patient’s negativity to your suggestions with achievable goals. Conclude in a positive manner. |
Colostomy OET role play
| Interlocutor Role Play Card Patient Setting: Hospital Ward |
| You are a 40-year-old who is scheduled to undergo a colostomy later today. You have never had prior surgery and are frightened about the procedure. You have led a socially active life until now and believe the procedure will have a negative impact. You are also worried about the effects of the surgery on your ability to self-care. TASK Express concern about your ability to return to normal life after having the procedure. Emphasise that you are embarrassed about wearing a colostomy pouch and are worried about participating in social activities. Ask what additional support is available. Outline the management plan to support. |
| Candidate Role Play Card Nurse Setting: Hospital Ward |
| You are speaking to a 40-year-old who is scheduled to undergo colostomy in your hospital later today. You have come to prepare the patient for surgery. This is the patient’s first surgery and he/she appears anxious. TASK Ask the patient if he/she has any final questions about the surgery. Explain the recovery process to the patient (3-10 days in hospital, education will be given on care of colostomy pouch, light exercise only, low-fiber diet, sufficient rest, etc.). Reassure the patient that the surgery will not prevent his/her participation in any social activities (e.g. pouch can be well hidden, support provided by GP and district nurse for medical care, etc.). Explain that the Stoma Care Nurse will meet with the patient after surgery to discuss participating in stoma support groups. |
Anaemia OET role play
| Interlocutor Role Play Card Patient Setting: Community Health Centre |
| You are a 35-year-old vegetarian who does not cook owing to a hectic lifestyle, and mainly relies on ready meals for convenience. You drink 4-5 cups of coffee a day. Lately, you’ve been feeling exhausted. Your doctor has explained that you have anaemia (the number of red blood cells in your blood is low). You’ve been asked to speak to a nurse for dietary suggestions. TASK Explain to the nurse that you are confused by the diagnosis and how it relates to your diet (you choose vegetarian ready meals because you believe they are healthy). Answer the nurse’s questions regarding your dietary routine (coffee for breakfast, frozen meals for lunch, coffee and cake for afternoon tea, rarely eat dinner). Be resistant to the nurse’s suggestions as you dislike tofu and green leafy vegetables, coffee helps you cope with the stress of work. Finally agree to the recommendations but be adamant that you cannot reduce your coffee consumption. |
| Candidate Role Play Card Nurse Setting: Community Health Centre |
| You are speaking with a 35-year-old who has recently been diagnosed with anaemia (haemoglobin is 8g/dl). Their doctor has referred him/her to your centre for further advice concerning their condition and necessary dietary adjustments. TASK Find out if the patient has any questions regarding the diagnosis. Explain that iron is only sourced from the diet and can be low in vegetarians without planning. Reassure the patient it is treatable with dietary modification. Find out further details about the patient’s dietary habits. Suggest ways in which the patient can increase his/her iron intake (e.g. beans, leafy green vegetables such as spinach/kale, tofu, iron-fortified cereals, reduce consumption of coffee — inhibits absorption of iron). Discuss the importance of food combining as a compromise (allow one hour between consuming iron-rich food and coffee to increase absorption; Vitamin C at the same time as iron-rich food). |
Insulin injection Sample role play
OET Role play. Live transcript from Lifestyle Training Centre.
Nurse (Sophia): Hi, Jo. I’m Sophia, one of the registered nurses from the nearby community health centre. How are you doing this morning?
Patient (Jo): I’m fine.
Nurse (Sophia): That’s wonderful, happy to hear. And from your records, I understand that you have been suffering from diabetes, am I right?
Patient (Jo): Yes.
Nurse (Sophia): Okay. I’m sorry but how have you been managing your condition?
Patient (Jo): Yeah, I was taking medicines from the starting of my diagnosis of diabetes. Okay, and also with that, I’m controlling with the diet.
Nurse (Sophia): You are controlling with the diet, and I have news for you. According to your doctor, it is time for you to move to insulin injections. How does that sound?
Patient (Jo): Why should I take injections? Because I am perfectly okay with my medicines.
Nurse (Sophia): I totally understand that. Actually, I’m here to show you how to administer these insulin injections. And to answer your question, it’s been reported that you have been suffering from high blood sugars recently. Is that right?
Patient (Jo): Yeah, last visit. Doctor told me that my blood sugar is high. That’s right.
Nurse (Sophia): So that’s the reason why the doctor has decided that you start taking insulin injections. Is that part clear?
Patient (Jo): Yeah, I totally understood, but can you control it with the medication, more doses, or something? Because I’m afraid to take an injection. I don’t want to get injected.
Nurse (Sophia): I totally understand that. I mean, it’s not a pleasant thing to inject yourself, but there is no need to be alarmed. Insulin administration is an easy procedure. And to answer your question whether you can continue with the oral medications or other practices. At present, according to the doctor, it’s advisable that you move to insulin injections. If it didn’t require, the doctor wouldn’t have advised you to do so. Can I proceed and explain to you about insulin injections? Is that okay?
Patient (Jo): Yeah, sure.
Nurse (Sophia): Let me explain it to you very clearly so that you can follow me. First of all, we’ll provide you with all the resources that you can administer injection by yourself. Good thing is that unlike the regular needles, insulin needles are very thin, and it won’t even hurt you. You can just administer by yourself. You can administer on your belly, also on your shoulders or on your thigh, but make sure that you do not administer the injection on the same site every day. How does that sound?
Patient (Jo): Okay, yeah, it’s great.
Nurse (Sophia): Yes, it won’t pain you at all; it will be a mild discomfort, but you’ll be able to manage and you will get used to it.
Patient (Jo): Okay, I’m happy to hear that it will not be. Sure it is. It’s not a complicated thing, but yeah, please tell me, is it okay that I will inject or I have to come to the community health centre?
Nurse (Sophia): You can come to the community health centre. You’re welcome to, but there is no need to do that. Usually, everyone is advised to do it by themselves if they suffer from this condition, so we can just do it at home. As I explained before.
Nurse (Sophia): You know, you can just administer it by yourself. I can show you as soon as we finish our conversation. If you feel comfortable, you can start doing it by yourself.
Patient (Jo): So if I feel okay, I will try my best.
Nurse (Sophia): Sure, one more thing. I would like to explain to you about the disposal of these needles. Please make sure that once you inject yourself. I’ll provide you with a container. Please deposit the needles into this container, and once it is full, I’ll come and collect. Just let me know, okay?
Patient (Jo): Okay, I do.
Nurse (Sophia): Is there anything else you would like to ask me so far?
Patient (Jo): I understood everything; I will try to do what you explained.
Nurse (Sophia): That’s wonderful. I’ll go ahead and administer to you the insulin and show you how to do it so that you can follow it. And whenever you have any doubt, just give me a call. I’ll provide you with my number. And to summarise our conversation, you’ve been suffering from diabetes, and according to the doctors, it’s time for you to switch over to insulin. And we have discussed the reasons why. As your sugar level is high, it is time. And we have also discussed about how to administer insulin. Please remember you can administer by yourself on your belly, on your shoulders, or on your thighs. Please remember not to administer on the same location, same place every day. Please change the location, so that it will be good for you. And. Please remember to safely deposit the needles to this in this container so that it will not hurt anybody. And in time, I’ll come and collect it from you. And if you need any help, please, always you can just give me a call. Thank you. It was nice talking to you, John. Now, thank you. Now, I will show you how to administer the medication by yourself, okay?
Hernia repair – OET role play
| Interlocutor. OET role play. SETTING: Hospital Outpatient Clinic |
| You are a 50-year-old patient who is attending the outpatient clinic for an operation to repair a hernia. The nurse has come to carry out preparative checks. TASK: • When asked, say you followed the preparation instructions, but you’re feeling a bit thirsty now so you would like a drink of water. • Say you understand you can’t have a drink so close to the operation. When asked, say you haven’t had any health problems and have been feeling fine. • Say you want to keep your watch on so you can check the time when you wake up. • Say you’ll take off your watch. When asked, say your sister is coming to collect you after the operation, so you need to tell her what time to get you. • Say you’ll just give your sister a call after the operation. Say you’re ready to begin the preoperative checks |
| Nurse. OET role play. SETTING: Hospital Outpatient Clinic |
| Your patient is 50 years old and at the outpatient clinic for a hernia repair. You see the patient to carry out preoperative checks. TASK: Confirm reason for patient’s admission (hernia repair), Check patient compliance with preparation instructions {e.g., no food: six hours; no fluids: two hours, etc.). Explain patient needs to be nil-by-mouth (e.g., risk of vomiting under anesthesia, etc.). Advise need to do clinical observations. Check if patient has had any recent illnesses. Explain preclinical observation steps (put on: hospital gown, compression socks, non-skid slippers; take off: valuables, jewelry, etc). Give reasons for removal of all jewelry (e.g., possible need for electric current to seal blood vessels, risk of burns due to metal jewelry, etc.). Describe next steps (e.g., doctor to check personal/medical details, give information about/gain consent for procedure, etc.). Find out patient’s postoperative arrangements. Resist giving timescale for discharge (e.g., discharge requirements: vital signs stable, ability to tolerate food/fluid/pass urine, etc), Establish consent for you to begin clinical observations. |
Smoking cessation – OET role play
| Interlocutor. OET role play. SETTING: City Clinic |
| You are 65 years old and want to give up smoking because you look after your baby grandson, and know smoke is harmful for him. You want to get some advice from the nurse. TASK • When asked, say you want to give up smoking but don’t know how to do it, so you want some advice. • Say you don’t have any underlying health conditions. Say you’ve smoked around 20 cigarettes a day for 30 years. You haven’t tried to give up before. You want to stop now because you look after your grandson and although you don’t smoke near him, you know the smoke is harmful to him. • When asked, say smoking is relaxing and you don’t think anything else can replace it. You realize it’s become a habit at certain times, like after dinner. • Say you’ll try the nurse’s suggestions, but giving up smoking sounds really hard; and you’ll just try cutting down on the number of cigarettes you smoke a day for now. • Agree for the nurse to make you an appointment at the smoking cessation clinic. |
| Interlocutor. OET role play. SETTING: City Clinic |
| You see a 65-year-old patient who wants to give up smoking because they look after their baby grandson and know smoke is harmful to the baby. They want some advice. TASK: • Find out the reason for the patient’s visit. • Find out relevant patient details (underlying health conditions, years smoking, daily consumption, previous cessation attempts, reason for cessation, etc.). • Confirm risks associated with smoking near children (potential later health conditions for the child, e.g., asthma, etc.). Advise on help available (e.g., nicotine patches/gum, hypnosis, online support groups, smoking cessation clinic, etc.). Explore any concerns about giving up. • Recommend alternative relaxation methods (e.g., yoga, meditation, etc.). Suggest ways of avoiding habitual smoking (e.g., changing routines, being active, etc.). • Warn about the possibility of weight gain (e.g., slower metabolism, improved taste, frequent snacking, etc.) and suggest how to prevent this (e.g., regular exercise, healthier snacks, etc.). • Stress benefits of smoking cessation for the patient (e.g., improved life expectancy, increased energy, reduced risks of illness, etc.). Offer to book an appointment at the smoking cessation clinic. |