ROLEPLAYER CARD NO.

2 NURSING

SETTING City Clinic

PARENT You are the parent of a four-year-old boy who has chicken pox. He is recovering
well but you want to check with the nurse if it's safe for your pregnant niece to visit
you. Your son is not present.

TASK
.When asked, say that your son's recovering from chicken pOx and you want to
know if it's safe for your pregnant niece to visit.
Say you don't really know if your niece has had chicken pox. She's approximately
16 weeks pregnant. Say you haven't told your niece that your son has chicken
pox and you really don't want to worry her if you don't need to.
Say it must be okay for your niece to come because your son's had chicken pox
for ten days now and all his blisters are dry, so he can't be contagious.
Say you understand the need to be cautious. Ask if there's any treatrment if your
niece did get exposed to chicken pox.
Say you will definitely delay her visit for another week, until your son has
completely recovered.

23rd JANUARY 2021

Cambridge Boxhill Language Assessment

OET 23rd JANUARY 2021

CANDIDATE CARD NO. 2 NURSING

SETTING City CliniC

NURSE You see the parent of a four-year-old boy who is recovering from chicken pox.
He/she wants to know if it's safe for his/her pregnant niece to visit. You advise the
parent to be cautious and delay the visit. The child is not present.

Find out reason for parent's visit.

TASK
Give information about chicken pox (e.g., contagious until blisters have crusted
Over, etc.). Find out relevant details about his/her niece (previous exposure to
chicken pox, gestation of pregrnancy, etc.)

Advise need for parent to inform his/her niece about son's chicken pox and delay
visit (e.g.., high-risk group, uncertainty of niece's chicken pox status, etc.).

Stress need to be cautious and outline risks of catching chicken pox during
pregnancy (e.g., serious complications: pneumonia, hepatitis, etc.)

Give information about treatment available (e.g., injection containing antibodies

etc.). Reaffirm need for his/her niece's visit to be delayed.
 OET 28rd JANUARY 2021
NURSING
ROLEPLAYER CARD NO. 3

SETTING Hospital VWard

PATIENT You are 32 years old and were admitted to hospital overnight for monitoring after
arriving with chest pain and dizziness yesterday. Tests have revealed no
abnormalities but you are still being monitored by ECG (electrocardiogram). The
nurse has come to do clinical observations.

TASK
When asked, say that you slept reasonably well, but you're unhappy at being
woken at 6 a.m.
if
Say that the chest pain and dizziness aren't there now, but your heart feels as
it's racing and you feel anxious. Say you've had episodes of anxiety for about six
months, but today it feels worse.
but
Say that your GP prescribed an antidepressant, oitalopram, a fortnight ago,
it's for depression and
you haven't been taking it regularly because you've read
you aren't depressed.
Say that you haven't tried anything else but you like the sound of relaxation
techniques.
Say information about relaxation techniques would be really useful.

23rd JANUARY 2021

Cambridge Boxhill Language Assessment

OET 23rd JANUARY 2021

CANDIDATE CARD NO. 3 NURSING

SETTING Hospital Ward

NURSE You see a 32-year-old patient who was admitted Overnight for monitoring, following
his/her arrival with chest pain and dizziness yesterday. All tests have proved
negative but he/she is still being monitored by ECG (electrocardiogram). You have
come to do clinical observations.

Find out if patient had a comfortable night.

TASK Give reasons for patient being woken up early (e.g., hospital procedure, clinical
observations before ward rounds: blood pressure, temperature, oxygen levels,
etc.). Find out if patient's symptoms are still present (chest pain, dizziness).
Reassure patient about his/her heart rate (e.g., current ECG reading norma,
monitoring to continue, no evidence of clinical problem, etc.). Find out if patient is
taking medication for his/her anxiety.
Give information about citalopram (SSRI: selective serotonin reuptake inhibitor, for
anxiety as well as depression, need for regular intake, minimum 4-6 weeks to be
effective, etc.). Advise patient to speak to his/her GP about medication if
concerned. Explore any other treatment options tried (relaxation techniques,
counselling, etc.).
Offer to give patient information leaflet/website recommendations for relaxation
techniques.
 OET 23rd JANUARY 2021
ROLEPLAYER CARD NO. 4 NURSING
SETTING Hospital Ward

PATIENT You are 28 years old and have just had keyhole surgery to have your gallbladder
removed under general anaesthetic. The nurse is seeing you to check on your
progresS.

TASK When asked, saythat you're feeling tired and your stomach is quite sore. Say
you're also feeling sick.

Say you'l definitely tell the nurse if the pain changes or if you start to feel worse.

Say you feel hungry and thirsty, but are worried about eating and drinking in case
you vomit.

Say you'll try to drink something. Ask when you will have the stitches removed

Say all the information about the stitches and dressings is clear. Say that your
mother is coming to pick you up, and she will stay with you until tomorrow.

O Cambridge Boxhill Language Assessment 23rd JANUARY 2021

OET 23rd JANUARY 2021

CANDIDATE CARD NO. 4 NURSING
SETTING Hospital Ward

NURSE Your patient is 28 years old and has just had laparoscopic day surgery for a
cholecystectomy (gallbladder removal) under general anaesthetic. You are seeing
the patient to check on his/her progress.

Explain reason for visit (check on progress). Find out how patient is
TASK operation (any pain, nausea, etc.). feeling after
.Reassure patient about side effects of anaesthetic (e.g.,
normal, temporary,
etc.). Give information about pain relief (e.g., already given, time needed to take
effect, increased if necessary, etc.). Advise patient to let you know about
in pain/nausea. changes
.Explain next steps (e.g., visit by doctor, discharge after 3-4 hours if urine is
passed, etc.). Find out if patient is ready to eat/drink.
.Outline possible aftereffects of surgery on digestive
system (e.g., bloating,
flatulence, diarrhoea, etc.). Encourage patient to drink(e.g., important for settling
stomach, recovery, hydration, discharge, etc.).
.Explain postoperative care (dissolvable stitches: disappear within two
dressings: removal in 3-4 days, etc.). Check patient's discharge weeks;
are in place (need to be accompanied home, carer at arrangements
home for first 24 hours,
etc.).
Cambridge Boxhill Language
Assessment nprd1ALLo
 NURSIING

ROLEPLAYER CARD NO. 6

Community Health Centre
SETTING need to take
You know you
going on a trip soon.
depression in the
YOu are 35 years old and
are
PATIENT you have suffered from
malaria medication but are concerned as shouldn't take.
that there is some malaria medication you
past, and you've read

soon. Say you

around Southeast Asia
TASK When asked, say you're going on a trip in the past
know you need to take malaria
medication but you've had depression
medication you shouldn't take.
and you've read that there is some malaria
but
to be travelling for a month arnd will be mainly in rural areas,
Say you're going
plan to visit some cities too.

when you return, sO maybe you

Say you'd rather not take medication for so long
can just try to avoid getting bitten.

Say you don't want to take medication for a long time because you're worried
about the side effects.

Say you don't want to have those problems. Agree to take the medication.
O Cambridge Boxhill Language Assessment 23rd JANUARY 2021

OET 23rd JANUARY 2021

CANDIDATE CARD NO. 6 NURSING
SETTING Community Health Centre

NURSE You see a 35-year-old patient who is going on a trip soon and needs to take
malaria medication. He/she is concerned about taking this medication as he/she
has suffered from depression in the past, and has read that there is some malaria
medication he/she shouldn't take.

TASK
Find out reason for patient's visit.
.Find out relevant details about trip (length of visit, rural/urban, etc.).
.Recommend doxycycline for malaria prophylaxis (no contraindications for patients
with history of depression, etc.). Give details of
two days before trip, during trip and four weeks
dosage (100mg daily with food,
after return, etc.).
.Stress need for both medication and bite
areas visited, length of visit,
prevention measSures (e.g., high-risk
etc.). Give reasons for long dose of
allows time for multiplication of
parasite, etc.). Find out reason fordoxycycline
patient's
(e.g.,
reluctance to take medication over
long period of time.
Give details of possible side effects
risk of sunburn, etc.). Warn
(e.g., heartburn, upset stomach, increased
patient risks of not taking medication if malaria
of
Contracted (e.g., heart/kidney problems, etc.). is

Cambridge Boxhill Language Assessment

ROLEPLAYER CARD NO. 1 NURSING
SETTING Aged Care Facility

CARER Your 82-year-old mother is in a wheelchair and has recently been transferred from
an acute care facility to an aged care facility with 24-hour care. The nurse has just
finished clinical observations and is speaking to you about your mother's condition.
Your mother is not present.

TASK When asked, say you don't have any specific concerns about your mother; you
just hope she is doing okay.
Say that you've heard of bedsores, but you don't know much about them.
Say now you are really worried. You don't understand how your mother got this
pressure sore.
Say you really hope the pressure sore can be treated, and as quickly as possible
Ask what the nurse will do to prevent your mother getting pressure sores in the
future.
Say you feel better about your mother's condition now.

Cambridge Boxhill Language Assessment 12th DECEMBER 2020

OET 12th DECEMBER 2020

CANDIDATE CARD NO. 1 NURSING

SETTING Aged Care Facility

NURSE Your 82-year-old patient, who is in a wheelchair, has recently been transíerred from
an acute care facility to this aged care facility with 24-hour care. You have just
finished clinical observations and you are speaking to the son/daughter about
his/her mother's condition as you have discovered a pressure sore on the patient's
thigh. His/her mother is not present.

TASK Find out if son/daughter has any specific concerns about his/her mother.
Give information about patient's general condition (well/happy, condition as
on thigh. Find out
expected, etc.) and advise of presence of bed pressure sore
what son/daughter knows about bed pressure sores (bedsores).
Explain pressure sores (e.g., damage to skin/underlying tissue, resuit of constant

friction/pressure on skin, due to lack of blood flow, vascular problems, etc.).

from
Outline possible causes of patient's pressure sores (e.g., pressure
wheelchair, friction from clothing/bedding, immobility, etc.).
Describe immediate treatment (e.g., cleaning of wound, applying
dressing, etc.).
Reassure son/daughter about pressure sore prevention (e.g,
changing patient
good nutrition, checking skin daily,
position every few hours to relieve pressure,
etc.).
12th DECEMBER 2020
Cambridqe Boxhill Language Assessment
 OET 12th DECEMBER 2020
NURSING
ROLEPLAYER CARD NO. 4

SETTING Hospital
for fainting
medical assessments
PATIENT hospital following
are 44 years old and in Ihe nurse
YOu as the cause.
The assessments indicate postural hypotension
(syncope). instructions for you to
and reviewing the
IS discussing the discharge plan with you concern abOut
return home. You express
monitor your blood pressure when you
being sent home

be
say you are feeling anxious about going home; you think it might
TASK When
too soon.
asked,
but you
and how to monitor your blood pressure,
Say the doctor explained when
can't really remember what he said.
readings. Ask what you need
Agree to follow the instructions and document the
to do if you get any abnormal readings.
after you, and other family live
Say you live with your spouse, who will be looking
close by.
week's time and bring the
Say that you will attend the review appointment in one
readings with you.

12th DECEMBER 2020

Cambridge BoxhillLanguage Assessment

OET 12th DECEMBER 2020

CANDIDATE CARD NO. 4 NURSING

SETTING Hospital
NURSE Your patient is 44 years old and preparing for discharge following medical
assessments for syncope (falnting). Preliminary tests indicate postural hypotension
as the cause. You are discussing the discharge plan and reviewing instructions for
the patient to monitor his/her blood pressure (BP) at home.

Explain reason for seeing patient (discharge discussion). Find out how patient is
TASK feeling about going home.
Reassure patient about discharge decisions (e.g., made by multidisciplinary
team, dependent on satisfactory assessment, no danger to health, etc.). Find out
what patient knows about monitoring his/her blood pressure.
Explain how to take BP readings (twice daily, at same time, for one week,
document readings, etc.).
Advise patient to
contact doctor if he/she has any concerns about readings. Find
out aboutsupport patient has at
home (family, friends, neighbours, etc.)
Reaffirm importance of support network (e.g., family, neighbours, GP,
eC
Advise need for review appointment in one week's time (check BP, Io0K al
readings, discuss any issues/concerns, etc.).

mhridan Rnrhill I anauage Assessment 12th DFGEMBER 2020

 OET 12th DECEMBER 2020
ROLEPLAYER CARD NO. 3 NURSING
SETTING Community Nursing Centre
CARER YOu are the primary carer for
your 75-year-old father. You are concerned because
he has been falling over more often lately. You also think he has lost weight oveer
the last six months. You have come to the nurse for
advice.

When asked, say you are worried about your father because he seems to be
TASK
falling over more than before, and you also think he has Iost weight.
Say your father used to go out for a couple of long walks a day, but now he only
goes for one short walk. He watches TV more often than he used to. Say he
seems to be eating less than before.
Say your father doesn't have any long-term health conditions. He takes
medication for hyperternsion. He hasn't been ill recently. He does seem a bit
quieter and more withdrawn than usual. Say you have no idea why he is faling
Over, but it seems to be something to do with his balance.
Say that your father doesn't want to go to the doctor as he doesn't think there is
anything wrong.
Say you will follow the nurse's suggestions and speak to your father about seeing
a doctor.
Cambridge Boxhill Language Assessment 12th DECEMBER 2020

OET 12th DECEMBER 2020

CANDIDATE CARD NO. 3 NURSING
SETTING Community Nursing Centre

NURSE You see the son/daughter of a 75-year-old man who is concerned because his/her
father has been falling over more often lately. He/she also thinks he has lost
weight
Over the last six months and wants Some advice.

TASK Find out reason for son/daughter's visit.

Explain possible causes of health problems for elderly patients (changes in diet,
exercise, appetite, etc.). Explore relevance of these to his/her father.
Explore further relevant details about his/her father (long-term medication/health
conditions, recent ilness, change in mood, reason for falls, etc.).
Explain need for father to see doctor (e.g., full medical assessment, blood tests,
rule out any
underlying health conditions, etc.).
Recommend strategies for encouraging his/her father to see doctor (e.g., explain
importance of being assessed, son/daughter may go with him, etc.).
 OET T2tN DEUEVBER 202O

NURSING
ROLEPLAYER CARD NO. 6

SETTING Hospital Ward

to remove a
PATIENT YOu are 62 years old and recovering from surgery you had yesterday
or pan ana
renal cyst. The operation went well, but you are still experiencing a lot
has come to
are reluctant to withdraw from the V morphine you are on. The nurse
counsel you on post-operative pain relief and medication control.

When asked, say your wound is still really painful, and you are a bit worried this
TASK
isn't normal.
Say you haven't been doing any physical activity, and haven't really got Out OT
bed because you think it will make the pain worse.
Say you will try to do some daily exercise, but only if you can stay on the iv
morphine to make sure the pain is under control.
Say you are glad you can stay on morphine but admit you don't really see the
difference between the V and the oral morphine.
Say you will speak to the doctor about pain relief when he next comes around to
see you.

12th DECEMBER 2020

Cambridge Boxhill Language Assessment

OET 12th DECEMBER 2020

CANDIDATE CARD NO. 6 NURSING

SETTING Hospital Ward

NURSE Your 62-year-old patient is recovering from surgery he/she had yesterday to
remove a renal cyst. The operation went well, but he/she is still experiencing a lot of
pain and is reluctant to withdraw from the IV morphine. You have come to counsel
the patient on post-operative pain relief and medication control.

Explain reason for seeing patient (discuss post-operative pain relief and
TASK medication). Find out how patient is feeling (any changes in pain, concerns, etc.).
Reassure patient about pain (e.g., part of healing process, will gradually improve,
etc.). Find out if patient has been doing any physical activity
Stress importance of physical activity (e.g., alleviate pain, aid healing, improve
blood flow, reduce risk of blood clots, etc.). Make recommendations (daily walks,
etc.).
Remind patient of importance ofwithdrawing from IV morphine (e.g., risk of
dependency, increased risk of constipation, nausea, vomiting., drowsiness, etc.).
Advise on next steps (review morphine dose, change to oral morphine, replace
morphine with paracetamol, etc.).
Give information about oral morphine (e.g., longer-lasting, slower release, etc.).
Advise patient to speak to doctor about pain relief on next ward round.
12th DECEMBER 2020
Gambridqe BoxhillLanquage Assessment
 SETTING Hospital Ward

PATIENT You are 60 years old and are about to be discharged fro,m hospi~al following a
recent hip replacement. The nurse sees you to give you Information about
aftercare,

• When asked, say you're a bit concerned because your leg is still quite swollen,
TASK

• Ask if them's any reason for you to see your GP,

• Say that you had the injections before the surgery, but the nurse helped ,you
administer them, Say you are worried about doing it yourself and you'd like the
nurse to show you how to do the injections before you're discharged,

• Say the doctor has told you that you can't start driving or go back to work yet,
but you're hoping you'll be able to do these soon,

• Say your son is picking you up and will stay with you for a few days. You have
organised some help at home for after he leaves,

• Say you're happy to be going home,

© Cambridge Boxhill Language Assessment 5th DECEMBER 2020

OET 5th DECEMBER 2020

CANDIDATE CARD NO.3 NURSING ~

SEITING Hospital Ward

NURSE Your patient is 60 years old and is about to be discharged from hospital following a
recent hip replacement. You see him/her to give information about aftercare,

TASK • Confirm reason for seeing patient (information about discharge/aftercare). Find
out how patient is feeling,
• Reassure patient about swelling (e.g" not unusual, reduces with
elevation/exercise regime, etc.). Give information about wound (healing well, no
infection, removal of dressing/clips in two weeks, etc.).
• Outline when patient should contact GP (signs of infection, e.g., redness,
increased swelling, leakage from wound, etc.). Give information about daily
injections (dalteparin: self-administered for up to ten days after surgery, once
daily, etc.).
• Reassure patient about administering injections (shown by nurse first, not difficult,
etc.).
• Advise a~ainst driving or working before follow-up appointment with surgeon
(usually SIXweeks after surgery, etc.). Find out about patient's discharge
arrangements (transport home, assistance/family support, etc.).
• Confirm discharge arrangements in place.
© Cambridge Boxhill Language Assessment
,'t, 5th DECEMBER 2020
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 OET 26th SEPTEMBER 2020
NURSING
ROLEPLAYER CARD NO. 3

SETTING Hospital Accident and Emergency Department

You are 30 years old and are attending the emergency department because a dog
PATIENTT
has bitten your hand.

When asked, saythat you have been bitten on your hand by a dog.
TASK
Say that you were bitten about an hour ago, by your neighbour's dog. It broke
the skin in several places; you think the wound is deep because it bled heavily.

Say you didn't try to clean the wound as it was bleeding too much; you covered
it with a sterile pad and applied pressure. You haven't used any cream. You took
two paracetamol tablets just after it happened, but it is still very painful.

Say you can't remember when you last had a tetanus booster, so it's probably a
good idea to have one. Ask how many stitches you'll need.

Say you're glad you don't need stitches and will just wait to see the doctor.

Cambridge Boxhill Language Assessment 26th SEPTEMBER 2020

OET 26th SEPTEMBER 2020

CANDIDATE CARD NO. 3 NURSING
SETTING Hospital Accident and Emergency Department

NURSE Your patient is 30 years old and has come to the emergency department with a
dog bite to his/her hand.

TASK Find out the reason for the patient's visit to the emergency department.

.Elicit more details about the dog bite (time frame, severity, etc.).
Ask about the patient's care of the wound (cleaning/dressing, application of
antiseptic cream, etc.), and self-administered pain relief.

Explain the next steps (cleaning/assessing the wound, examination by doctor,

blood test to check for infection, possible X-ray to check for bone/tendon
damage, appropriate antibiotics and pain relief). Recommend tetanus booster.
Describe current recommendation for animal bites (no stitches in wound
initially:
easier to clean, less risk of infection; reviewed after a few days; etc.). Advise the
patient that the doctor will confirm treatment of wound on examination.
Cambridao RouhilL
 OET 26th SEPTEMBER 2020
ROLEPLAYER CARD NO. 6 NURSING

SETTING Clinic

Your 80-year-old mother has been told she needs to have blood tests. You see the
CARER
nurse to find out whether the tests are necessary. Your mother is not present.

TASK When asked, say your mother has been told she has to have some routine blood
tests. You wonder why she has to have them, because she's in good health and
nothing seems to be wrong with her.
When asked, say you accept the need for the blood tests, but you still don't really
like the idea of your mother having blood tests as she bruises badly every time
blood is taken.
Say you assume your mother should fast from the day before, as this is what she
did last time.
Ask what will be doneifthere are any test results that are a concern.
Agree to make an appointment for your mother, and to accompany her for the
blood tests.

26th SEPTEMBER 2020

Cambridge Boxhill Language Assessment

OET 26th SEPTEMBER 2020

CANDIDATE CARD NO. 6 NURSING

SETTING Clinic

NURSE You see the son/daughter of an 80-year-old woman who is due to have some
routine blood tests. She hates having blood taken and the son/daughter wants to
know if the tests are necessary, which they are. The 80-year-old mother is not
present.

TASK Find out the reason for the son/daughter's request to see you.
Give reasons for blood tests (e.g., check general state of health, liver and kidney
function, impact of current medication, etc.). Explain blood tests are part of a
routine health check (e.g., blood pressure, cognitive function, etc.). Find out if the
son/daughter has any further concerns.
Explain greater risk of bruising in older patients (e.g., more sensitive skin, less
pronounced veins, usually harmless and fade quickly, paracetamol if painful, etc.).
Give details of fasting requirements (e.g., no food for at least 8 hours, continue
drinking water, take usual medication as normal, etc.).
review
Explain the need for GP appointment (discuss results/treatment,
medication, etc.). Recommend son/daughter involvement (e.g., attends blood
tests/follow up appointment with his/her mother, etc.).

26th SEPTEMBER 2020

Cambridge Boxhill Language Assessment
 OET 26th SEPTEMBER 2020
ROLEPLAYER CARD NO. 1 NURSING
SETTING Suburban Clinic

PATIENTT You are 62 years old and have rheumatoid arthritis. You are attending an
appointment to get information about the Pneumococcal Polysaccharide
Vaccination (PPV) which you have been advised to have.

TASK When asked, say that the clinic sent a letter to say you had to have the
vaccination. Say that you don't think you need to have it.

Say that you always get an annual flu jab; you thought that would be enough
protection.
Ask if you are likely to feel unwell after you have the vaccination.

Say you had an annual fiu vaccination two weeks ago so maybe it is better to
wait before you have another vaccination.

Say you felt fine after the flu vaccination; it didn't cause any problems at all.

Agree to have the vaccination.

Cambridge Boxhill Language Assessment 26th SEPTEMBER 2020

OET 26th SEPTEMBER 2020

CANDIDATE CARD NO. 1 NURSING

SETTINGa Suburban Clinic

NURSE You see a 62-year-old patient who has rheumatoid arthritis. He/she is attending an
appointment to get information about the Pneumococcal Polysaccharide
Vaccination (PPV) which he/she has been advised to have.

TASK Confirm the reason for the patient"'s visit (PPV).

Explain the need for the vaccination (e.g., rheumatoid arthritis patients at higher
risk of pneumococcal infections/compromised immune systems, etc.). Stress the
importance of immunisation against pneumococcal infections (e.g., pneumonia,
septicaemia, etc.).
Give details about the vaccines: PPV (bacterial, remains the same, given every
three years, etc.) and fiu (viral, strain constantly changes, given yearly, etc.).
Outline possible temporary mild side effects (e.g., slight temperature,
redness/swelling at injection site, etc.). Recommend making an appointment with
a GP if not well.
Ask the patient about any reaction to the flu vaccination (e.g., high temperature
muscle aches, fatigue, etc.).
Reassure the patient about having the PPV today (e.g., no adverse reaction to flu
vaccine, suitable interval since earlier vaccine, etc.). Establish the patient's
Consent to have the PPV.
26th SEPTEMBER 2020
Cambridge BoxhillLanguage Assessment
 OET 26th SEPTEMBER 2020
ROLEPLAYER CARD NO. 4 NURSING

SETTING Hospital Outpatient Clinic

You are the parent of a 7-year-old girl who has come to have a throat swab taken.
PARENT
You are asking for some information from the nurse. Your daughter is sitting
nearby.

TASK When asked, say that your daughter has been having frequent sore throats. She
hasn't had a throat swab before and you want to know more about it.
Say you don't think just taking a little bit of throat tissue can show what is wrong
with your daughter.
Say your daughter doesn't use mouthwash and ask why the nurse needs to
know this.
Ask the nurse what will happenifthe throat swab shows your daughter has
something serious.
Ask when the results will be available.
Agree to your daughter's throat swab beirng taken.

Cambridge BoxhillLanguage Assessment 26th SEPTEMBER 2020

OET 26th SEPTEMBER 2020

CANDIDATE CARD NO. 4 NURSING

SETTING Hospital Outpatient Clinic

NURSE You see the parent of a 7-year-old girl who has come to have a throat swab taken.
You are providing some information beforehand. The girl is sitting nearby.

TASK Explore the reason for the parent's visit. Find outifthe child has had a throat
swab before.
Explain the process of a throat swab (sample of throat tissue taken with cotton
wool bud, quick process, slight discomfort, minor risk of gagging, etc.). Suggest
the parent stays with the child during the procedure.
Describe analysis of throat swab (e.g., culture grown in lab, chemical tests show

type of infection, etc.). Find out if the child uses mouthwash.

.Outline the effect of mouthwash on the throat swab (e.g., kils bactera, test
results compromised, etc.).
Resist giving a prognosis (e.g., not your role, throat swab needed for diagnosis,
appropriate treatment decided by GP, etc.).
Give details about the results (two days, follow-up appointment with doctor, etc.).
Establish the parent's consent for the child's throat swab.

26th SEPTEMBER 2020

OCambridge Boxhill Language Assessment
 NURSING

ROLEPLAYER CARD NO. 5

City Clinic
SETTING bladder infection,
who has a suspected
the parent of a 4-year-old
girl a urine sample, and you
see
You are
doctor has requested
PARENT The the urine
which she gets frequently. procedure for getting
bottle and to check the
the nurse to get a sample
sample.

daughter, who's only

need to get a urine sample from your
When asked, say you need to get her to pee into a container
TASK four. Say you want to
check that you just
from that.
and then collect the sample need to bring the
nurse's instructions. Ask
how quickly you
Say you'll follow the
urine sample to the clinic. don't think this
bladder infections and you
Say your daughter keeps getting
problem will be resolved soon.
about hygiene, which you
the doctor gave you lots of advice, for example,
Say to drink
difficult to get your daughter
have been following. Admit it's really
the toilet at nursery.
anything and she doesn't like using the sample done as quickly
a phase and you'll get
Say that you are glad it is
just
as you can.

26th SEPTEMBER 2020

Cambridge Boxhill Language Assessment

OET 26th SEPTEMBER 2020

NURSING
CANDIDATE CARD NO. 5

SETTING City Clinic

tract infection
NURSE You seethe parent of a 4-year-old girl who has a suspected urinary
the parent a sample bottle and advice on
(UTI), which she gets frequently. You give which the doctor has requested.
the procedure for collecting a urine sample,

.Find out the reason for the parent's request to

see you.
TASK
.Outline the urine collection process (e.g., get girl to
drink water to fill bladder,
collect mid-stream, use sterile sample bottle, etc.).
Stress importance of not
cause of bladder
contaminating the sample (e.g., unreliable test results,
infections not identified, etc.).
Outline the next steps after sample collection (taken to the clinic within 12 hours,
initial dipstick test, full lab analysis if needed, etc.).
Give information about bladder infections in children (e.g., common, caused by
reluctance to pee/lack of hydration, etc.). Establish what advice the doctor gave
the parent (hygiene, cotton underwear, unscented/unperfumed products, etc.).
Reassure the parent about child not using the toilet at nursery (e.g.,
common

Give advice on
phase, will grow out of it as she gets used to the teachers, etc.).
hydration (e.g., fruit, ice blocks, etc.).

26th SEPTEMBER 2020

Cambridge Boxhill Language Assessment
 OET 11th OCTOBER 2020
1ROLEPLAYER CARD N0. 1 NURSING

SETTING Hospital Ward

just had her adenoids removed
PARENT You are the parent of a seven-year-old girl who has
ask for some information abou t
and is due to be discharged. You see the nurse to
daughter is not present.
your daug hter and to discuss her discharge. Your

daughter because she has a

• When asked, say you're a bit worried abou t your
TASK gh her nose.
sore throa t and sounds as though she's speaking throu
your daug hter has only had
• Say you will give her some paracetamol. Say so far
can start eating prop er food
liquids in hospital and you'd like to know when she
again.
hter to go back to scho ol
• Say you'll follow this advice but you want your daug
ol.
tomorrow; you don 't want her to get behind at scho
hospital for a chec k-up .
• Ask if you need to bring your daughter back to the
t develop any serious
• Say you hope your daughter will be fine and she won'
symptoms.
11th OCTOBER 2020
© Cambridge Boxhill Language Assessment

OET 11th OCTOBER 202 0

1 CARD NO. 1 NURSING
~ CANDIDATE
;,~

SETTING Hospital Ward

just had her adenoids removed

NURSE You see the parent of a seven-year-old girl who has
discuss his/her daug hter' s
and is due to be discharged. You see the parent to
er daug hter is not present.
discharge and to answer the parent's questions. His/h

-operative recovery
TASK • Confirm the daughter's readiness for discharge (post
(e.g., pain management,
satisfactory). Find out if the parent has any concerns
self-care after discharge, etc.).
tomy (sore throat, earache,
• Outline common, temporary aftereffects of adenoidec
mended pain relief
stiff jaw, change in voice , etc.). Give details of recom
(over-the-counter painkillers, e.g. , paracetamol, etc.).
recommendations on food
• Advise on timescale for solid food (three days). Make
th texture, non-abrasive, etc.).
types in the meantime (e.g., easy to swallow, smoo
e ways to reduce risk of
• Advise need for recovery at home (one week). Outlin
colds, no swim ming for
infection (e.g., avoidance of people with coughs and
(next steps, etc.).
three weeks, etc.). Explore any other parent concerns
s need for medical help if
• Confirm no follow-up appointment necessary . Stres
se pain, prolonged
daughter develops severe symp toms (e.g., fever, inten
bleeding from mouth, etc.).
11th OCTOBER 2020
© Cambridge Boxhill Language Assessment
• p - - - - - - - - -~oc-E1r11111ttthOCTOBER 20 2 U
NURSING
ROLEPLAYER CARD NO. 4

SETTING Hospital Ward

You are 65 years old and have been in ho_spital having treat~ent for emphysema.
PATIENT
The nurse is seeing you to discuss your discharge from hospital.

• When asked, say you are feeling so much better and can't wait to get back
TASK
home.

• Say you know what medication you need to take and when, but you're worried
about being able to remember to take it.

• Say the nurse's suggestions sound really helpful. Ask if it is okay to take any pain
relief like paracetamol, as well as your medication.

• Say that you are worried; the next time you go to see your GP, she won't know
what treatment you've had in hospital.

• Say you don't have any other questions and you hope you'll be going home
soon.

© Cambridge Boxhill Language Assessment 11th OCTOBER 2020

-
OET 11th OCTOBER 2020
CANDIDATE CARD NO. 4 NURSING

SETTING Hospital Ward

NURSE You see a 65-year-old patient who has been having treatment for emphysema. You
are discussing his/her discharge from hospital.

TASK • Explain the reason for seeing the patient (discuss discharge process). Find out
how the patient is feeling.
• Outline steps in the discharge process (final check by medical team, discharge
letter from doctor, supply of medication, etc.). Establish patient's understanding
of his/her medication (dosage, frequency, etc.).
• Recommend strategies for managing medication (e.g., tablet organiser,
reminders on his/her phone, family support, etc.).
• Advise patient to speak to the doctor on duty about pain relief. Remind patient of
post-discharge management of condition (e.g. , if symptoms get worse, contact
the hospital; checkups with GP, etc.). Explore any other patient concerns.
• Reassure patient about communication of medical information (e.g., from hospital
to GP of patient's hospitalisation/treatment/medication, etc.). Find out if the
patient has any other questions.
 OET 11th OCTOBER 2020
OLEPLAYER CARD NO. 3 MEDICINE
:>ETTING GP Clinic

PATIENT You are 45 years old and see your GP to get the results of routine blood tests,
which were carried out to investigate fatigue.

TASK • When asked, say you want to know if having an underactive thyroid is the reason
for your tiredness.

• Say you have noticed you've put on a bit of weight recently, but you assum~d
that was because your job is quite sedentary and you don't do much exercise.

• Say you're shocked to hear that you have to take tablets for the rest of your life.
Ask what happens if you decide not to take them.

• Agree to take thyroid tablets but say surely there must be something else you
can do, for example, change your diet or do some exercise.

• Agree to come back for a blood test in three months' time.

© Cambridge Boxhill Language Assessment 11th OCTOBER 2020

OET 11th OCTOBER 2020

CANDIDATE CARD NO. 3 MEDICINE

SETTING GP Clinic

DOCTOR You see a 45-year-old patient who has come to get the results of routine blood
tests which were carried out to investigate fatigue. The tests indicate
hypothyroidism (underactive thyroid) and so you prescribe medication.

TASK • Give blood test results (evidence of underactive thyroid). Explain function of the
thyroid gland (e.g., production and storage of hormones to regulate metabolism,
etc.). Find out if the patient has any questions/concerns.
• Explain symptoms/effects of an underactive thyroid (tiredness, sensitivity to cold,
weight gain, etc.). Find out relevance of these to the patient.
• Outline treatment for hypothyroidism (hormone replacement tablets to
raise/replace thyroxine levels: lifelong treatment, etc.).
• Explain possible risks of not taking the medication (e.g ., increase in fatigue
depression, heart disease, etc.). '
• Explain possible impact of lifestyle changes for general health (e g · d
I I . . ., improve
)
energy eves, etc. . Explain the need for regular blood tests (initial! ft h
months; monitor thyroid function, adjust medication dosage, etc./ a er t ree
 OET 11th OCTOBER 2020
NURSING
ROLEPLAYER CARD NO. 5

SETTING Hospital Ward

You are 70 years old and have heart failure. You have been admitted to hospital
PATIENT
because your legs, ankles and abdomen are swollen, as a result of heart failure.
The nurse has come to do clinical observations .

TASK • When asked, say you have been feeling very tired and your legs are
uncomfortable because of the swelling.

• Say you are not very happy about being given diuretics in case you can't get to
the toilet in time. You would like a bed near the toilet.

• Say you would much rather use the toilet but you understand why you can't. Ask
if you will be allowed to go home if the swelling goes down.

• Say you hope you won't be in hospital for too long because the last time you
were in hospital, you felt really down.

• Agree to the nurse starting the observations.

© Cambridge Boxhill Language Assessment 11th OCTOBER 2020

OEJ_11th OCTO,BER 2020

SETTING Hospital Ward

NURSE You have come to do clinical observations on a 70-year-old patient. He/she has
been admitted to hospital for the management of symptoms of cardiomyopathy
(heart failure), particularly oedema of the legs, ankles and abdomen.

TASK • Explain the reason for seeing the patient (clinical observation~: ch_eck .
weight/heart rate/blood pressure, etc.). Find out ~ow_the p_at1ent 1s feeling.
• Give information about treatment to reduce swelling (1nsert1on of cannula,
administer intravenous diuretics, etc.).
• Resist the request to change bed location (toilet use not possible, use of urine
bottle/commode). Explain the need to measure volume of urine (e.g., check
effectiveness of medication, reduction in oedema, etc.).
• Advise of the possibility of further tests before discharge (e.g., check side effects
of diuretics/low potassium/sodium levels, etc.).
• ~e~ssure patient about his/her time in hospital (e.g., support from medical team,
v1s1tors allowed any time, discharge as soon as practical, etc.). Establish patient's
consent for you to begin clinical observations.
 OET 11th OCTOBER 2020

Community Health Centre . . f

SffilNG
cold which has left you with a build-up o
PATIENT You are 22 years old and have had~ clear your throat. You have come for
to
mucus (catarrh) and a constant nee
advice on treatment.

f a couple of weeks and it's left you with

TASK • When asked, say you have had a cold or d to clear your throat a lot. This is
a build-up of mucus, which means you ne~ Say you want some advice on
quite unpleasa nt for you and people aroun you.

treatment. ou hing up lots of white mucus

• Say you don't have a runny nose, but you are c g of smell and taste are fine.
and your face and neck hurt as a result._ Your sensesscription for somethi ng
• Say you were hoping the nurse would give you a pre . t' n
!o
which would be more effective than over-the-counter medlca d .the roblem
• Say you will try over-the-counter medication, but you are worne p
might carry on for a long time. . . t with our GP if
• Say you'll follow the nurse's advice and will make an appointm en Y
there is no improvement.

11th OCTOBER 2020

© Cambridge Boxhill Language Assessment

OET 11th OCTOBER 2020

CANDIDATE CARD NO. 6 NURSING

SETTING Community Health Centre

NURSE You see a 22-year-old patient who has had a cold and as a result has a build-up of
mucus (catarrh) and a constant need to clear his/her throat. He/she wants some
advice on treatment.

TASK • Find out the reason for the patient's visit.

• Find out more details of symptoms (runny nose, colour of mucus, facial pain,
reduced sense of smell/taste, etc.).

• Outline ways to relieve catarrh (e.g ., drink cold water before clearing, saline nasal
rinse, avoid warm dry atmosphere, stay well-hydrated, etc.). Suggest
over-the-counter medication (e.g., decongestants, antihistamines, etc.).

• Resist request for prescription (e.g., not necessary, not your role, etc.).

• Reassure patient about catarrh (e.g., usually temporary, not harmful, self-limiting,
etc.). Advise need to see GP if problem persists for more than six weeks
derlyinq condition/unident ifiArl fnnrl ~i:in~iti"ih , o t f"' ,