Question

Nursing at Beth Israel Hospital produces the best patient care. If we are to solve the nursing shortage. hospital administration and doctors everywhere would do well to follow Beth Israel's example .

      At Beth Israel each patient is assigned to a primary nurse who visits at length with the patient and constructs a full-scale health account that covers everything from his medical history  to his emotional state. Then she writes a care plan centered on the patient's illness but which also  includes everything else that is necessary.

     The primary nurse stays with the patient through his hospitalization. keeping track with his progress and seeking further advice from his doctor. If a patient at Beth Israel is not responding  to treatment. it is not uncommon for his nurse to propose another approach to his doctor. What  the doctor at Beth Israel has in the primary nurse is a true colleague.

    Nursing at Beth Israel also involves a decentralized (分散的) nursing administration; every  unit is a self-contained organization. There are nurse-managers instead of head nurses; in addition  to their medical duties they do all their own hiring and dismissing, employee advising, and they make salary recommendations. Each unit's nurses decide among themselves who will work what  shifts and when.

    Beth Israel's nurse-in-chief ranks as an equal with other vice presidents of the hospital. She  is also a member of the Medical Executive Committee. which in most hospitals includes only  doctors.

1.Which of the following best characterizes the main feature of the nursing system at Beth    Israel Hospital?

A. The doctor gets more active professional support from the primary nurse.

B. Each patient is taken care of by a primary nurse day and night.

C. The primary nurse writes care plans for every patient.

D. The primary nurse keeps records of the patient's health conditions every day.

2.It can be inferred from the passage that_____.

A. compared with other hospitals, nurses at Beth Israel Hospital are more patient

B. in most hospitals, patient care is inadequate from the professional point of view

C. in most hospital, nurses get low salaries

D. compared with other hospitals, nurses have to work longer hours at Beth Israel Hospital

3.A primary nurse can propose a different approach of treatment when

A. the present one is refused by the patient

B. the patient complains about the present one

C. the present one proves to be ineffective

D. the patient is found unwilling to cooperate

4.The main difference between a nurse-manager and a head nurse is that the former

A. is a member of the Medical Executive Committee of the hospital

B. has to arrange the work shifts of the unit's nurses

C. can make decisions concerning the medical treatment of a patient

D. has full responsibility in the administration of the unit's nurses

5.The author's attitude towards the nurse system at Beth Israel Hospital is___

A. negative    B. neutral     C. critical   D. positive

 

Answer 1

【答案】

 

1.A

2.B

3.C

4.D

5.D

【解析】

试题分析：文章大意：本文主要讲述以色列贝蒂医院的护士如何做出了最好的病患护理。

1.C 细节题。根据第三段If a patient at Beth Israel is not responding to treatment. it is not uncommon for his nurse to propose another approach to his doctor. What the doctor at Beth Israel has in the primary nurse is a true colleague. 如果病人不愿意治疗方案，他的护士会建议医生用另一种方案。故C正确。

2.B 推理题。根据文章第二、三段可知，该医院护士能做许多专业方面的工作，言外之意即是其他医院在这方面做的较少，故B正确。

3.C 细节题。根据第三段If a patient at Beth Israel is not responding to treatment. it is not uncommon for his nurse to propose another approach to his doctor.可知当当前的治疗无效的时候。故C正确。

4.D 细节题。根据文章倒数第二段There are nurse-managers instead of head nurses; in addition to their medical duties they do all their own hiring and dismissing, employee advising, and they make salary recommendations.可知每个单元的护士在管理上负有全责，故D正确。

5.D推理题。negative否定的；neutral中立的；critical批判的；positive肯定的。本文讲述以色列贝蒂医院的成功经验，是值得推荐的，故D正确。

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