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.
【小题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. |
| 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 |
| 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 |
| 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 |
| A．negative | B．neutral | C．critical | D．positive |
【小题1】A
【小题2】B
【小题3】C
【小题4】D
【小题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。
【小题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。
【小题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。
【小题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。
【小题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。
【小题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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科目：高中英语 来源： 题型：阅读理解
Many years ago in a small German town, a Jewish businessman had the misfortune of owing a large sum of money to the moneylender. The moneylender, who was old and ugly, fancied the businessman’s beautiful daughter. So he proposed a bargain.
The moneylender told them that he would put a black pebble and a white pebble into an empty bag. The girl would then have to pick one pebble from the bag. If she picked the black pebble, she would become the moneylender’s wife and he would forgo her father’s debt. If she picked the white pebble, she need not marry him and her father’s debt would still be forgiven. But if she refused to pick a pebble, her father would be thrown into jail.
They were standing on a pebble-strewn path. As they talked, the moneylender bent over to pick up two pebbles. The sharp-eyed girl noticed that he had picked up two black pebbles and put them into the bag. He then asked the girl to pick a pebble from the bag. No doubt she was caught in a dilemma.
What would you have done if you were the girl? Careful analysis would produce three possibilities:
1.The girl should refuse to take a pebble.
2.The girl should know that there were two black pebbles in the bag and expose the money-lender as a cheat.
3.The girl should pick a black pebble and sacrifice herself in order to save her father from his debt and imprisonment.
The above story is used with the hope that it will make us appreciate the difference between lateral (横向的)and logical thinking.
Read on…
The girl put her hand into the moneybag and drew out a pebble. Without looking at it, she fumbled and let it fall onto the pebble-strewn path where it immediately became lost among all the other pebbles. “Oh, how clumsy of me!” she said. “But never mind, if you look into the bag for the one that is left, you will be able to tell which pebble I picked.” Since the remaining pebble is black, it must be assumed that she had picked the white one. And since the moneylender dared not admit his dishonesty, the girl changed what seemed an impossible situation into an extremely advantageous one.
【小题1】The underlined word “forgo” in paragraph 2 may mean ________.
| A．pay off | B．run out | C．take over | D．give up |
| A．The girl refused to take a pebble and fled at once. |
| B．The girl exposed the cheat and found another way. |
| C．The girl picked one pebbles and made it disappear. |
| D．The girl picked a black pebble and accepted the result. |
| A．The girl dropped the pebble onto the path on purpose |
| B．The girl dropped the pebble onto the path by accident |
| C．The girl didn’t know there were two black pebbles in the bag |
| D．The girl replaced a black pebble in the bag |
| A．Keeping calm when facing a difficult situation. |
| B．Thinking about a complicated problem in another way. |
| C．Thinking twice before making a final choice. |
| D．Coming up with a clever answer is easy. |
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科目：高中英语 来源： 题型：阅读理解
Lifeguard, sportscaster, movie star, governor, president——there wasn’t much Ronald Reagan didn’t do in life.
“The world was a vast opportunity for him,” Lou Cannon wrote in his biography（传记） of the former US president, who died on June 5，2004， aged 93.
Reagan’s final years saw him fight a losing battle against Alzheimer’s disease（老年痴呆症）. But his positive attitude toward life has given hope to many people.
Born in 1911 to a poor family in a small town in Illinois, his father was a failed salesman who drank too much. It was in these difficult times, though, that Reagan developed the powerful optimism（乐观） that would serve him so well. He always believed better times lying ahead, and this was reflected in his high school yearbook entry. “Life is one grand, sweet song, so start the music,” he wrote.
As a teenager, Reagan spent summers working as a lifeguard at a local beach, saving 77 lives in seven years. He graduated from college in 1932 with a degree in economics and sociology. But America was still in the middle of the Great Depression, and jobs were hard to find. Reagan finally found work as a radio sports announcer and this road led him to Hollywood in 1937.
During the 20---year film career, he never became a leading star. As in his lifeguard days, Reagan loved to play the hero and only took the role of a bad guy once in more than 50 films.
A talented speaker who was always able to connect with his audience, Reagan became involved in politics in the 1950s. This popular touch led to him being elected the governor of California in 1967.
All the while Reagan was in California, he had his eye on the White House. In 1980, aged 69, he became the oldest man ever elected president.
He held office from 1981 to 1989, the first president to serve two complete terms after World War Ⅱ. When he left, aged 77, he held the highest popularity rate of any retiring president in US history.
He remained positive even when he discovered he had an illness that would destroy him. “I will leave with the greatest love for this country of ours and eternal（永恒的optimism(乐观) for its future,”he wrote.
【小题1】Reagan can be best described as a man with ______.
| A．firmness | B．humour | C．optimism | D．talent |
| A．Playing the role of a bad guy. |
| B．Being a leading star of the film. |
| C．Saving people’s lives. |
| D．Working as a radio sports announcer. |
| A．a, c, d, e ,b | B．e, c, d, b, a |
| C．b, a, c, d, e | D．c, d, b, e, a |
| A．Reagan achieved much in his whole life |
| B．Reagan could have done much better |
| C．Reagan did much for America and the world |
| D．Reagan was a very lucky man |
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科目：高中英语 来源： 题型：阅读理解
When a first-time father saw his newborn son, he immediately noticed the baby's ears obviously standing out from his head. He expressed his concern to the nurse that some children might tease his child. A doctor examined the baby and reassured the new dad that his son was healthy- the ears presented only a minor problem with its appearance.
But the nervous father persisted. He wondered if the child might suffer psychological effects of ridicule（嘲笑）, or if they should consider plastic surgery（整形手术）. The nurse assured him that it was really no problem, and he should just wait to see if the boy grows into his ears.
The father finally felt more optimistic about his child, but now he worried about his wife's reaction to those large ears. She had been delivered by operation, and had not yet seen the child.
“She doesn't take things as easily as I do,” he said to the nurse.
By this time, the new mother was settled in the recovery room and ready to meet her new baby. The nurse went along with the dad to lend some support in case this inexperienced mother became upset about her baby's large ears.
The baby was in a receiving blanket with his head covered for the short trip through the cold air-conditioned corridor(走廊）. The baby was placed in his mother's arms, who eased the blanket back so that she could look at her child for the first time.
She took one look at her baby's face and looked to her husband and gasped(喘气说）, “Oh, Honey! Look! He has your ears!”
No problem with Mom. She married those ears...and she loves the man to whom they are attached.
The poet Kahlil Gibran said, “Beauty is not in the face; beauty is a light in the heart.” It's hard to see the ears when you're looking into the light.
【小题1】When the father first saw his baby, he was worried that________.
| A．the baby might not grow up healthily. |
| B．the baby might be laughed at by others. |
| C．the baby might disappoint its mother. |
| D．the baby might have mental problems. |
| A．could not function well. |
| B．looked the same as others. |
| C．only caused a small problem. |
| D．needed to have plastic surgery. |
| A．She blamed her husband for the baby’s big ears. |
| B．She was the first to discover the baby’s large ears. |
| C．She suggested having an operation on the baby immediately. |
| D．She found something similar between the baby and its father. |
| A．To advise readers to listen carefully. |
| B．To draw a conclusion from the story. |
| C．To criticize the wrong attitude to physical beauty. |
| D．To stress the importance of doctor-patient relationship. |
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科目：高中英语 来源： 题型：阅读理解
I spend a lot of time backpacking and hiking the outdoors and there are two pieces of equipment that are with me on each trip: an Adventure Medical Kits Weekender and an Adventure Medical Kits Suture Syringe Kit. Both proved very helpful on my most recent adventures to the Wrangell in Alaska.
On that day, we were “blessed” with rain, making our water crossing on the Dixie Pass very difficult. Our party of 12 had almost reached our destination when I slipped, severely gashing(划伤) my knee open in the process. While I could not see the wound at first because of the rain pants I was wearing, I knew it was severe.
Blood was running freely and I made those standing nearby aware of the damage. They quickly came over to assist, pulled my pack off and removed the Weekender First Aid Kit and Suture Kit from it. Fortunately, one of my partners is a doctor called William, who has often performed this type of work in the operating room, not out in the wild.
I seriously think he was more nervous about all this than me! I, of course, was more than happy that I did not have to stitch(缝合) myself up. As a marine, I’ve had to do it before. Fortunately, the sky had cleared up about two hours before, so we had great sunlight to work with. The doctor worked quickly with the assistance of another fellow camper acting as a nurse and placed seven stitches into my knee once the wound had been cleaned up.
Later that evening we used a syringe(注射器) we set aside loaded with Iodine(抗炎药) to clean the wound and then bandaged it again. The doctor was very impressed with the kits contents!
I’ve already ordered another Suture Syringe Kit. I have to say the kits are worth their weight in gold! Thanks for the contents in the kits!
【小题1】What does the underlined word “it” in paragraph 2 probably refer to?
| A．the wound | B．the rain | C．the kit | D．the knee |
| A．Because William didn’t know how to use the kits. |
| B．Because the author didn’t trust William. |
| C．Because the author hurt himself severely. |
| D．Because William had no experience of doing it in the wild. |
| A．useless | B．extremely useful | C．troublesome | D．not essential |
| A．How first aid kits saved a backpacker in Alaska. |
| B．How a doctor did the operation in the wild. |
| C．How the author with 12 fellow campers hike the outdoors. |
| D．How the author hurt himself. |
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科目：高中英语 来源： 题型：阅读理解
It was late in the afternoon. Several hundred villagers left their houses and gathered in the open air outside the village. They were staring __ __ at the mountain top in the distance. It was covered with __ __ —beautiful and dangerous.
The huge mountain is called Matterhorn. Mountain climbers had __ __ the top, using the southern route. But no one had __ __ dared to try a winter climbing up the northern side. But now one man was daring to try the __ __ route— the northern route, which was more difficult. He was Walter Bonatti, a great mountain climber from Italy.
For two days he had climbed. The village people had watched him __ __. Now they were waiting to see his ____. If he planned to __ __ the next day, he would light a green signal. A red light would mean that he was __ __.
A tiny green light __ __ high on the mountain side. Bonatti was not giving up! The people __ __.
The next day he continued his way upward. He was so lonely and so __ __！But he would not give up. Again that night he lit the __ __ light.
In the morning, Bonatti __ __. He could not see the top, but he knew he was __ __ there. Though the climb was painful, he moved up.
Bonatti had spent months __ __ for the climb. Was the training enough? Did he have the strength and ____ to climb to the top?
He was finally at the top! News about his __ __ was radioed to the world.
The trip __ __ the southern route was easy. He was warmly welcomed in the village. He had done the “ __ __ ”，and would be well remembered as a climber of all time.
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科目：高中英语 来源： 题型：阅读理解
One Sunday morning, when I was driving along a road, I saw something I couldn’t believe. A little girl, who was less than two years old, was pushing her stroller (婴儿车) across the road. The traffic was not heavy that morning.
I stopped my car at once and ran toward her. This little girl knew enough to run from a stranger. I tried to catch her in order that I could get her out of the road.
Suddenly her father came running down a hill across the road from where I had parked my car. He ran right to her and caught her up, saying “bad girl” to her. I picked up the stroller and gave it to him. The father grabbed the stroller and walked toward where he came from without a word.
I went back and sat in my car for a few minutes with my son. My hands were shaking and tears were about to run out of my eyes. “Do you feel cold, Mom?” asked my son. I just shook my head.
After this happened, I thought about how thankful I am. Even though the father didn’t say “Thank you”, I feel that I did something good. Doing something for someone else is pleasing, even when it’s only a matter of being in the right place at the right time.
I didn’t really “save” her, but I feel like it was important that I happened to be there. It is sad that I was the only one who stopped. It really made me a little disappointed that no one else stopped to help.
【小题1】 The little girl ran away from the author because _____.
| A．she wanted to look for her father |
| B．she wanted to stay on the road |
| C．she needed to catch her stroller |
| D．she didn’t know the author at all |
| A．there weren’t many cars on the road |
| B．the girl feared to go across the road |
| C．the girl had lost her way |
| D．she was driving to work in a hurry |
| A．The author shared her experience with her son. |
| B．The author felt sad that no one else helped the girl. |
| C．The girl’s father didn’t like the girl at all. |
| D．The girl’s father had wanted to thank the author. |
| A．Because the weather was very cold at that time. |
| B．Because she failed to be understood by the girl’s father. |
| C．Because she was not feeling well. |
| D．Because she was too excited to keep calm. |
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科目：高中英语 来源： 题型：阅读理解
Our house was directly across the street from the clinic entrance of John Hopkins Hospital in Baltimore. We lived downstairs and rented the upstairs rooms to the patients at the clinic.
One evening as I was fixing supper, there was a knock at the door. I opened it to see a truly awful looking man. He’s hardly taller than my eight-year-old son. “Good evening. I’ve come to see if you’ve a room. I came for a treatment this morning from the eastern shore, and there’s no bus till morning.” He told me he’d been hunting for a room since noon but with no success. “I guess it’s my face... I know it looks terrible, but my doctor says with a few more treatments...” For a moment I hesitated, but his next words convinced me: “I could sleep in this chair on the porch. My bus leaves early in the morning.”
I told him we would find him a bed. When I had finished the dishes, I talked with him. He told me he fished for a living to support his five children, and his wife, who was hopelessly crippled（残疾的）from a back injury. He didn’t tell it by way of complaint. Next morning, just before he left, as if asking a great favor, he said, “Could I come back and stay the next time?” He added, “Your children made me feel at home. ”
On his next trip he arrived a little after seven in the morning. As a gift, he brought a big fish and the largest oysters（牡蛎）I had ever seen. I knew his bus left at 4:00 a. m. and I wondered what time he had to get up in order to do this for us.
In the years he came to stay overnight with us and there was never a time that he did not bring us vegetables from his garden. I know our family always will be grateful to have known him; from him we learned how to accept the bad without complaint when facing the misfortune.
【小题1】Why did the author agree to let the man spend the night in his house at last?
| A．Because the man said others refused to accommodate him. |
| B．Because the man said he would not cause much inconvenience. |
| C．Because the man said he had come from the eastern shore. |
| D．Because the man said he had been hunting for a room since noon. |
| A．About 1 hour． | B．About 2 hours． | C．About 3 hours． | D．About 4 hours． |
| A．the author’s children were kind and friendly to the man |
| B．the man was fed up with his hard-work and his family |
| C．John Hopkins Hospital provided rooms-for the patients to live in |
| D．the author and his family were thought highly of by his neighbors |
| A．he often brought them fish and vegetables from his garden |
| B．he paid them money for his staying |
| C．he taught them how to accept the bad without complaint |
| D．he stayed only overnight with the writer’s family |
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科目：高中英语 来源： 题型：阅读理解
One of the greatest contributions to the first Oxford English Dictionary was also one of its most unusual. In 1879, Oxford University in England asked Prof. James Murray to serve as editor for what was to be the most ambitious dictionary in the history of the English language. It would include every English word possible and would give not only the definition but also the history of the word and quotations(引文) showing how it was used.
This was a huge task so Murray had to find volunteers from Britain, the United States, and the British colonies to search every newspaper, magazine, and book ever written in English. Hundreds of volunteers responded, including William Chester Minor. Dr. Minor was an American surgeon who had served in the Civil War and was now living in England. He gave his address as “Broadmoor, Crowthorne, Berkshire,” 50 miles from Oxford.
Minor joined the army of volunteers sending words and quotations to Murray. Over the next 17 years, he became one of the staff’s most valued contributors.
But he was also a mystery. In spite of many invitations, he would always decline to visit Oxford. So in 1897, Murray finally decided to travel to Crowthorne himself. When he arrived, he found Minor locked in a booklined cell at the Broadmoor Asylum(精神病院) for the Criminally Insane.
Murray and Minor became friends, sharing their love of words. Minor continued contributing to the dictionary, sending in more than 10000 submissions in 20 years. Murray continued to visit Minor regularly, sometimes taking walks with him around the asylum grounds.
In 1910, Minor left Broadmoor for an asylum in his native America. Murray was at the port to wave goodbye to his remarkable friend.
Minor died in 1920, seven years before the first edition of the Oxford English Dictionary was completed. The 12 volumes defined 414 825words, and thousands of them were contributions from a very scholarly and devoted asylum patient.
【小题1】According to the text, the first Oxford English Dictionary________.
| A．came out before Minor died |
| B．was edited by an American volunteer |
| C．included the English words invented by Murray |
| D．was intended to be the most ambitious English dictionary |
| A．He helped Murray to find hundreds of volunteers. |
| B．He sent newspapers, magazines and books to Murray. |
| C．He provided a great number of words and quotations. |
| D．He went to England to work with Murray. |
| A．Brave and determined. | B．Unusual and scholarly. |
| C．Considerate and optimistic. | D．Cautious and friendly. |
| A．Minor and the first Oxford English Dictionary. |
| B．The friendship between Murray and Minor. |
| C．The history of the English language. |
| D．Broadmoor Asylum and its patients. |
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