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

For a long time, he hesitated whether he should tell us ____ what had happened.

    A. at dusk             B. at length        C. at present    D. at stake

We will debate the subject_____ late when we have enough time.

A.in vain   B.at length   C.at last  D.in force

The farmers were more anxious for rain than the people in the city because they had more _____.

 A. at length          B. at last              C. at stake          D. at ease

第三节：完形填空（共20小题；每小题1.5分,满分30分）
阅读下面短文,从短文后所给各题的四个选项（A、B、C和D）中,选出可以填入空白处的最佳选项,并在答题卡上将该项涂黑。
I hired a plumber（水管工） to help me restore an old farmhouse, and he just finished a rough first day on the job: a  41 tire made him lose an hour of work, his electric drill quit and his ancient one ton truck refused to  42  .
   43  I drove him home, he sat in stony silence.    44  arriving, he invited me in to meet his   45 . As we walked toward the front door, he paused briefly at a small   46 , touching the tips of the branches with both   47 .
When   48 the door he passed through an amazing transformation. His brown face was in all smiles and he hugged his two small children and gave his   49 a kiss.  50 he walked me to the car. We passed the tree and my   51 got the better of me. I asked him about what I had   52 him do earlier.
"Oh, that's my   53 tree," he replied. "I know I can't help having troubles on the job, but one thing's   54 :those troubles don't   55 the house with my wife and the children. So I just hang them up on the tree    56  when I come home and ask God to    57 them. Then in the morning I   58 
them up again." "And the   59 thing is," he smiled, "when I come out in the morning to pick them up, there aren't   60 as many as I remember hanging up the night before."
41. A. smooth                  B. broken                  C. failed                     D. flat
42. A. begin                     B. start                       C. set                         D. launch
43. A. While                    B. During                   C. As soon as              D. Though
44. A. In                         B. For                        C. On                         D. At
45. A. friends                   B. parents                   C. family                    D. home
46. A. room                     B. tree                       C. flower                    D. wood
47. A. arms                      B. hands                     C. fingers                   D. feet
48. A. opening                 B. closing                   C. knocking                D. covering
49. A. wife                      B. daughter                C. son                        D. baby
50. A. Meanwhile             B. Afterwards             C. Previously              D. Consequently
51. A. satisfaction             B. responsibility          C. occupation              D. curiosity
52. A. heard                     B. made                     C. seen                       D. let
53. A. comfort                 B. pain                       C. suffering                D. trouble
54. A. at length                B. for sure                  C. at risk                   D. straight away
55. A. belong in               B. hold back               C. fit in                      D. bring to
56. A. one day                 B. every morning        C. one night                D. every night
57. A. take note of            B. take care of            C. look for                 D. focus on
58. A. pick                      B. take                       C. bring                     D. choose
59. A. flexible                  B. funny                    C. casual                    D. humorous
60. A. almost                   B. roughly                  C. nearly                    D. approximately