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. |
小题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 |
小题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 |
小题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 |
小题5:The author"s attitude towards the nurse system at Beth Israel Hospital is___| A．negative | B．neutral | C．critical | D．positive |
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小题1:A
小题2:B
小题3:C
小题4:D
小题5:D |
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。 |
核心考点
试题【Nursing at Beth Israel Hospital produces the best patient care. If we are to sol】；主要考察你对
题材分类等知识点的理解。
[详细]举一反三
Every year, I tell my sons what I"d like for Mother"s Day: a letter. Something written from the heart and offered freely rather than bought from a store and wrapped neatly. I don"t always get my wish, nor do I always take the time to write to my own mother.
This year, my boys will be in two different states on Mother"s Day. My mom and dad will be away together, and I"11 be driving home from a writer"s workshop in Massachusetts. Thinking of the fact that many friends have already lost their mothers and that a few have lost children, I am deeply grateful that what separates us, for now at least, is merely distance. It won"t always be so, and there is no way to prepare for that fact other than to appreciate the moment that is. My sons know that they can please me on Sunday with a phone call or an e-mail, and that is enough as I love their words. The very best gift they can possibly give me is their own happiness, the very fact of their busy. full and well-lived lives.
Still, knowing that my years of staying with my sons are over, I do Feel doleful. The truth is, I miss being the center of the universe to two little boys. And this holiday can be a bit painful.
I wonder if my own mother ever felt nostalgic ("VTIH WJ) for the passing of my childhood. I wonder if she realizes that she is still at the center of my universe and always has been. I don"t often pause to think about it. but of course she is the one who has been right there, at my side from the moment I drew my very first breath. How to ever fully appreciate the woman whose presence and 1ove and example have shaped me into the adult I am? How to describe even a small part of the sharing. sacrificing. and support she has given me over the years?
小题1:The author mainly wants to tell us through the first paragraph that _____.| A．she hopes to get her son"s letters very much | | B．her sons don"t often write to her on Mother"s Day | | C．Mother"s Day is the very date that she longs for most | | D．she is very sorry not to write to her mother often |
小题2:The author is deeply grateful for the present life because ____.| A．her sons don"t live far away from her home | | B．her parents and children are still alive | | C．her parents are coming to her house to spend Mother"s Day | | D．her sons can please her on Sunday with a phone call |
小题3:According to the author ______| A．young people nowadays tend to ignore their parents | | B．parents should not give their children too much freedom | | C．children"s happiness and success are the biggest comfort to parents | | D．parents are not the center of their children"s universe when children grow up |
小题4:What does the underlined word "doleful" in paragraph 3 mean?| A．sad | B．excited | C．guilty | D．proud |
小题5:What will the author probably tell about after the last paragraph?| A．She"ll tell the reader about her mother"s present situation. | | B．She"ll recall how her mother educated and cared for her. | | C．She"ll describe the reunion of her family on Mother"s Day. | | D．She"ll tell the reader about her mother"s achievements in her career. |
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It was in my high school science class. I was doing a task in front of the classroom with my favorite shirt on.
A came, “Nice shirt,” I smiled from ear to ear. Then another voice said, “That shirt belonged to my dad. Greg’s mother works for my family. We were going to that shirt away, but gave it to her .”I was speechless. I wanted to hide.
I the shirt in the back of the closet and told my mum what had happened. She then dialed her , “I will no longer work for your family,” she told him. That night, Mom told my dad that she couldn’t clean anymore; she knew her life’s was something greater.
The next morning she with the personnel manager at the Board of Education. He told her that without a proper education she could not teach. So mom decided to a university.
After the first year in college, she went back to the personnel manager. He said, “You are __ , aren’t you? I think I have a for you as a teacher’s assistant. This opportunity deals with children who are mentally challenged with little or no chance of .” Mom accepted the opportunity very .
For almost five years, as a teacher’s assistant, she saw teacher after teacher give up on the children and quit, feeling . Then one day, the personnel manager and the principal __ _ in her classroom. The principal said, “We have watched how you the children and how they communicate with you and admire your hard – working over the last five years. We are all in agreement that you be the teacher of this class.”
My mom spent more than 20 years there. her career, she was voted Teacher of the Year. All of this came about because of the comment made in the classroom that day. Mom showed me how to handle situations and never give up.
| 小题1: | | A．noise | B．voice | C．sound | D．tune |
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| 小题2: | | A．get | B．take | C．carry | D．throw |
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| 小题3: | | A．otherwise | B．anyhow | C．instead | D．actually |
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| 小题4: | | A．settled | B．pushed | C．stored | D．stuck |
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| 小题5: | | A．teacher | B．employer | C．director | D．adviser |
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| 小题6: | | A．purpose | B．encouragement | C．achievement | D．victory |
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| 小题7: | | A．went | B．met | C．worked | D．stayed |
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| 小题8: | | A．visit | B．continue | C．attend | D．prepare |
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| 小题9: | | A．serious | B．fortunate | C．careful | D．responsible |
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| 小题10: | | A．career | B．duty | C．position | D．part |
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| 小题11: | | A．learning | B．judging | C．obeying | D．imagining |
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| 小题12: | | A．patiently | B．eagerly | C．successfully | D．skillfully |
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| 小题13: | | A．upset | B．frightened | C．guilty | D．ashamed |
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| 小题14: | | A．looked up | B．went up | C．took up | D．showed up |
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| 小题15: | | A．believe | B．protect | C．treat | D．receive |
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| 小题16: | | A．spirit | B．intention | C．action | D．attempt |
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| 小题17: | | A．must | B．would | C．might | D．should |
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| 小题19: | | A．worthless | B．thoughtless | C．hopeless | D．helpless |
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| 小题20: | | A．challenging | B．different | C．dangerous | D．strange |
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Something roared like thunder. The earth shook a little and we heard the rat-a-tat-tat of gunfire. "Father!" Hassan cried. We sprung to our feet and raced out of the living room.
"Father! What"s that sound? Hassan screamed, his hands outstretched toward Ali. Ali wrapped his arms around us. A white light flashed and lit the sky in silver. It flashed again and was followed by rapid sharp sounds of gunfire. "They"re hunting ducks." Ali said in a hoarse voice. "They hunt ducks at night, you know." Don"t be afraid.
A siren(汽笛) went off in the distance. Somewhere glass broke and someone shouted. I heard people on the street, jolted from sleep and probably still in their pajamas, with ruffled hair and puffy eyes. Hassan was crying. Ali pulled him close, clutched him with tenderness.
We stayed huddled that way until the early hours of the morning. The shootings and explosions had lasted less than an hour, but they had frightened us badly, because none of us had ever heard gunshots in the streets. They were foreign sounds to us then. The generation of Afghan children whose ears would know nothing but the sounds of bombs and gunfire was not yet born. Huddled together in the dining room and waiting for the sun to rise, none of us had any notion that a way of life had ended. The end came when Russian tanks were rolling into the very same streets where Hassan and I played, bringing the death of the Afghanistan I knew and marking the start of a still ongoing era of bloodletting.
Just before sunrise, Baba"s car peeled into the driveway. His door slammed shut and his running footsteps pounded the stairs. Then he appeared in the doorway and I saw something on his face. Something I didn"t recognize right away because I"d never seen it before: fear. "Amir! Hassan!" He cried as he ran to us, opening his arms wide. "They blocked all the roads and the telephone didn"t work. I was so worried!"
We let him wrap us in his arms and, for a brief moment, I was glad about whatever had happened that night.
小题1:Who is the author of the passage?| A．Hassan | B．Ali | C．Baba | D．Amir |
小题2:By saying “they are hunting ducks”, Ali ___________.| A．told the children the truth | | B．tried to calm the children | | C．played a joke on the children | | D．cheered the children up |
小题3:We can infer from the passage that__________.| A．there were thunderstorms that night | | B．Afghan children were used to the war | | C．that night was the end of people’s peaceful life | | D．people on the street shouted and broke the windows |
小题4: From the last sentence of the passage, we know_________.| A．the author was glad to see his father come home safe | | B．there was a chance that a world in peace was to come | | C．what happened that night seemed nothing to the author | | D．Baba’s arms gave the author temporary comfort and joy |
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On Sundays my father always wore that gray apron(围裙)—the one with the race cars all over it. The ritual (老规矩) began. breakfast when Dad always announced, “Go ahead everyone. I’ll the dishes!” For the next hour Dad did the dishes, singing ballads (歌谣) like “I Had a Hat When I Came in.” and “Who Put the Chow in Mrs. Marphy’s Chowder?”
I suppose it was for a boy’s father to wear an apron—even one with race cars— I never thought much of it until the day that Dad broke with tradition. It was the last Sunday in August. As we home slowly from church together, my father seemed very . “Tommy,” he said letting my name roll off his . “There comes a time in every boy’s when he must take on responsibilities. It’s time you a greater role in the family. From now on, I want you to the dishes on Sunday morning, so your mother and I can work the crossword puzzle (纵横字谜) together.”
“The dishes!?” I in surprise.
“Anything wrong with taking over the dishes, son?” father said.
I started to say something about a man’s or woman’s work, but I knew immediately that my protests (抗议) would be .
I didn’t taste a bit of that morning. Dad seemed joyful as he described an American game.[]
At the end of the meal, my father , “Let’s go to read the paper, honey.” “Aren’t you doing the dishes?” my 51 asked surprisedly. Father smiled and said, “your oldest son has to fill the position.”
“I want you to have this apron on, Tommy. It’ll keep your clothes from getting .” And before I could go against it, he had put the thing on me. “Thanks, Son. Your mother and I this.”
With that he disappeared into the Sunday paper. I looked at the dishes. I could see my dad reaching for the dishes. He was always happy to help the family. My anger soon flew off and I began to sing.
| 小题1: | | A．Until | B．During | C．Before | D．After |
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| 小题2: | | A．keep up | B．take care of | C．look for | D．turn over |
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| 小题3: | | A．important | B．natural | C．strange | D．exciting |
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| 小题5: | | A．rushed | B．hurried | C．walked | D．danced |
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| 小题7: | | A．eyes | B．tongue | C．ears | D．hands |
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| 小题8: | | A．death | B．school | C．work | D．life |
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| 小题9: | | A．made | B．played | C．did | D．carried |
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| 小题11: | | A．smiled | B．laughed | C．whispered | D．screamed |
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| 小题12: | | A．game | B．joy | C．job | D．feeling |
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| 小题13: | | A．turned down | B．turned to | C．turned up | D．turned off |
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| 小题14: | | A．breakfast | B．lunch | C．supper | D．juice |
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| 小题15: | | A．ordered | B．announced | C．demanded | D．chatted |
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| 小题16: | | A．brother | B．sister | C．mother | D．friend |
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| 小题17: | | A．started | B．gone | C．managed | D．offered |
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| 小题19: | | A．hate | B．scold | C．appreciate | D．require |
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I remembered that when I was a little child, I used to look for Sunday of the week. Yes, I was so looking forward to an adventure.
Now, I still have a strong affinity for buses. I used to wonder where those gigantic (巨大的) buses finally stopped. On sunshine Sundays, that’s my adventure times. He took me to the bus stop. Time passed, while I was growing impatient, he was smiling, as he always does.
It was really not that easy to get on a bus as often as we do today. I was so worried that the bus driver would have missed us. I waved my hands so high with all my strength. I looked hopefully at him. He didn’t move at all. He was still standing. It seemed that the late and infrequent coming of the bus wasn’t any trouble to him at all.
He took my hand. We managed to find seats on the upper deck. I was so excited. Only sitting beside the windows made me happy. Looking at the rewinding buildings, streets and people through windows from a higher ground was so much fun. Then, he was sitting peacefully by me and whispered to me where the bus finally would stop. I was curious about what would be the next stop of our destination as much as what really means something to him.[]
That is me. I know now. I am all he cares. He wants me to be happy, as he always does. That’s the strong bond between father and son. Childhood, naive(天真) and precious, you showed me the world and the way I look at the world. I am so grateful for your presence in my life. Thanks, you are so wonderful!
小题1:Who is “he” throughout the text?| A．The brother of the writer. | B．The son of the writer. | | C．The father of the writer. | D．A bus driver. |
小题2:In the second paragraph, what is the probably meaning of “affinity”?| A．Hate. | B．Disappointment. | C．Liking. | D．Confusion. |
小题3:Where does this text probably come from?| A．A bus guide. | B．A student’s diary. | | C．An adventure story. | D．A transportation report. |
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