Nursing at Beth Israel Hospital produces the beat patient care possible. If we are to solve 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 Heth Israel is not responding to treatment, it is not common 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 floor, 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 also is 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 hospitals nurse 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 in 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 nursing system Beth Israel Hospital is ________.
A. negative B. critical C. neutral D. positive
1.答案 A。【解析】这道题实质是从一个侧面问及本文的中心思想,该医院的护理工作的责任制,护理工作的自主管理促进了护士对医疗工作的平等参与,才是反映医院护理工作体制的本质特征,并最终体现在医疗过程中医生与护士的平等合作中。
2.答案 B。【解析】文章第一段最后一句是得出正确答案的依据。
3.答案 C。【解析】从第三段第二句即可知道答案是 C 项。
4.答案 D。【解析】第四段第二句是问题的依据:their medical duties 是两者的共同之处,但被 in addition to 排除在外了,剩下的才是两者的不同之处。
5.答案 D。【解析】文章的第一段提供了答案,本题是一道比较简单的试题。
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