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  3. Nursing at Beth Israel Hospital produces the best patient care possible. If we are to solve the nursing shortage, hospital admin

Nursing at Beth Israel Hospital produces the best patient care possible. If we are to solve the nursing shortage, hospital admin

admin2013-12-08  51
问题     Nursing at Beth Israel Hospital produces the best patient care possible. 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 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.
Which of the following best characterizes the main feature of the nursing system at Beth Israel Hospital?
选项 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.
答案A
解析 本题属于事实细节题，提问的是下列哪一条最能概括Beth Israel医院护理系统的主要特色。选项B)、C)、D)中虽有提及，但B)中day and night，C)中for every patient和D)中every day与文章内容不符。文章第三段说“……在Beth Israel医院，如果某位病人对某种治疗方案没有反应，亦即这种治疗方法对病人不起作用，护士就会向主治医生提出另一种方案，主治医生与主管护士是真正同事的关系”。A)项与本句内容相符，故为正确答案。
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