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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

admin2014-09-19  57
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.
A primary nurse can propose a different approach of treatment when______.
选项 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
答案C
解析 本题是一道具体细节题。问责任护士在什么情况下可以向医生提出改变治疗方案的建议。利用查阅式阅读法，根据第三段中的第二句话，倘若某种治疗对病人无甚疗效，责任护士就会向医生建议改变治疗方案。因此，本题的正确答案应是C“如果目前的治疗方案无效的话，责任护士就可以向医生提出改变治疗方案的建议”。
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