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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  63
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.
The main difference between a nurse-manager and a head nurse is that the former
选项 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
答案D
解析 本题属于事实细节题，提问的是a nurse—manager(护理主任)与a head nurse(护士长)的主要差异在哪里。本文第四段第二、三句表明，护理主任不仅担负医疗责任，而且还对本部门的护士总负责，他们有权聘用和撤换护理人员，也有权为他们评薪定级。所以D)项与本句内容相符，故应选D)。
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