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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

admin2012-07-17  42
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 本题也是一道具体细节题。问护士主管和护士长的主要不同点是前者如何。利用查阅式阅读法，根据文章第四段的内容，这家医院的护理系统还包括分散管理体制：医院的每一层楼，每一个科室都有一个完整的管理机构，设有护士主管而不是护士长，除管理日常的护理工作之外，还可以决定招聘和解雇、为雇员提供咨询、甚至推荐工资提升等，各个科室的护士还可以自行决定当班的时间。因此，本题的正确答案应是D。
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