英语四级阅读理解训练笔记：主题题有效投诉

　　Questions 21 to 25 are based on the following passage:

　　21. 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 patients health conditions every day.

　　22. 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 nurses get low salaries

　　D) compared with other hospitals nurses have to work longer hours at Beth Israel Hospital

　　23. 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

　　24. The main difference between a nurse-manager and a head nurse is that the former _______.

　　A) is a member of the Medical Executive Committee of the hospital

　　B) has to arrange the work shifts of the units nurses

　　C) can make decisions concerning the medical treatment of a patient

　　D) has full responsibility in the administration of the units nurses

　　25. The authors attitude towards the nursing system at Beth Israel hospital is _________.

　　A) negative B) neutral

　　C) critical D) positive

　　Questions 21 to 25 are based on the following passage:

　　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 Israels example.

　　注：1.patient n. 病人，adj. 耐心的

　　2.第一句强烈结论：主题句

　　3.administration 管理

　　4.do well to 最好

　　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 patients illness but which also includes everything else that is necessary.

　　注：1.assign 分配

　　2.at length 长时间

　　3.account 纪录，账户

　　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.

　　注：1.keep track with 跟踪

　　2.not uncommon = common

　　3.approach 接近，方法

　　4.本段讲 Beth Israel 医院医生和护士协调合作

　　Nursing at Beth Israel also involves a decentralized 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 units nurses decide among themselves who will work what shifts and when.

　　注：1.self-contained 自成一体

　　2.划线句为列举语言现象，可能出考题，快速阅读此部分

　　3.shift 班次

　　Beth Israels 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.

　　注：1.nurse-in-chief 护士长

　　2.首句说明护士长的地位很高

　　3.only出现，是考点

　　21. 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 patients health conditions every day.

　　注：第三段末句，B选项 day and night，C选项 every patient，D选项 every day

　　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.

　　22. 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 nurses get low salaries

　　D) compared with other hospitals nurses have to work longer hours at Beth Israel Hospital

　　注：1.推理题，正确答案为原文内容的同义改写。

　　2.A项中的patient 为耐心的，混淆 病人 意思

　　3.inadequate 不完善的，B 项为文章第二句的同义改写句

　　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 Israels example.

　　同类型题：

　　It was to Maury of the US Navy that the Atlantic Telegraph Company turned, in 1853, for information on this matter. In the 1840s, Maury had been responsible for encouraging voyages during which soundings were taken to investigate the depths of the North Atlantic and Pacific Oceans. Later, some of his findings aroused much popular interest in his book The Physical Geography of the Sea.

　　23. The aim of voyages Maury encouraged in the 1840s was __________.

　　A) to make some sound experiments in the oceans

　　B) to collect samples of sea plants and animals

　　C) to estimate the length of cable that was to be made

　　D) to measure the depths of two oceans

　　23. 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

　　注：第三段第二句

　　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.

　　24. The main difference between a nurse-manager and a head nurse is that the former _______.

　　A) is a member of the Medical Executive Committee of the hospital

　　B) has to arrange the work shifts of the units nurses

　　C) can make decisions concerning the medical treatment of a patient

　　D) has full responsibility in the administration of the units nurses

　　注：1.倒数第二段，former 前者指代 nurse-manager，反义 latter 后者

　　2.A选项为窜段选项,B与黑体部分矛盾。D选项对应划线部分。

　　Nursing at Beth Israel also involves a decentralized 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 units nurses decide among themselves who will work what shifts and when.

　　25. The authors attitude towards the nursing system at Beth Israel hospital is _________.

　　A) negative B) neutral

　　C) critical D) positive