单选题 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 vistits 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 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 president of the hospital. She also is a member of the Medial Executive Committee, which in most hospitals includes only doctors.

单选题 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 patient's health conditions every day.
【正确答案】 A
【答案解析】[解析] 贝思·伊斯雷尔医院的医生能从护士长哪里获得更积极的业务支持。第三段最后一句指出,贝思·伊斯雷尔医院的医生同护士长的关系是真正的同事关系。
单选题 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. Nursing at Beth Israel Hospital is still not enough
D. As to Beth Israel Hospital, there is a long way to go
【正确答案】 B
【答案解析】[解析] 根据短文可以推断,从专业的角度看,大多数医院对病人的护理不够充分。第一段第二句中的the nursing shortage暗示大多数医院对病人的护理不够充分。
单选题 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
【正确答案】 C
【答案解析】[解析] 如果目前的疗法被证明无效,护士长会建议用一种不同的疗法。根据第三段第二句,如果贝思·伊斯雷尔医院的治疗不能让病人的病情有所好转,护士往往会建议医生用另一种疗法。
单选题 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 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
【正确答案】 D
【答案解析】[解析] 护理经理和护士长的主要区别是前者主要负责管理本单位的护士。根据倒数第二段第二句,护理经理代替护士长,除了有医疗职责以外,自行雇佣和解雇护士,为雇员提供咨询,在工资额度方面提出自己的建议。