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 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
25. The author's 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 (不足), hospital administration and doctors everywhere would do well to follow Beth Israel's 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 patient's 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 (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.
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 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.
