39. A patient has a nasogastric( 鼻胃管) tube which is draining(引流)
large amounts of fluid. To which of the following nursing diagnoses would
a nurse give priority?
A.Diarrhea.
B.Risk for infection.
C.Ineffective thermoregulation.(体温调节无效)
D.Risk for fluid volume deficit.
40. To which of the following nursing diagnosis would a nurse give
priority when caring for a patient in the immediate postoperative period
following an ileostomy?(回肠造口术)
A.Fluid volume deficit.
B.Body image disturbance.
C.Pain.
D.Diarrhea(腹泻).
41. A patient who has a borderline personality disorder(边缘性人格障
碍 ) asks the nurse on a psychiatric unit( 精神 科病 房 ) if she may stay up
beyond the designated bedtime( 规 定 的 就 寝 时 间 ). When the nurse says
no, the patient says, “The nurse on duty( 值班) last night let me stay up
late.” Which of the following responses by the nurse would be
therapeutic?
A. “You shouldn’t have been given that privilege.(特权)”
B. “You can stay up for one more hour.”
C. “Why do you want to stay up?”
D. “Everyone is required to go to bed now.”
42.The most appropriate approach for the staff to take with the client
who demonstrates manipulative or aggressive behavior is to
A. allow the client’s favorite nurse to be her primary counselor.
B. sedate(镇静剂) the client with medication at signs of aggression.
C. set clear limits on the client’s behavior.
D. tell the client that his behavior is disruptive( 捣 乱 的 ) to other
clients.
护理专业英语试题:阅读理解
Airplane Hooligans (流氓)
'Air rage' is now a major concern following moves by airlines to draw
up a passenger blacklist after a number of violent in-flight incidents.
German flight attendants report that one thing is certain, with the growth
in air travel the number of in-flight violent incidents is also increasing.
Otto Ziegelmeier, Director of the Independent Flight Attendants'
Organisation (UFO) reports that the range of incidents by people
described as "unruly passengers" varies from racist remarks all the way to
fistfights on board.
A security expert for a pilots' association agrees that it is a serious
problem. British Airways registered 260 incidents in 1997, four times the
figure of three years earlier. There are no statistics in Germany, but
officials estimate that each year some 100,000 passengers on board
German airplanes misbehave seriously.
While a number of foreign airlines are starting to take action against
unruly passengers, the topic is not taken too seriously in Germany. Flight
attendants and pilots groups feel that airlines, out of concern for their
reputation, are covering up the problem. For example, Lufthansa officials
speak only of some isolated incidents and say that so far there have been
no serious cases reported. Compared to the total number of air travelers,
unruly passengers remain a small minority. But then, a single passenger
can become a security hazard if he starts to play with the doors, tries to
force his way into the cockpit or secretly smokes a cigarette in the toilet.
Experts say that often the fear of flying is a cause of aggressive
behaviour. Usually alcohol plays a role because in the extremely low
humidity of the airplane it has a much greater effect than on the ground.
In many cases, when flight attendants deny a passenger another drink,
there is a heated reaction. In one instance, a man struck a stewardess so
violently in the face that she suffered a broken jaw.
Airlines often have problems with business passengers because they
are always used to being in control. However, as one airline official stated,
"but up in the sky, it's the pilot who's in charge." Other agencies agree
that many business passengers have a problem with following someone
else's instructions. He said that American Airlines has even observed that
the majority of unruly passengers are to be found in the first-class and
business-class sections.
How do airlines deal with these passengers? A pilot for a German
charter airline once had to deal with a group of 10 to 15 vacationers who
were dancing through the aisle while carrying a portable stereo playing
loud music. He warned the vacationers that if he was forced to make an
unscheduled stop in New York, it would cost them $25,000. That quickly
calmed them down. British Airways has begun warning passengers that
they would be banned from flying with the airline after two incidents.
43. According to the text, making racist remarks to other passengers
is a form of air rage.
A. True B. False C. No information
44.Air rage incidents have decreased slightly over the past few years
for British
Airways.
A. True B. False C. No information
45.United Airlines reported serious air rage incidents last year.
A. True B. False C. No information
46.Compared to the total number of people who travel, there is only
a small number of unruly passengers.
A. True B. False C. No information
47.Most violent incidents on airplanes result in broken bones or
other injuries.
A. True B. False C. No information
48.Alcohol does not seem to be a factor in air rage incidents.
A. True B. False C. No information
49.Many violent incidents on airplanes are caused by people in
business and first class.
A. True B. False C. No information
50.One of the ways airlines deal with the air rage problem is by
making passengers pay a big fine.
A. True B. False C. No information
51.Flight attendants usually handcuff passengers if they cause
problems during a flight.
A. True B. False C. No information
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 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 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 included only doctors.
52.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.
53.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.
54.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.
55.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.had full responsibility in the administration of the unit’s nurses.
56.The author’s attitude towards the nursing system at Beth Israel
Hospital is_________.
A.negative B.neutral C.critical D.positive
护理专业英语试题:英译中
Doctors should keep quiet and let patients explain their problems
instead of interrupting them , Swiss scientists said. Most patients can
explain what is wrong with them in less than two minutes and many may
even be swifter, according to Dr. Wolf Langewitz of University Hospital in
Basle. But research from the United States has shown that doctors usually
start talking after about 22 seconds. "Doctors do not risk being swamped
by their patients' complaints if they listen until a patient indicates that his
or her list of complaints is complete ," Langewitz said in a report in the
British Medical Journal. When he and his colleagues used a hidden
stopwatch to time patients until they were finished talking, the average
time was 92 seconds , although elderly patients tended to take longer.
"Even in a busy practice driven by time constraints and financial
pressure , two minutes of listening should be possible and will be
sufficient for nearly 80 percent of patients," Langewitz added.
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