Question

  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 example.

   At Beth Israel each patient is assigned to a primary nurse who visits at length with the patient and constructs a full-scare health account that covers everything from his medical history to his motional 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 the 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 is also a member of the Medical Executive Committee, which in most hospitals includes only doctors.

 

69. Which of the following is the character 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 a care plan for every patient.

D. The primary nurse keeps records of the patient’s health conditions every day.

70. 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 service of the hospital

C. the patient is found unwilling to cooperate

D. the present one proves to be ineffective

71. It can be inferred from the passage that ____.

A. nurses at Beth Israel Hospital are more patient

B. in most hospitals patient care should be improved

C. nurses at Beth Israel Hospital seem to work longer hours

D. in most hospitals nurses get low salaries

72. The author’s attitude towards the nursing system at Beth Israel Hospital is ____.

     A. negative               B. critical            C. positive               D. subjective

Answer 1

ADBC