問題詳情

IV. Reading Comprehension: Choose the best answer to eachquestion.Questions 41~45Perhaps one of the most frustrating experiences in nursing is being unable to getpatients to do what one wants them to do even when it is for their own good. Whatappears to be a patient’s outright resistance to the medical and nursing regimendesigned solely for his well-being and, hopefully, for his recovery can generate in anurse any number of negative reactions: a sense of failure, helplessness, irritation, oreven anger. However rigorously she may have disciplined herself not to revealemotional responses of this nature, they are usually communicated to her patient inone or several of the ways in which people unconsciously transmit messages. Suchmessages, more meaningful to patients than is generally recognized, do not amelioratethe situation; rather, they tend to evoke such counter responses as anxiety, withdrawal,or alienation. The resulting impairment of the therapeutic process is oftencompounded by negative assessments of the noncompliant patient. He is labeled“uncooperative”, “difficult”, “stubborn”, “perverse”, or “a problem”. Once this occurs,the kind of relationship between nurse and patient that is so important to the latter’swelfare and to the former’s satisfaction is broken.When, despite careful explanations and appeals to reason, a patient persistentlyrefuses to take his medication or exercise, for example, or to stay in bed or keep to his diet, several methods are commonly used to alter his behavior. He may be scolded,given less attention, or even threatened with the withdrawal of privileges. Conferencesmay be held on how to “handle” him, or how to motivate him, or whether to arrangefor psychiatric consultation. Sometimes these methods work, but the frequency withwhich they don’t—and especially why they don’t—should concern anyone interestedin improving the quality of patient care.
41. According to this passage, which of the following is NOT related with thenoncompliant patients?
(A) a sense of helplessness
(B) refusing medication
(C) unwilling to keep to his diet
(D) unwilling to stay in bed

參考答案

答案：A
難度：簡單0.733333
統計：A(11),B(3),C(0),D(1),E(0)

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