问题 单项选择题

“执业药师应当尊重患者或消费者的价值观、知情权、自主权、隐私权,对待患者或消费者应不分年龄、性别、民族、信仰、职业、地位、贫富,一视同仁”体现了()

A.尊重同仁,密切协作

B.尊重患者,平等对待

C.依法执业,质量第一

D.进德修业,珍视声誉

答案

参考答案:B

阅读理解

阅读理解。

     Everyone should visit a lighthouse at least once.

     The most important reasons for such a visit is to realize how our ancestors (祖先) battled nature with

the basic tools they had. They had only basic ways of creating light, and yet they found a way of using

this simple technology in isolated (孤零零的) places to save ships from hitting rocks.

     Secondly, visiting lighthouses will help us to understand the lives of lighthouse keepers. By their very

nature, lighthouses were built on some rocks of cliffs. Thus, the lighthouse keepers often lived lonely lives.

To walk around their small home, and imagine the angry storm outside beating against the walls, is to take

a step towards understanding the lives they had.

     The reasons for a visit to a lighthouse are not all so backward-looking in time. It is true that lighthouses

were built in out-of-the-way places. But on a pleasant sunny summer day, this very isolation has a natural

beauty that many people will love to experience. Therefore, with the gentle waves touching all round the

lighthouse, the visitor is likely to think it is a world preferable to the busy and noisy modern life.

     Another reason for considering a visit is that the lighthouses themselves can be very attractive buildings.

Mankind could often not be content just to put up a basic structure, but felt the need, even in such an isolated

place, to build with an artistic touch. The result is a view for tired eyes to enjoy.

     Finally, lighthouses have a romantic attraction, summed up by the image of the oil-skin coated keeper

climbing his winding stairs to take care of the light to warn ships and save lives.

1. What is the reason to look back into the past of a lighthouse?

A. To escape from the busy and noisy city.

B. To look for the tools used by our ancestors.

C. To experience the natural beauty of a lighthouse.

D. To learn about the living condition of lighthouse keepers.

2. The underlined phrase "out-of-the-way" in Paragraph 4 means _______.

A. far-away

B. dangerous

C. ancient

D. secret

3. Lighthouses were often built with an artistic touch _______.

A. to attract visitors

B. to guide passing ships

C. to give a pleasant sight

D. to remember lighthouse keepers

4. How many reasons are mentioned for a visit to lighthouse?

A. Three

B. Four

C. Five

D. Six

问答题

一般资料:男,16岁,高中生。
求助者自述:我在小学、初中时的成绩一直很好,临近中考时由于生病,考试紧张,没能考上重点高中。父母为了我的前途,花钱让我去上重点高中。自己觉得是发挥失常导致的,自己并不比别人差,所以开学以后就很用功地读书,几次月考成绩还不错,但是,第一次期末考试时,由于担心考试不理想,被父亲责骂,太紧张了,考试成绩排在班级中等水平。父亲知道后,打了我一顿,还大骂我不用心学习,辜负了父母对我的期望。看到这次的成绩我也很痛苦,毕竟以前从未考得这么差。最近,总感到心情烦躁,晚上难以入睡,而且有一点声音就会被惊醒,然后就再也睡不着了,总是担心考试考不好,爸爸又会责骂我。现在又快期中考试了,我就更紧张了,晚上失眠,白天根本没有办法集中注意力听课,不想学习、不想吃饭,每次回家,想学习可就是学不进去,总想看电视,可是又担心爸爸的责骂。
咨询观察和他人反映的情况:求助者从进入咨询室,一直都处于比较紧张的状态,面容愁苦,烦躁不安,思维逻辑正常,谈及考试时,紧张、不安,有强烈的求助愿望。求助者性格内向,不爱说话,是家中独子,父亲在国企工作,平时都很忙,很少有时间陪求助者。父亲的事业心较强,对求助者的要求也非常严格,养成了求助者做什么事情都要追求完美的习惯,比较好强,很在乎别人对自己的评价。母亲性格比较温和,对求助者也是宠爱有加。父母对求助者的期望很高,希望其能考上好的大学。
心理测验结果:
SCL~90:躯体化2.5,强迫症状1.1,人际敏感2.6,抑郁4.4,焦虑3.9,敌对1.5,恐怖1.0,偏执0.8,精神病性1.1,其他0.7;总分201;阳性项目数51个。躯体化、人际敏感、抑郁、焦虑因子分高于常模。
SDS:粗分55分,标准分69分。属于中度抑郁。
SAS:粗分47分,标准分59分。属于轻度焦虑。
请根据案例,回答以下问题:

根据该求助者的症状,应和哪些诊断相鉴别