问题 单项选择题 A1型题

某病人要做腰穿检查,病人有恐惧感,从医德要求考虑,临床医生应向病人做的主要工作是()

A.要征得病人知情同意

B.告其做腰穿的必要性,嘱病人配合

C.告其做腰穿时应注意的事项

D.因诊断需要,先动员,后检查

E.动员家属做病人思想工作

答案

参考答案:A

解析:指医务人员在诊疗过程中处理好各种关系的行为准则和特殊医德要求,是医德原则、规范在临床医疗实践中的具体运用。①以病人为中心的原则;②最优化原则;③知情同意原则;④保密守信原则。知情同意原则指在临床过程中,医务人员在为病人作出诊断和治疗方案后,必须向病人提供有关诊疗的必要信息,使病人或其家属在深思熟虑后自主地作出选择,并以相应的方式表达其接受或者拒绝此种诊疗方案的意愿和承诺。故选A。

完形填空
A seven-year-old boy , with his father , was inspecting a new car , one with a metal strip (条纹) looking like wood . “Dad , ”the boy    36     , “don’t buy this wood rot (烂东西).” He was shocked when his father started laughing . Then, when the father    37     his private remark with the salesman , and he laughed , the boy felt    38     .Some 30 years later , now a father himself , the man often thinks of this    39     whenever his own children say something that is unintentionally funny .

Most parents are     40    by such reactions because they don’t understand how deeply a child   41      shame . “All too often we don’t see or hear what is really    42     our children,” says Kaoru Yamamoto , a psychologist .

Yamamoto’s surveys    43    that children are afraid of losing    44     : being thought of as unattractive ,   45     or dishonest . It is more troubling to wet their pants in class , get a bad report card or    46     a grade than to be faced with a rival (竞争) baby brother or sister —situations a parent might     47    to be most disturbing . For a child , a blow to self-esteem , the sense of being worthy , is a     48    thing to stand .

Causing this fear , among other things , is the experience of being lost in a    49     place , of seeing their parents fight ,    50    when there is violence . About two-thirds of the children surveyed have experienced the    51     of parental fighting , which   52      them afraid that their mother and father are going to get divorced .

“In listening to children, it is   53      not to be touched by their strong sense of vulnerability (脆弱),” says Yamamoto. “They are afraid of being left alone , fearful of what lies   54      and uncertain of what they can do . They are completely dependent upon   55      in the face of upsetting and unpredictable events .”

36.A.shouted    B.whispered       C.cried        D.asked

37.A.told B.spared      C.shared      D.exchanged

38.A.pleased    B.afraid      C.surprised D.ashamed

39.A.occasion B.story        C.fun   D.event

40.A.delighted        B.puzzled    C.entertained      D.excited

41.A.faces       B.deals        C.fears        D.hates

42.A.interesting       B.troubling C.affecting D.hurting

43.A.show       B.inform     C.appear     D.prove

44.A.interest    B.courage    C.face D.freedom

45.A.unhealthy        B.energetic C.stupid      D.easy-going

46.A.repeat      B.fail   C.leave       D.change

47.A.wish        B.imagine   C.expect      D.realize

48.A.simple     B.rough      C.terrible    D.hopeless

49.A.strange    B.familiar   C.faraway   D.similar

50.A.mostly     B.naturally C.basically   D.especially

51.A.result       B.pain C.question   D.noise

52.A.leaves      B.lets   C.finds        D.gets

53.A.funny      B.true C.difficult   D.interesting

54.A.ahead      B.behind     C.above      D.around

55.A.teachers   B.neighbors        C.adults      D.friends

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