问题 单项选择题 案例分析题

一般资料:求助者,女性,40岁,外企公司职员。案例介绍:求助者半年前做了乳腺手术,为良性肿瘤。因害怕癌变,感到紧张、害怕,经常出现心慌、气促等症状。术后出现烦躁、易激怒,兴趣降低,但尚能坚持工作和操持家务。最近3个月症状加重,常常坐卧不宁,时常出现胸闷、心悸、出汗、失眠等症状。有濒死感,每次发作持续半小时至1小时,整日处于惶恐不安之中,感觉太难受了,甚至有想死的念头,但没有勇气去死,经常无缘无故地找丈夫吵闹。怕听收音机,怕看电视,怕人打扰,但周围无人时又感到十分孤单。看到离婚或丧偶的女性则触景生情,心中出现"一阵阵绞痛"。现在已不能坚持工作和操持家务。由其丈夫陪同前来咨询。心理咨询师观察了解到的情况:求助者性格较内向,做事认真谨慎,工作压力大,最近单位准备精简人员。

对该求助者的初步诊断最不可能的是()。

A.恐怖性神经症

B.惊恐障碍

C.焦虑性神经症

D.混合型焦虑抑郁障碍

答案

参考答案:A

单项选择题

Should we care if over 150 known species of animals have (91) from the earth in the last fifty years Should we be concerned that there are (92) thousands of species whose very existence is (93) endangered—largely because of our activities (94) , after all, is the natural end of populations. Species are born, then (95) , and then die. Some live a (96) time, perhaps millions of years; some die more quickly. We have (97) the extinction of many species we know about, and we have undoubtedly sealed the (98) of others. In fact, there are undoubtedly many other species that have lived among us during our time on earth, but that have disappeared as a (n) (99) of our activities without our ever having known they existed.
It is hard to explain the rationale of many of us who are concerned about such matters. I have never seen a sea whale, (100) I don’t want them to become extinct. Moreover, I felt this way long before I understood anything about how they might be an important part of an ecosystem. Possibly such feelings merely reflect the cultural attitude that it is "nice" to wish other living things well; thus, the attitude is (101) . I feel nice.
There are, of course, more rational reasons for (102) the extermination of any species. For one thing, the kind of attitude that encourages or sanctions the destruction of other species is a threat (103) our own wellbeing. If such an attitude exists, we ourselves might (104) victim to it. living things (including us) might be expected to fare better where there is (105) for life. The extinction of other species could also threaten us (106) by simplifying the system of which we are a part or by destroying parts of the ecosystem (107) which we directly rely. For example, if we continue to poison the oceans (108) we are willing to believe only a few bottom dwellers are affected, we might (109) overstep some critical threshold and trigger the wholesale death of plankton, thus finding ourselves without a major (110) of the world’s food and with our oxygen supplies dwindling.

A.effect

B.result

C.issue

D.event

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