问题 单项选择题 A1/A2型题

某老年患者身患肺癌晚期,生命垂危,家属明确要求不惜一切代价地进行抢救,医护人员应该()

A.尊重家属意见,不惜一切代价地进行抢救

B.实施积极安乐死

C.实施消极安乐死

D.说服家属彻底放弃治疗与抢救

E.有限度地治疗和抢救

答案

参考答案:E

解析:基本医疗伦理学原则包括:医务人员在医疗工作中起着家长一样的作用,这称为医学家长主义。坚持家长主义的理由是病人不懂医学,患病后身心处于软弱地位,不能作出合乎理性的决定,为了病人利益,应由医务人员代替病人作出决定。在该题目中,某老年患者身患肺癌晚期,生命垂危,家属明确要求不惜一切代价地进行抢救,家属的心情可以理解,但患者本人病情危重,医护人员应该充分衡量利弊,在努力抢救病人的同时,注意限度,不应该"不惜一切代价",否则会增加病人经济负担,也会造成医疗资源的浪费。

阅读理解

阅读理解

     __1__ The goal here is to limit carbon dioxide and other greenhouse gases, which are closely

associated to the big problem of global warming.

     Strategy 1: Bring your own cup to Starbucks

     You'll get a 10 cent discount, and it's one less paper cup to end up in a landfill. While you're there, pick

up some free bags of spent coffee grounds to use as "green" fertilizer in your garden.    

     The payoff:  2   

     Strategy 2: Turn off your computer

     When in standby mode, your PC is still using energy.    3  

     The payoff: Turning off a monitor for 40 hours a week may only save $5 a month, but it reduces CO?

by 750 pounds.

     Strategy 3: Reuse plastic bags

     Instead of throwing away 100 billion plastic bags a year, try and get a second, third, or tenth use out of

them. Better yet, next time you shop, try a reusable bag.

The payoff:   4   The amount of oil it would take to make just 14 plastic bags would run your car for one

mile.

     Strategy 4: Use recycled paper in the bathroom

     Most of the toilet paper we use is made from trees found in forests previously untouched by humans.

     The payoff: If every household replaced one roll of toilet paper with a recycled one, 424000 trees

would still be standing. Look for eco paper towels too.

     Strategy 5: Buy energy-efficient appliances(电器)

     Replace the old fridge with an Energy Star appliance and you'll use 15 percent less energy.   5  .

     The payoff: If we all used one Energy Star appliance at home, it would be like planting 1.7 million acres of new trees.

A.You can be proud of yourselves, even if you can only make one or two of these green changes.

B. Adding green to your garden is beautiful and earth-pleasing.

C. It might be a little expensive to buy, but you'll save money on your electricity bills and help the

    environment.

D. In fact, 75 percent of electricity used in your home comes from electronics that are not turned off.

E. You're reducing pollution.

F. The store won't create more waste when they throw away a cup.

G. Just one tree will help make cleaner air and save the environmrnt from 5000 pounds of hot carbon

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