问题 多项选择题 案例分析题

患者女,48岁,已婚,因“左乳腺增生20余年,肿物明显增大1个月乳腺”来诊。查体:左乳腺肿物约9cm×10cm。患者为大学本科学历,某保险公司部门经理,在国外学习6年,并在业内博得好评。1年前被调到一个职员素质较差的部门任经理,工作压力大,人际关系不协调。患者为三口之家,夫妻感情好,丈夫派到国外,夫妻长期分居,儿子面临高考,对儿子的关心不够。1年内患者经常克制自己压抑、愤怒的情绪,心理压力大。患者认为健康很重要,但对癌症了解甚少。

通过心理护理,该患者可能会达到的预期目标中包含()

A.接受患者的角色,以良好的心态对待疾病

B.疾病得到根治

C.密切护患交往,取得患者的信任

D.使患者安心住院,积极配合诊治

E.帮助患者减轻或消除负性情绪

F.可使患者学会自我护理,以求早日身心康复

答案

参考答案:A, C, D, E

单项选择题

Passage Two

Britain’s emissions of greenhouse gases, blamed by many scientists for contributing to global warming, have fallen by 14 percent since 1990, according to the latest government report.
British lakes and rivers are also on the road to recovery from acid rain poisoning, following successful curbs to air pollution from cars and heavy industry.
The report by the National Atmospheric Emissions Inventory (NAEI) attributed the drop in greenhouse gas emissions to several factors including: the introduction of catalytic converters on cars, a move toward low sulphur and lead-free petrol and a switch to gas from coal and oil in power generation.
Environment Minister Michael Meacher said the downward trend was welcome, but warned of complacency.
"Even though these figures are encouraging, we must not be complacent. There are still significant problems where we need to do more, for example, to further reduce greenhouse gases and harmful pollutants (污染物) such as ammonia and particulate matter," he said in a statement.
The government has a target to cut greenhouse gases by 23 percent by 2010 on 1990 levels. This is almost double the target of 12.5 percent to which the UK is committed under the Kyoto Protocol and there are signs that emissions are rising as generators return to using coal-fired power stations in the face of rising natural gas prices.
The Department of Environment Food and Rural Affairs (DEFRA) said substantial curbs on sulphur dioxide emissions across the UK and Europe had cut acid rain by half over the last 12 years. "Damaged freshwater lakes and streams are showing signs of recovery," it said.
But DEFRA warned of a new threat. "Nitrogen oxides and ammonia are the main air pollutants that must be tackled to stop future damage. "
The bulk of Britain’s ammonia emissions come from farm animal manure (粪肥), causing over-enrichment of land and waterways, said the report. Certain species rampage unchecked through this ultra-fertile environment, smothering the slower growing plants beneath them and choking streams and rivers. Nitrogen oxides enter the atmosphere from car exhausts and industry, creating health-damaging ozone and contributing to acid rain.

The bulk of ammonia emissions coming from farm animal manure may ______.

A.make land and waterways ultra-fertile

B.smother the growing of plants

C.create health damaging ozone

D.contribute to acid rain

单项选择题