1 . When Jenny Streete began caring for older people more than 50 years ago, prejudice was part of her everyday working life. Streete, who grew up in Jamaica and came to England in 1967, had a way of dealing with it: “Just put a smile on your face,” she says. “If you let bad words into your brain, it will only cause you more harm.”
The 81-year-old remembers one instance of abuse.
Streete says: “The sister who was managing the ward (病房) tried to calm a woman down. But I told the sister to let her say what she has to say. I don’t mind.”
The next night, Streete noticed the woman’s blanket had fallen off. She replaced it, telling the patient in a low voice exactly what she was doing and why. The same thing happened the next night, and the next. “But then, the night that I was off duty, that same woman asked the sister: ‘Where is that black lady? I don’t want anyone else to look after me while she is on duty. She was so kind.’”
Brought up by her grandparents, Streete found her vocation after a mystery illness that nearly killed her, and left her with permanently damaged vision. She got better, she says, because of “loving care and tenderness”. When she came to England, she was determined to give that care to others.
And Streete hopes to carry on caring for older people as long as possible — although, she says, her children are urging her to retire. She currently works two nights a week in an end-of-life ward which provides specialist nursing. Many of the people she looks after are now a similar age to her.
Her preference for night shifts hasn’t changed, either. She frequently stays on after her shift is finished, to spend time with residents.
She urges those considering a career in care to think hard about why they’re choosing it. “Sometimes, people are not happy because they don’t want to do the job — they have to do it, because there is no other way. Wanting to do it is very different from having to do it.”
But the key quality a care worker needs, she says, is patience, “Some people like to do everything quick-quick-quick, but you have to take your time with residents. I just try to treat everybody the way I would like to be treated.”
1. What do we know about Jenny Streete?| A．She never accepts others’ words. |
| B．She minded so much when abused. |
| C．She fell ill when she left Jamaica. |
| D．She has her own opinions about nursing. |
| A．Her love for England. | B．The tender care she got. |
| C．Older people’s prejudice. | D．Her grandparents’ encouragement. |
| A．Serious and wise. | B．Positive but stubborn. |
| C．Responsible and patient. | D．Honest but indifferent. |
| A．Jenny Streete’s care for others in her whole life. |
| B．Jenny Streete’s advice on how to find a good job. |
| C．Jenny Streete’s experiences of fighting disease. |
| D．Jenny streete’s determination to remove prejudice. |
2 . Standing outside my hospital the other day, I was struck by a sight. In fact, it’s a sight we’ve all seen countless times: obese (肥胖的) nurses standing around outside a hospital. It is estimated that one in four nurses is obese, with nearly two-thirds being overweight.
While some have argued that obese nurses may be less productive and take more time off sick, this isn’t my concern at all. I’m just worried about the example they set to others. Yes, of course, nurses and doctors struggle with having a healthy lifestyle like everyone else. But if they can’t stick to the basic principles of maintaining a healthy lifestyle that they are promoting themselves, then in my opinion they have no business being on the front line. No patient is going to take them seriously unless they can demonstrate that they at least try to practise what they promote.
It’s a serious professional failing, because it sends the disastrous message of “do as I say not as I do”, which is never going to result in someone changing their ways. You wouldn’t take advice about reducing your drinking from an alcoholic, would you? So why should you be expected to listen to an overweight healthcare professional who is telling you to lose a few pounds?
Of course, there are lots of instances when a doctor or nurse’s personal struggles can really help. For example, I used to smoke and I find this actually helps me because I can relate to patients — I know their struggles, I know their concerns and I know the things they say to themselves to avoid quitting. Knowing that I used to smoke helps me come across as more human to my patients — I’ve done silly things but I’ve changed and so can they.
Similarly, a nurse who was previously obese but has now lost weight could be a real motivation for patients. But until they have lost weight and can demonstrate that they practise what they promote, they risk alienating (使疏远) the very patients they are charged with helping.
1. What worries the author concerning obese nurses?| A．They will have difficulty getting along with patients. |
| B．They will be unlikely to take patients seriously. |
| C．They will fail to play their role in health promotion. |
| D．They will be incompetent at their job on the front line. |
| A．Tolerant. | B．Contradictory. | C．Uncaring. | D．Disapproving. |
| A．He understands smokers better. |
| B．He manages to maintain a healthier lifestyle. |
| C．He has become brave in the face of struggles. |
| D．He sets a good example to his workmates. |
| A．He is an alcoholic. | B．He is a doctor. |
| C．He is overweight. | D．He is impatient. |
| A．Eight weeks is not a problem for him. |
| B．All the specialists are fully booked. |
| C．The good specialist is worth the wait. |
| D．His back problem is not very serious. |
My father and I haven’t met for more than two months. It is due to the horrible novel coronavirus epidemic (传染病)
One of the basic expectations the public have of doctors is honesty. But what would you think if I told you that research has shown that 70 percent of doctors admitted to lying to their patients? It is inexcusable, surely? Extremely unprofessional and uncaring; a clear break of the doctor-patient relationship. Some of the lies told included reassuring patients that their wives or husbands were still alive, when in fact they were dead. This seems unimaginable but, if I am honest, I have told exactly the same lie to several patients whose spouses had died. Mrs. Walton was in her eighties and desperate to see her husband. She’d been in hospital after a fall and was in pain. She called out for him frequently and couldn’t understand why he wasn’t there to comfort her. She was becoming more and more distressed and would try to get up to find him, despite being at risk of falling again.
“He’s on his way, don’t worry,” the nurses would say and this would calm her down. I confess I said the same thing to her. She’d smile and roll her eyes and say how he was always late for things and tell the same story about him being late for their wedding nearly 60 years ago. But he wasn’t on his way. It was a lie. He’d died two years ago. The truth, if I can use that word, is that it is a kindness to lie sometimes.
Part of the natural history of many of the dementias, in particular Alzheimer’s disease which is what Mrs. Walton had, is that the sufferer loses their short-term memory and the memory of recent events, but retains memories from the distant past. Sufferers are trapped forever in a bewildering past that many realise bares little connection to the present, but are at a loss to explain. It is very distressing and tormenting and many of the behavioural difficulties that I have encountered in those with dementia relate to them feeling upset, scared and confused that they are in a strange place, surrounded by strange people, even when they are in their own homes surrounded by their family, because they have returned back to decades ago.
They look at their adult children confused and wonder who they could be because they think their children are still toddlers. How does one deal with this? I have had countless families break down in tears in outpatient clinics or on wards, not knowing what to say or how to react as their loved one moves further and further away from them back into their distant past and they are left behind in the present. And how, as the doctor or nurse caring for these patients, does one manage the anger and outbursts of distress that comes with having no knowledge of your life for the past 10 or 20 years? The lies that doctors, nurses, carers and families tell these patients are not big, elaborate lies — they are brief reassurances intended to calm and allow the subject to be swiftly changed.
Colluding (串通) with them about this false reality they find themselves flung into is not heartless or unprofessional — it is, when done in the right way, kind and tender-hearted. That’s not to say that lying to patients with dementia unnecessarily is right or defensible or that there are not times when of course they have the right to know the truth. But what compassionate person would put another human being through the unimaginable pain of learning, for the first time again and again, repeatedly throughout the day, that their beloved one has died. It would be an unthinkable cruelness.
Sometimes, surely, honesty is simply not the best policy.
1. Write a title for this article.2. Why do people with dementia feel upset, scared, and confused even when they are in their own homes surrounded by their family?
3. Please decide which part is false in the following statement, then underline it and explain why.
The public expect doctors to be honest with their patients and the author also believes that it is heartless and unprofessional to lie to patients.
4. The author says sometimes, surely, honesty is simply not the best policy. Do you agree or disagree? Why? (In about 40 words)
6 . Shuai Xiaoyun is a 41-year-old doctor in Qituo village in Apengjiang, Southwest China's Chongqing. And she has
The village was always hit by heavy snowfall, which resulted in layers of
A graduate from a junior college of Western medicine in 1995, Shuai
Over the years, Shuai has dropped in at every corner of the village. She
“We are not family by blood but we are as close as a family. There is a
| A．guarded | B．recorded | C．investigated | D．proved |
| A．flying | B．soft | C．deep | D．thin |
| A．methods | B．treatments | C．opportunities | D．profits |
| A．materials | B．invitations | C．rewards | D．services |
| A．predict | B．deny | C．ignore | D．prevent |
| A．walk on | B．jump off | C．ride on | D．escape from |
| A．occasionally | B．secretly | C．finally | D．initially |
| A．exhausted | B．homesick | C．content | D．challenged |
| A．signal | B．refer | C．return | D．turn |
| A．operated | B．donated | C．decorated | D．advertised |
| A．fantastic | B．boring | C．relaxing | D．tough |
| A．refuse | B．offer | C．seek | D．quit |
| A．grew up | B．called at | C．hung out | D．escaped from |
| A．theories | B．thoughts | C．promises | D．assumptions |
| A．broke | B．opened | C．followed | D．won |
| A．missed | B．considered | C．raised | D．educated |
| A．nervous | B．direct | C．patient | D．proud |
| A．graduate | B．visitor | C．customer | D．relative |
| A．bond | B．deal | C．barrier | D．date |
| A．avoided | B．shown | C．satisfied | D．accepted |
Amelia worked as a nurse for 5 years and loved it. She loved helping others and found the job demanding, but always rewarding.
The beginning of March was far from optimistic because by the middle of March there were just over fifty patients in the hospital with the same illness. Most were on ventilators(呼吸机),which helped them to breathe. Then on the 23rd of that month there was a national lockdown, which meant most places were closed apart from supermarkets and essential shops. People could only leave their homes for a short while to do shopping or to pick up medication. All the streets were empty.
Amelia arrived at work an hour before her shift started. The journey there was quicker than normal, because she was the only one on the bus. And obeying the new rules, she wore her mask the entire trip.
Another shift over with, she was exhausted. The bus turned up on time. She got on and noticed a different person at the wheel. “Where’s the usual driver? ” she asked politely.
The younger man looked sad, and replied grimly(严肃地), “The virus got him，Miss. He was a friend of mine. ” Amelia was shocked by the news. “I’m so sorry to hear this. He was a lovely man. ” “Yes, he was, ”the driver said.
She showed her ticket and headed to a seat. At the back of the bus was the woman she recognized from somewhere. On the journey home every street was quiet.
Amelia put on her earphones and closed her eyes. The terrible events of that day were now becoming a distant memory.
A week later on a Thursday Amelia left the hospital a bit later than normal, as it had been a very busy day. She’d worked the last four days and just wanted to go home. She realized the chance of catching her normal bus would not happen. The next one should arrive shortly. Amelia glanced at her watch and the bus was twelve minutes late.
注意：1. 续写词数应为150左右；
2. 请按如下格式在答题卡的相应位置作答。
Suddenly from the doorways of most houses on the street appeared families as they clapped.
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And at that moment Amelia felt proud of everyone she worked with.
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8 . Travel nurses are skilled healthcare workers who are sent on assignments to different hospitals to fulfill short-term staffing shortages. The travelling aspect of this job makes it a perfect choice for nurses wanting to advance their careers, increase their salary, or simply change up their lifestyle.
Nowadays, there is a high need for qualified registered nurses with different specialties and training.
| A．Travel nurses usually receive higher pay rates |
| B．Travel nurses will build their clinical skills in many ways |
| C．It can be a rewarding and unforgettable experience each time |
| D．For a travel nurse, the “travel” part refers to various activities |
| E．So travel nursing is a most in-demand healthcare professional |
| F．They have the opportunity to visit different parts of the country |
| G．Travel nurses have quite a demanding job for all of its benefits |
A group doctors,
10 . Médecins Sans Frontières (MSF), which means “Doctors Without Borders”, was established in 1971. It is now one of the world’s largest organizations that provide emergency medical relief. In 1999, it won the Nobel Peace Prize. Its aim is to help people who have suffered badly in wars or natural disasters, such as earthquakes or floods.
Each year, about 3,000 people are sent abroad to work in more than 60 different countries worldwide.
One volunteer reports, “Working in politically sensitive areas with limited resources can be frustrating, but there is huge satisfaction in making even a small or temporary difference to people. What better recommendation than to say, “I’m about to leave on a third mission!”
| A．In some countries, there are even more volunteer professionals than locally hired staff. |
| B．The rewards can be enormous. |
| C．MSF relies on volunteer professionals but also works closely with about 25,000 locally hired staff. |
| D．What do volunteers have in common? |
| E．What qualities and skills do you need to become a volunteer? |
| F．The reaction of volunteers returning from MSF speaks for itself. |
