2017职称英语《卫生A级》仿真试题及答案

2017职称英语《卫生A级》仿真试题及答案

2017职称英语《卫生A级》仿真试题及答案

Uncooperative Patients Need Psychological Therapy

By refusing to take essential medication after a kidney transplant, a 49-year-old woman drives her doctors and nurses to distraction—to no avail, because the organ has in the end to be removed____(1)_____ Patients refusing to cooperate with medical professionals cause damage not only to themselves but also impose substantial costs on the community. The pharmaceutical company Glaxo Welcome estimates the costs to the German taxpayers of this kind of negative behaviour at around five billion dollars a year.

A recent conference of medical professionals, health insurers, the pharmaceutical industry and patient representatives revealed a wide range of factors behind non-compliance. Not all defiant behaviour in a patient can be characterized as non-compliance. Greater stress should be placed on psychology during medical training, delegates said.____(2)_____ Psychologist Sibylle Storkebaum told of an eight-year-old boy who ran amok in a hospital before undergoing a heart transplant, threatening to rip out his drip tubes.____(3)_____“Doctors and nurses failed to see that they had downgraded a boy already conscious of his own responsibilities into a small child,” Storkebaum said, explaining that the boy merely wanted to be taken seriously and to be involved in his own treatment. “Once this was acknowledged, the anger attacks subsided.____(4)_____” Jan-Torsten Tews of Glaxo Welcome highlighted the problem of excessive medication, with patients having to take a wide range of medicines at short intervals. Educating patients and self-management were the key to treating patients with chronic conditions, he said.

Health insurers also expressed interests in better cooperation between doctor and patient. “The fact that non-compliance exists is a result of patient dissatisfaction with their treatment,” Walter Bockemuehl, a senior executive in the statutory medical insurance scheme. said. According to one study, half of all patients did not want medication, but had drugs prescribed nevertheless.____(5)_____

词汇：

medication 药物治疗，药剂kidney 肾transplant 移植

distraciton 心烦意乱avail 用处non-compliance 不顺从，固执

professional 专业人员impose把……强加给……

pharmaceutical 制药的，药学的characterize表示……的性格特征

insurer 承保人，保险公司defiant 反抗的，无礼的

therapy 治疗，疗法insecure 缺乏安全感的

amok 狂怒的，狂暴的fit 发作rage 盛怒，狂怒

assert 主张，坚持，维护downgrade 贬低，小看

noticeably 明显地highlight 使显著，强调，把注意力集中于……

dissatisfaction 不满意statutory 法定的额

注释：

1.to no avail：徒劳无功

2.be characterized：被描绘成……

3.run amok：变得勃然大怒。run在这里是系动词，有“变”的意思。

4.to rip out his drop tubes：把他的点滴管扯下rip out 扯掉，扯出

drip：水滴，点滴