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  3. I was invited to present a lecture to a class of graduate nurses who were studying the " Psychosocial Aspects of Aging. " I star

I was invited to present a lecture to a class of graduate nurses who were studying the " Psychosocial Aspects of Aging. " I star

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问题     I was invited to present a lecture to a class of graduate nurses who were studying the " Psychosocial Aspects of Aging. " I started my lecture with the following case presentation: The patient is a white female who appears her reported age. She neither speaks nor comprehends the spoken word. Sometimes she babbles incoherently for hours on end. She is disoriented about person, place, and time. She does, however, seem to recognize her own name. I have worked with her for the past 6 months, but she still does not recognize me.
    She shows complete disregard for her physical appearance and makes no effort whatsoever to assist in her own care, she must be fed, bathed, and clothed by others. Because she is edentulous, her food must be pureed, and because she is incontinent of both urine and stool, she must be changed and bathed often. Her shirt is generally soiled from almost incessant drooling. She does not walk. Her sleep pattern is erratic. Often she awakens in the middle of the night, and her screaming awakens others.
    Most of the time she is friendly and happy. However, several times a day she gets quite agitated without apparent cause. Then she screams loudly until someone comes to comfort her.
    After the case presentation, I asked the nurses how they would feel about taking care of a patient such as the one described. They used words such as " frustrated," " hopeless, " " depressed, " and "annoyed" to describe how they would feel.
    When I stated that I enjoyed taking care of her and that I thought they would too, the class looked at me in disbelief. I then passed around a picture of the patient; my 6-month-old daughter.
    After the laughter had subsided, I asked why it was so much more difficult to care for a 90-year-old than a 6-month-old with identical symptoms. We all agreed that it is physically easier to take care of a helpless baby weighing 15 pounds than a helpless adult weighing 100, but the answer seemed to go deeper than that.
    The infant, we all agreed, represents new life, hope, and almost infinite potential. The demented senior citizen, on the other hand, represents the end of life, with little potential for growth.
    We need to change our perspective. The aged patient is just as lovable as the child. Those who are ending their lives in the helplessness of old age deserve the same care and attention as those who are beginning their lives in the helplessness of infancy.  
The author’ s case presentation implies that______.
选项 A、the patient is hopeless
B、the patient is friendly and happy
C、the physical problems of elders can be treated
D、the audience would care for the elders like the patient
答案A
解析 作者所讲案例中的患者情况非常严重，根据全文内容可知作者是要讲述一个典型案例。由后文中的a helpless adult可以判断作者是要强调这名患者的不可救药。
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