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Is there a nationwide shortage of nurses? It’s hard to say.However, some characteristic symptoms often indicate that there is indeed a shortage.
One symptom is the vacancy rate, or the percentage of budgeted positions that are unfilled.New England’s hospitals currently report that an average of 7 to 12 percent of their registered nurse positions are vacant, the highest level since the last shortage in the late 1980s.Vermont has a relatively low vacancy rate, at 7.8 percent.But its vacancies were at 1.2 percent just five years ago.
Another symptom is the increased use of stopgap measures to fill empty positions.For instance, many nurses report an upswing in how frequently they are asked to stay past their shifts.According to Murphy, working in the St.Elizabeth’s Hospital, “The shortage has definitely created a lot of opportunities of overtime for our nurses, whether they want them or not.” Similarly, a national survey of registered nurses shows that in an average week, nurses in the U.S.work 2.4 more hours than they are scheduled to.Much of this extra time is voluntary, as nurses earn overtime pay when they stay to fill in blanks in the schedule.
When they can’t fill open positions by more traditional means, health care providers hire temporary staff to tide them over.Travelling workers are the largest part of the temporary health care workforce, hired for thirteen-week reduction at health care facilities facing short-term lack of workers.Temporary workers, mainly nurses, cost hospitals $ 7.2 billion in 2000.
“Any successful solution to the shortage depends on convincing more people to become nurses, and that is not an easy goal to reach.To achieve it,” says Buerhaus, “society needs to place more value on nursing.Legislation (法规) can’t do that – it should come from people.” And if this continues, we might have to learn to care for ourselves in the hospital.
小题1:The temporary staff hired by a hospital _______.
A.cost a large part of the hospital’s budget
B.meet the need for nurses in the hospital for a short time
C.should work on a weekly basis and on a scheduled timetable
D.ought to work passively for thirty continuous weeks
小题2:According to Buerhaus, what is a successful solution to the nurse shortage?
A.To convince people of the benefits of being a nurse.
B.To ask the government for help to work out specific legislation.
C.To publicize the past achievements of nurses.
D.To make people aware of the importance of being a nurse.
小题3:What’s the probable meaning of the underlined word “upswing” in Paragraph 3?
A.SymptomB.DecreaseC.IncreaseD.Figure
小题4:What’s the author’s attitude towards nurse shortage?
A.WorriedB.IndifferentC.DoubtfulD.Optimistic

答案

小题1:B
小题2:D
小题3:C
小题4:A
解析

核心考点
试题【Is there a nationwide shortage of nurses? It’s hard to say.However, some charact】;主要考察你对题材分类等知识点的理解。[详细]
举一反三

第二节:完形填空 (共20小题;每小题1.5分,满分30分)
阅读下面短文,掌握其大意,然后从36—55各题所给的A、B、C、D四个选项中,选出最佳选项,并在答题卡上将该项涂黑
As the drought(干旱) continued to seem to be endless, a small community of mid-west farmers were wondering what to do next. The rain was important not only to keep their crops     36    , but to support the townspeople"s way of     37    . Since the problem needed immediate    38    , the local church felt it was time to call a prayer meeting to ask for    39   .
In what seemed an unclear remembrance(纪念) of a Native American   40    , the people began to arrive. After they were all    41    , the pastor(牧师)on his arrival watched as the townspeople continued to arrive. He slowly    42     his way to the front to officially    43    the meeting.
Everyone was taking the opportunity to     44    with close friends. When the pastor     45     the front, his thoughts were on quieting those     46     and starting the meeting.
47    he began to ask for quiet, his eyes    48     through the crowd and he took     49     of an eleven year-old girl sitting in the front row.
Her face was shining     50     excitement and she     51     sat in her place. Next to her, was a bright red umbrella,    52     for use. The beauty and innocence(纯真) of the girl made the pastor smile as he     53     the faith she had. No one     54     at the meeting had brought a/an     55    .
They had all come to pray for rain, but she had come expecting God to answer with the needed rain.       
36.A. wealthy     B. healthy          C. powerful      D. necessary
37.A. work        B. entertainment     C. stay          D. life
38.A. attention          B. solution         C. fiction        D. conservation
39.A. rain          B. help           C. money             D. advice
41.A. covered     B. crowded        C. occupied      D. seated
42.A. found       B. struggled       C. felt           D. made
43.A. end              B. close          C. begin        D. hold
44.A. talk              B. tell            C. say           D. drink
45.A. arrived     B. reached         C. got           D. hurried
46.A. possible     B. patient              C. pure          D. present
47.A. As         B. Until          C. Though        D. Unless
48.A. got         B. went          C. looked             D. saw
49.A. hold         B. sight          C. notice        D. glance
50.A. for         B. with           C. by            D. at
51.A. quietly     B. calmly              C. anxiously     D. worriedly
52.A. eager        B. ready         C. curious         D. awful
53.A. recognized    B. promised       C. realized        D. allowed
54.A. even         B. else            C. still          D. also
55.A. apron       B. raincoat         C. record        D. umbrella
题型:不详难度:| 查看答案

E
Researchers have just offered evidence in a study that says obesity appears to spread through social ties, much like a virus. When one person gains weight, their close friends often follow, but the finding might also offer hope.
If friends help make obesity acceptable, then might also be influential in losing the fat. The researchers note that support groups are already an effective tool in dealing with other socially influenced problems, like alcoholism.
The findings appeared in the New England Journal of Medicine, The researchers used information collected from 12,000 people. It was collected between 1971 and 2003 as part of the Framingham Heart Study.
The information was highly detailed. There was even contact information for close friends of the people in the study.
The researchers examined more than 40,000 social ties. They found that a person’s chances of becoming severely overweight increased by 57% if a friend had become obese.
Nicholas Christakis of Harvard Medical School was a lead investigator in the study. He says there is a direct causal relationship between a person getting fat and being followed in weight gain by a friend.
The study found that the sex of the friends was also an influence. In same-sex friendships, a person had a 70% increased risk of becoming obese. Men had a 44% increased risk of becoming obese after weight gain in brothers. In sisters, it was 67%. Between husbands and wives, it was a little less than 40%.
The researchers also considered the effect of where people lived in relation to each other. James Fowler of the University of California, San Diego, was the other lead investigator. He says a friend who lives a few hundred kilometers away has as much influence as one in the same neighborhood. He says the study demonstrates the need to consider that a major part of people’s health is tied to their social connections.
Both investigators say their research shows that obesity is not just a private medical issue, but a public health problem.
67. What does the underlined sentence in Para2.mean?
A. Obesity has a negative influence on a close friend.
B. Friends might also play a part in losing weight.
C. One might have a positive influence on one’s friend.
D. Friends usually don’t follow each other to lose weight.
68. Who is mostly likely to gain weight?
A. A man who has a fat brother.     
B. A husband who has a fat wife.
C. A wife who has a fat husband. 
D. A woman who a fat female friend.
69. Which of the following statements doesn’t the passage agree with?
A. You are sure to lose weight if you have a skinny friend.
B. If one gains weight, one’s friends are likely to get fat.
C. A person’s health is closely linked with his /her social relationship.
D. Even if the friend lives far away, the influence still remains.
70. The reason why the study involves both family members and friends is that _____.
A. researchers fail to find a more different sample
B. researchers have different ideas for family members and friends
C. researchers can meet these people regularly
D. researchers can compare the results
题型:不详难度:| 查看答案
Today’s teens have a knowledge of the Internet that often surpasses(超过) that of their parents. Because so many teens are Internet savvy(了解, 常识), it is important that they also have an understanding of the dangers that exist online and how to deal with them. Watch teens share their own “Real-Life Stories” about issues affecting them on the Internet such as cyberbullying (网络欺凌), online enticement(诱惑), and giving out too much personal information.


NSTeens - Terrible text
Some teens say and do terrible things to each other online because they don’t see the direct effects of their actions. So what should you do if you"re cyberbullied? Watch the NSTeens in their latest video, "Terrible text," about a young girl who is troubled when a cyberbully sends mean text messages to her cell phone at all hours of the day and night. Visit NSTeens.org.
NetSmartz411
NetSmartz411 is a parent and guardian’s premier, online resource for learning about Internet safety, computers, and the Web.
Search our knowledge base for answers to all of your questions about the online world! If you can’t find what you’re looking for, use the “Ask the Experts tab ”to send us a question.
Your question will be answered by professionals who know a lot about Internet safety —— the real-life analysts at the National Center for Missing & Exploited Children. We handle daily reports about the online exploitation of children; and well show you the steps you can take to keep the children and teens in your life safer online.
Visit NetSmartz411.org.
CyberTipline Report
The CyberTipline is the place to report any incidents of Internet exploitation. If you find yourself in a situation where you need help, visit cybertipline.com and make a report. If you fear that you are in immediate danger, contact your local law enforcement (执法部门).
Real-Life Stories
Watch real-life stories told by teens who have been victims of Internet exploitation.
Real-Life Stories
NetSmartzKids
Are you concerned about your younger brothers or sisters safety online? Visit  NetSmartzKids.org with them to help them learn how to avoid the dangers that exist on the Internet.
 
55. The ad is intended for _______.
A. kids loving to play games online
B. only victims of Internet use
C. kids and their parents who want to learn about the safety online
D. pre-school students who know little about Internet
56. If you visit the website, you can ________.
A. share your friends “Real-life Stories” about issues affecting them on the Internet
B. have an understanding of the dangers that exist online and how to deal with them
C. say and do terrible things to each other online
D. ask for help when you have difficulty with your study
57. If you visit cybertipline.com, you can _______.
A. contact your local law enforcement
B. search our knowledge base for answers to all of your questions about the online world
C. report any incident of Internet use
D. help your brothers or sisters siblings learn how to avoid the dangers that exist on the
Internet.
58. Which of the following stories you can share on the Real-Life Stories?
A. Teen murdered by man she met in chat room.
B. Problem of losing weight.
C. Left home alone.
D. Hurt by second hand smoke in the Internet cafe.
题型:不详难度:| 查看答案

B
In China, if you are not married by the time you are 30, you are in for trouble: social blame and pressure from family and friends can get you down. And if you are a woman it’s even worse.
Many young people get married simply to get other people off their backs(免受别人的指责) . This is a serious compromise (妥协) with their ideals (理想). One ends up not marrying the ideal partner.
There are, however, a few young people who refuse to compromise: if they can’t find a good marriage partner,they say, they would rather not many at all.
34-year-old Kate is university lecture in English.She said she would not describe herself as backelorette(独身主义者) but simply a woman who hasn"t come across the right man yet. She has sharp comments for the way in which the old generation looks at marriage.
“Many people think marriage is a duty —— to your parents, family and society. Nobody cares if your marriage is happy or not. she said, I think this is very wrong and I intend to live and act according to my own will.”
Happily for her, her parents are open-minded and not put pressure on her. But the same does not apply to her friends. They are .constantly trying to get her together with some young man or another. She always refuses politely.
59. The main idea of this passage is that ____ .
A. marriage is duty to society
B. people should get married before 30 years old
C. late marriage should be respected
D. women should get married earlier than men
60. Miss Kate refuses to get together with some young man or another because____.
A. she doesn’t think he is the right man she wants
B. he is either too old or too young
C. he is either important or little learned
D. he doesn’t have good manners
61. In the first paragraph the underlined words “in for”  refer to ____.
A. interested in   B. satisfied with    C. worried about   D. possible to suffer
62. Which is not true according to this passage
A. In China, one mil face social blame and family pressure if one hasn’t got married at he age of 30.
B. Miss Kate’s parents are always worried about her marriage.
C. Miss Kate won’t compromise with her ideal marriage.
D. Miss Kate wants to many a worthy young man.
63. If marriage is regarded as a duty to society,_______.
A. everybody will be happy and satisfied
B. nobody will pay attention to whether you are happy or not in your family life
C. you can easily find an ideal partner
D. young people will have nothing to worry about in marriage
题型:不详难度:| 查看答案

D
The price of gas has been going up. We do not know when it will end. Many people want to know how they can save gas. The best way to save gas is to change driving habits.
The accelerator (加速器) or gas pedal, has a lot to do with how much gas you use. The faster you drive, the more gas you use. Drivers should slow down a bit to save gas. Driving at a steady speed helps to save much gas you use. Accelerating slowly to get to the speed you want to go helps save gas too.
The more you drive your car, the more gas you use. Think about the places you need to go before leaving your home. You should run as many errands (差事) that you need to do in one trip. Always try to pick the shortest route when going somewhere.
Cars that are in good working condition use less gas. Take care of your car. Make sure the engine is running well and is tuned up often. Have a repairman check it if something seems wrong.
Tires are important too. Keep the tires inflated (饱满) properly on a car. It will help the car roll better and will get you better mileage (英里数) If the tires of a car are worn then they should be replaced.
Finally, think about using your car less. Walk or ride a bike if you do not have far to go. Carpool (合伙用车) or take public transportation when you can. Leaving your car at home really saves gas.
There are many ways a person can save gas. These are just a few ideas that can help you save some money at the gas pump. Try changing the way you drive and see how much it saves you!
68. Which of the following can help save gas?
A. Driving as fast as you can.
B. Accelerating quickly to get to the speed you want.
C. Driving fast a little now and slowly a little then.
D. Driving at a speed that is, seldom changed.
69. The underlined sentence in the 3rd paragraph probably means you should
A. do as many things as you can in one trip
B. go to as many places as you can in one trip
C. take as many people as you can in one trip
D. use as many ways of driving as you can in one trip.
70. Which of the following is NOT true according to the passage?
A. Always keep your car in good working condition.  B. Never use your car unless it is necessary.
C. Replace your tires if they are worn out.                 D. Always stick to your own driving habits.
71. Which would be the best title for the passage?
A. How to use your car correctly.
B. How to save gas when using your car.
C. How to deal with the price of gas.
D. How to form good driving habits.
题型:不详难度:| 查看答案
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