大学四级-1928及答案解析.doc
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1、大学四级-1928 及答案解析(总分:713.00,做题时间:90 分钟)一、Part Writing(总题数:1,分数:106.00)1.使用信用卡已经成为一种新的消费方式2. 使用信用卡的利弊3. 我的看法(分数:106.00)_二、Part Reading Compr(总题数:1,分数:70.00)With parents living routinely into their 90s, a second round of caregiving has become a predictable crisis for women in midlife. Nearly 50 million
2、Americans are taking care of an adult who used to be independent. Yes, men represent about one third of family caregivers, but their participation is often at a distance and administrative. Women do most of the hands-on care. The average family caregiver today is a 48-year-old woman who still has at
3、 least one child at home and holds down a paying job.It starts with The Call. Its a call about a fall. Your mom has had a stroke. Or its a call about your dad-hes run a red light and hit someone, again, but how are you ever going to persuade him to stop driving?When that call came to me, I froze. Th
4、e shock plunges you into great fear, denial, and even crazy action. You search out doctors. They dont agree on the diagnosis. You google the Internet. The side effects scare you. You call your brother or sister, hoping for help.It begins to dawn on you that your life is also radically changing. This
5、 is a caregiving role that nobody applies for. You dont expect it. You arent trained for it. And, of course, you wont be paid for it. You probably wont even identify yourself as a caregiver. So many women tell me, “Its just what we do.“There are many rewards in giving back to a loved one. And the sh
6、ort-term stress of mobilizing (动员 起来) against the initial crisis stimulates the bodys positive responses. But this role is not a sprint (冲刺). It usually turns into a marathon, averaging almost five years. Demands intensify. Half of family caregivers work full time. Attention deficit is constant. But
7、 most solitary caregivers who call hotlines like Family Caregiver Alliance wait until the third or fourth year before sending out the desperate cry: “I cant do this anymore!“The caregiver becomes exhausted, but cant sleep. Lasting stress turns on a steady flow of cortisol (皮 质醇). Too much cortisol s
8、huts down the immune-cell response, leaving one less able to ward off infection. Many recent clinical studies show that long-term caregivers are at high risk for sleep loss, immune-system deficiency, depression, anxiety, and loss of concentration.Sick elders seldom say thank you. On the contrary, th
9、ey often put up fierce resistance to the caregivers efforts. “A major component of psychological stress that promotes later physical illness is not being appreciated for ones devoted work“ explains Dr. Esther Sternberg, a stress researcher and author of The Balance Within: The Science Connecting Hea
10、lth and Emotions. She places caregivers at the same risk for exhaustion as nurses, teachers, and air-traffic controllers.Once the caregiver gets so stressed out emotionally that her own health declines, she can no longer provide the care. The only option left is to place the family member in a nursi
11、ng home-the last choice of everybody, the most expensive for taxpayers, and guaranteed to leave the caregiver burdened with guilt.It doesnt have to be this way. From hundreds of interviews with caregivers and my own experience of 17 years in the role, I can suggest some survival strategies:Ideally,
12、have the conversation with your brothers and sisters before the crisis with Mom and Dad. Make it clear that you cannot do this alone. If the crisis is already upon you, hold a family meeting-in person-but dont set yourself up as the boss. Ask a neutral professional-your parents primary doctor or a s
13、ocial-worker-to act as mediator (调解人). Everyone will be informed of the diagnosis and care plan at the same time. Ask your brothers and sisters to come prepared with “What I can do best.“ One may contribute money, another has more free time. Everyone has to feel valued.Download a free Internet-based
14、 care calendar that is totally private and can function as the familys secretary, coordinating dates and tasks to be shared.Join a support group. Learn from veteran caregivers, who are eager to offer practical solutions and know out of instinct what you need emotionally. Regular exercise is vital to
15、 prepare the body for more refreshing sleep. Ask for appointments for your physical examinations or tests at the same time and place where you take your family member.You must take at least one hour a day-but every day-to do something that gives you pleasure and refreshment. Take a swim. Call a frie
16、nd for coffee. Window-shop. Try a yoga class. All this allows your nervous system to reset.You will also need longer breaks every few months. Gall your local Area Agency on Aging and ask where you can take your family member for a rest. Rehab (康复) facilities often have some beds for the purpose. Und
17、er Medicaid (医疗补助制度), the caregiver is entitled to three or four days away every 90 days.When it becomes clear that your loved one does not have long to live, the caregiver who survives must begin the effort of coming back to life. There is danger in remaining so attached to your declining loved one
18、 that you lose your “self.“This is the time to refill your emotional attachments (喜好). Reach out for old friends, grandchildren. Take a class at the local community college. Join a book club or a baseball league. Meeting new people is a natural remedy to late-stage caregiving. New attachments are a
19、bridge to your new life.(分数:70.00)(1).Who is the passage mainly written for?A. The middle-aged male caregivers.B. The middle-aged female caregivers.C. The middle-aged people who have loved ones dying.D. Working people who have children and elders to care for.(分数:7.00)A.B.C.D.(2).What does the word “
20、hands-on“ (Line 4, Para. 1) most probably mean?A) Practical. C) Considerate.B) Emotional.D) Administrative.(分数:7.00)A.B.C.D.(3).What does the author mean by “It starts with The Call“ (Line 1, Para. 2)?A. A phone call will always bring bad news.B. A phone call will cause a series of troubles.C. Your
21、life will be changed by The Call.D. You dont expect to receive such a call.(分数:7.00)A.B.C.D.(4).By “marathon, the author means that the role of caregiving can last as long as an average of _. A) three yearsC) five yearsB) four years D) six years(分数:7.00)A.B.C.D.(5).According to Dr. Esther Sternberg,
22、 one main reason that caregivers have physical illness is that _. A. they have no one to ask for helpB. they are not willing to care for the eldersC. their efforts are not appreciated by othersD. they have to deal with stress both from work and life(分数:7.00)A.B.C.D.(6).According to the passage, if t
23、he caregiver cannot provide care anymore, the only choice is to _. A. ask the other family members to do the caringB. put the elders in a nursing homeC. hire a nurse to help with the caringD. turn to a support group for a solution(分数:7.00)A.B.C.D.(7).According to the writer, what is the main purpose
24、 of holding a family meeting?A. To inform every member about the crisis.B. To collect money for the medical care.C. To involve every family member in the coming caring.D. To find the best way to deal with the crisis.(分数:7.00)A.B.C.D.(8)._ is important to caregivers in that it can prepare the body fo
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- 大学 1928 答案 解析 DOC
