题目

Our teachers tried teaching us about death during nursing training. As a student nurse, I knew I would see death in my ______. I had no idea of the ______ it would have on me, ______.The first person I saw die was an elderly man, John, who had been ______ for weeks. His heart was ______ and the health－care team was keeping him comfortable and ______ his symptoms. He had stopped speaking days before but was still awake at times, and his ______ when we spoke to him was beautiful.When I came on to the ______ one morning, the night staff said he had deteriorated (恶化) overnight and had ______ left to leave. A trained nurse and I gave him a bed bath, shaved him and changed his sheets. For the next six hours I ______ his hand and talked to him. The doctor came in regularly and asked if he needed more pain relief but he seemed ______ most of the time. He only ______ opened his eyes to smile at me. Early in the afternoon the nurse came back in and we washed his face and ______ his hair. As she was just about to leave the room, she stroked his hair and said:“Oh John, just ______.” Minutes later, he did.It has been 20 years since John’s death. I have seen ______ deaths in my time nursing. I have seen staff go far beyond the ______ of their jobs to ______ that a patient has as good a death as possible. I remember some of the other faces, but none is quite as ______ as John’s. He, and the professionals who were ______ him, taught me that it ______ how we treat those who are dying.【1】A. life B. career C. mind D. family【2】A. impact B. difference C. reflection D. affection【3】A. instead B. regardless C. therefore D. however【4】A. insisting B. challenging C. struggling D. recovering【5】A. striking B. failing C. beating D. aging【6】A. comforting B. decreasing C. disappearing D. relieving【7】A. face B. eyes C. smile D. expression【8】A. ward B. classroom C. hospital D. department【9】A. days B. hours C. minutes D. seconds【10】A. held B. reached C. hugged D. touched【11】A. silent B. painful C. peaceful D. anxious【12】A. frequently B. occasionally C. hardly D. easily【13】A. combed B. tied C. washed D. smelt【14】A. come on B. pass away C. let go D. go away【15】A. priceless B. constant C. considerate D. countless【16】A. qualifications B. ability C. expectations D. exception【17】A. pretend B. assume C. believe D. ensure【18】A. beautiful B. vivid C. pale D. scary【19】A. caring for B. looking for C. bringing up D. cheering up【20】A. trains B. works C. influences D. matters 答案：【答案】【1】B【2】A【3】D【4】C【5】B【6】D【7】C【8】A【9】B【10】A【11】C【12】B【13】A【14】C【15】D【16】C【17】D【18】B【19】A【20】D【解析】本文是一篇记叙文。文章主要讲述在作者的护理生涯中，作者见过无数的死亡，但作者永远不会忘记她的第一次。【1】考查名词词义辨析。A. life生命；B. career职业；C. mind头脑；D. family家庭。根据后文I had no idea of the ___2___ it would have on me可知，作者是一名护士，所以在职业生涯中会见到死亡。故选B。【2】考查名词词义辨析。A. impact影响；B. difference区别；C. reflection反映；D. affection影响。difference虽然可以表示影响，但是短语搭配是make a difference to/in。然而，我对其影响一无所知。故选A。【3】考查副词词义辨析。A. instead代替；B. regardless不管；C. therefore因此；D. however然而。根据上文中的no idea可知作者没有想到死亡对她的影响，所以是转折关系。然而，我对其影响一无所知。故选D。【4】考查动词词义辨析。A. insisting坚持；B. challenging挑战；C. struggling挣扎；D. recovering恢复。第二段对John的描述可得知，John是一个垂死患者，所以选struggling。我看到的第一个人是一个叫约翰的老人，他已经挣扎了好几个星期了。故选C。【5】考查动词词义辨析。A. striking打；B. failing衰竭；C. beating跳到D. aging 变老。John已经垂死，所以心脏衰竭，failing可以表示器官衰竭的含义。故选B。【6】考查动词词义辨析。A. comforting安慰；B. decreasing减少；C. disappearing消失；D. relieving减轻。根据上下文，医护人员可以做的只能是让他舒适以及减轻他的症状。decrease侧重大小数量上的减少，语意不符。comfort宾语通常是人。disappear为不及物动词，不带宾语。故选D。【7】考查名词词义辨析。A. face脸；B. eye眼睛；C. smile微笑；D. expression表情。该题为词汇复现题，下文中He only ___12___ opened his eyes to smile at me.提到睁开眼睛朝作者微笑，再根据句子的谓语动词was可知答案是smile。当我们和他说话时，他的微笑很美。故选C。【8】考查名词词义辨析。A. ward病房；B. classroom教室；C. hospital医院；D. department部门。由后文可知，作者被告知John病情恶化，并且陪John走过了生命的最后几个小时，这一切只能是发生在John的病房里，既ward。一天早晨，当我来到病房。故选A。【9】考查名词词义辨析。A. days日子；B. hours小时；C. minutes分钟；D. seconds秒钟。词汇复现题。后文For the next six hours I ___10___ his hand and talked to him.提示可知，几个小时后，John便离开了人世。一夜之间他已经恶化，只剩下几个小时。故选B。【10】考查动词词义辨析。A. held握着；B. reached到达；C. hugged拥抱；D. touched接触。作者是握着John的手陪他说了六个小时的话。其他选项语意均不通顺。故选A。【11】考查形容词词义辨析。A. silent沉默的；B. painful痛苦的；C. peaceful平静的；D. anxious焦虑的。由前文的but可知John不需要止痛药，但他大部分时间看起来都很平静。故选C。【12】考查副词词义辨析。A. frequently频繁地；B. occasionally偶尔地；C. hardly几乎不；D. easily容易地。由上下文可知，John已经病危，在生命最后的一段时间里，他非常地平静，只是偶尔睁眼对作者报以微笑。故选B。【13】考查动词词义辨析。A. combed梳理；B. tied系；C. washed洗；D. smelt闻。医护人员帮John洗了脸梳了头。B、D选项语意不符合，C选项和前面动词重复，由and连接理应省略。故选A。【14】考查动词短语词义辨析。A. come on开始；B. pass away去世；C. let go放手、放开； D. go away离开。从后文可知，几分钟后，John就去世了，所以可得知医护人员对他说的话是“放手，安心地离去吧”。let go有放手、放开之意。其余选项均不符合上下文意思。故选C。【15】考查形容词词义辨析。A. priceless无价的；B. constant连续的；C. considerate体贴的；D. countless无数的。John死后的二十年里，作者作为护士看见了不计其数的死亡，即countless。constant表示动作的持续，不符合文意。在我的护理生涯中，我见过无数的死亡。故选D。【16】考查名词词义辨析。A. qualifications资格；B. ability能力；C. expectations期望；D. exception例外。作者的实习经历讲述了医护人员对患者的关心和照顾，所以此处应该是医护人员帮助患者，做了很多工作范围之外的事情，即超出了工作的预期。故选C。【17】考查动词词义辨析。A. pretend假装；B. assume假定；C. believe相信；D. ensure担保。医护人员做出超出工作预期的事情是为了确保临死的患者可以走得安详舒坦。故选D。【18】考查形容词词义辨析。A. beautiful漂亮的；B. vivid生动清晰的；C. pale苍白的；D. scary可怕的。此处描述的是作者对John的记忆，这么多年过去了，作者对John依旧记忆犹新，John的一切依旧历历在目。所以选vivid表示“生动清晰的”。前文中的beautiful是用来形容John的笑容，放在这里不合适。故选B。【19】考查动词短语词义辨析。A. caring for照顾；B. looking for 寻找；C. bringing up养育；D. cheering up欢呼。由作者对实习经历的描述可知医护人员对患者是进行照顾，即care for。故选A。【20】考查动词词义辨析。A. trains训练；B. works工作；C. influences影响；D. matters要紧、重要。作者的实习经历教导了作者:医护人员对待垂死患者的方式是一件非常重要的事情，即matter表示“要紧、重要”。 故选D。完形填空主要考查学生对语篇的全面理解，要求学生在做题时能够做到“身临其境，感同身受”准确把握作者写作意图，同时“瞻前顾后，左顾右盼”，充分考虑前后文的逻辑关系，仔细推敲，最后还原整体和细节。例如小题7所选的smile这个词在下文中He only ___12___ opened his eyes to smile at me.提到睁开眼睛朝作者微笑，再根据句子的谓语动词was可知答案是smile。

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