重病患者（seriously ill population）理应得到优秀的临终关怀（end-of-the-life care）。临床医生在处理病人的希望时，应该学好一套技能（a set of skills）。
老夏考研“每日一题”今天内容选材于“哈佛商业评论”文章。文章标题为“Managing the Hopes of Seriously Ill Patients”（管理重病患者的希望）。
今天给的是个阅读理解单选题。请大家先做题吧 ......
【题目】It seems that the author is mainly concerned with
[A] treatment effectiveness.
[B]chronic diseases.
[C] progress dynamics.
[D] patients’ hopes.
【试题】
①Clinicians often withhold information about disease progression and prognosis* for fear of destroying their patients’ hopes. ②This fear stems from a lack of knowledge about the nature and dynamics of hope in serious illness. ③Hope is not a single entity that lives or dies with the prospects for cure or recovery, but rather a process that unfolds as illness progresses — whether or not treatment is successful. ④Seriously ill patients typically experience two distinct phases of hope as their illnesses progress. ⑤First, focused hope supports them through the rigors of treatment as they concentrate on the outward, tangible goals of cure or recovery. ⑥But if treatment becomes ineffective — which is inevitable in chronic illness — then focused hope must be released or it degenerates into the kind of false hope that can lead to overtreatment, particularly unwanted hospitalizations.
【参考译文】
①临床医生由于担心毁了病人的希望而经常隐瞒疾病发展和预后的信息。
②这种担心源于对重病的希望的本质和动力缺乏知识。
③由于有治愈或康复的前景，希望不是一个单一的实体；准确的说，希望是一个随着疾病发展而展开的过程 —— 不论治疗成功与否。
④重病患者随着疾病的发展通常经历截然不同的两个阶段的希望。
⑤首先，集中的希望支持他们经历了治疗的苦楚，由于他们集中在外在的、有形的治愈或恢复目标。
⑥但如果治疗变得无效 ——这在慢性病中是不可避免的 —— 那么集中的希望就必须释放出来，否则就会退化为虚假的希望，那种希望导致过度治疗，尤其是不必要的住院治疗。
当希望不再？！——老夏考研每日一题（16）
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