2016年四级人力资源管理师考试《专业技能》冲刺试题(1)(考生版)

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四级考前冲刺试题一

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Potentially, they will try more,” said Dr. Suki Tepperberg, a family physician at Codman Square Health Center in Dorchester, one of the program sites. “The goal is to get them to increase their consumption of fruit and vegetables by one serving a day.” The effort may also help farmers’ markets compete with fast-food restaurants selling dollar value meals. Farmers’ markets do more than $1 billion in annual sales in the United States, according to the Agriculture Department. Massachusetts was one of the first states to promote these markets as hubs of preventive health. In the 1980s, for example, the state began issuing coupons for farmers’ markets to low-income women who were pregnant or breast-feeding or for young children at risk for malnutrition (营养不良). Thirty-six states now have such farmers’ market nutri tion programs aimed at women and young children. Thomas M. Menino, the mayor of Boston, said he believed the new children’s program, in which doctors write vegetable “prescriptions” to be filled at farmers’ markets, was the first of its kind. Doctors will track participants to determine how the program affects their eating patterns and to monitor health indicators like weight and body mass index, he said. “When I go to work in the morning, I see kids standing at the bus stop eating chips and drinking a soda,” Mr. Menino said in a phone interview earlier this week. “I hope this will help them change their eating habits and lead to a healthier lifestyle.” The mayor’s attention to healthy eating dates to his days as a city councilman. Most recently he has app ointed a well-known chef as a food policy director to promote local foods in public schools and to foster market gardens in the city. Although obesity is a complex problem unlikely to be solved just by eating more vegetables, supporters of the vegetable coupon program hope that physician intervention will spur young people to adopt the kind of behavioral changes that can help prevent lifelong obesity. Childhood obesity in the United States costs $14.1 billion annually in direct health expenses like prescription drugs and visits to doctors and emergency rooms, according to a recent article on the economics of childhood obesity published in the journal Health Affairs. Treating obesity-related illness in adults costs an estimated $147 billion annually, the article said. Although the vegetable prescription pilot project is small, its supporters see it as a model for encouraging obese children and their families to increase the volume and variety of fresh produce they eat. “Can we help people in low-income areas, who shop in the center of supermarkets for low-cost empty-calorie food, to shop at farmers’ markets by making fruit and vegetables more affordable?” said Gus Schumacher, the chairman of Wholesome Wave, a nonprofit gro up in Bridgeport, Conn., that supports family farmers and community access to locally grown produce. If the pilot project is successful, Mr. Schumacher said, “farmers’ markets would become like a fruit and vegetable pharmacy (药房) for at-risk families.” The pilot project plans to enroll up to 50 families of four at three health centers in Massachusetts that already have specialized children’s programs called healthy weight clinics. A foundation called CAVU, for Ceiling and Visibility Unlimited, sponsors the clinics that are administering the vegetable project. The Massachusetts Department of Agriculture and Wholesome Wave each contributed $10,000 in seed money. (Another arm of the program, at several health centers in Maine, is giving fresh produce coupons to pregnant mothers.) The program i s to run until the end of the farmers’ market season in late fall. One month after Leslie-Ann Ogiste, a certified nursing assistant in Boston, and her 9-year-old son, Makael Constance, received their first vegetable prescription coupons at the Codman Center, they have lost a combined four pounds, she said. A staff member at the center told Ms. Ogiste about a farmers’ market that is five minutes from her apartment, she said. “It worked wonders,” said Ms. Ogiste, who bought and prepared eggplant, cucumbers, tomatoes, summer squash, corn, bok choy, parsley, carrots and red onions. “Just the variety, it did help.” Ms. Ogiste said she had minced some vegetables and used them in soup, pasta sauce and rice dishes — the better to disguise the new good-for-you foods that she served her son. Makael said he did not mind. “It’s really good,” he said. Some nutrition researchers said that the Massachusetts project had a good chance of improving eating habits in the short term. But, they added, a vegetable prescription program in isolation may not have a long-term influence on reducing obesity. Families may revert to their former habits in the winter when the farmers’ markets are closed, these researchers said, or they may not be able to afford fresh pr oduce after the voucher program ends. Dr. Shikha Anand, the medical director of CAVU’s healthy weight initiative, said the group hoped to make the veggie prescript ion project a year-round program through partnerships with grocery stores. But people tend to overeat junk food in higher proportion than they undereat vegetables, said Dr. Deborah A. Cohen, a senior natural scientist at the RAND Corporation. So, unless people curtail (减少) excessive consumption of salty and sugary snacks, she said, behavioral changes like eating more fruit and vegetables will have limited effect on obesity.

大学英语四级考试模拟试题

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四级考前冲刺试题二

四级考前冲刺试题二 Care of Parents Also Means Taking Care of Finances Denise Egebrecht needed a break. It had been three years since her 86-year-old mother, Eleanor Schwartz, moved in with her and her husband in their home in Johnsburg, Ill. Mrs. Schwartz has Alz heimer’s disease (老年痴呆症) and has trouble moving around, so Mrs. Egebrecht helps her mother with her shower each day, makes sure she’s fed and takes her on small excursions (远足) to the mall in a portable wheelchair. The routine includes occasionally reminding her mother of what day it is and where she’s living. Mrs. Egebrecht does all this while also raising her 8-year-old daughter Jaqueline and juggling a full-time job. “My mom took care of me all of my life,” says Mrs. Egebrecht. “Of course I’m going to ta ke care of her now. She’ll live here as long as she’s able.” But money was an issue. For a time, Mrs. Egebrecht was out of work, having lost her job last year. Although her husband was still employed, without her salary she found it increasingly difficult to pay $180 a week for the adult day care center Mrs. Schwartz attends regularly. Then, through the Family Alliance office in her town, Mrs. Egebrecht heard about a $1,000 “respite care (临时看护)” grant sponsored by the Alzheimer’s Foundation of America (AFA). Intended to give primary caregivers the break they so often need, the grant money must be used to pay for temporary substitute care, said Carol Steinberg, executive vice president of the Alzheimer’s Foundation. Mrs. Egebrecht applied for and received the grant, which meant her mother could continue to go to the adult day care center and Mrs. Egebrecht had time to find another job, which she has. Mrs. Egebrecht is one of the growing numbers of Americans facing the financial squeeze that can come from caring for elderly parents. About 30 percent of adult children in the United States contribute financially to their parents’ care, according to the Pew Research Center. On average these children pay $2,400 a year on everything from uncovered medical expenses to making sure the refrigerator is stocked each week. The money often goes to parents who diligently saved all their lives, but in the face of longer life spans and chronic illness, the savings just isn’t enough. With all of the overwhelming emotional an d medical aspects of caring for elderly parents, it’s natural to ignore the consequences of spending large amounts of money on them. But so often adult children end up ignoring their own savings and retirement accounts or, worse, go into debt, because they’re taking care of their parents, says Tim Casserly, a lawyer in Albany who specializes in issues of elderly care. And if you jeopardize (损害) your own finances now, you risk putting your children in the same tough spot down the line. One way out of this bind? Take full advantage of the hundreds of government and nonprofit programs and services geared to the elderly throughout the country. “There’s lots of help out there, but also lots of reasons why families don’t use it,” said Mr. Casserly. Some people may think their parents have too much money to qualify even though many of the programs are available to elderly people with incomes of more than $100,000. Or the parents may be too proud to accept help. What’s more, these services can be difficult and time-consuming to find. And it can be a challenge to deal with the paperwork and red tape, especially when you’re already overwhelmed by the daily demands of taking care of an older parent. To help make the search for help easier, here is expert advice and several resources that will help you find what you need to take care of your aging parents. THE FIRST STEP Have the hard talk. “So often I see clients who are in the middle of this situation but know very little about their parents’ finances,” said Henni F isher, a Brooklyn clinical social worker who specializes in geriatrics (老人病学). Your parents may be unwilling or unable to give details. Or you may be uncomfortable bringing up the subject. “It isn’t easy making the transition from the one being cared for to the one giving the care,” said Ms. Fisher. But you can’t put the conversation off any longer. Reassure your parents that you’re not trying to take control away from them. You’re simply trying to make sure that they have everything they need and that you understand everything they want.

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