英語四級閱讀匹配習題原文：

　　[D] It’s important for families to talk about long-term care so the adult children know their parents，preferences, wishes and goals, says Lynn Feinberg, a caregiving expert at AARP. But it’s not an easy conversation. Elderly parents are sometimes suspicious of their children’s financial motives, says Susan John, a financial planner at Financial Focus in Wolfeboro, N.H. One client asked John to hold a family meeting because they needed an intermediary to talk about financial issues, she says. And when there are many siblings, the family decisions can become a three-ring circus with much acrimony, says Ann-Margaret Carrozza, an elder-law attorney in Glen Cove, N.Y. Families who need information and help sorting out disagreements can call on elder-law attorneys, financial planners, geriatric care managers and caregiver support groups. In February, AARP said it will offer its members a new caregiving support service through financial services firm Genworth.

　　[E] Many families are unprepared for quick decisions, especially when they find out that Medicare doesn’t pay for long-term care, Feinberg says. The median cost of a year in a private room at a nursing home in 2011 was $77,745, according to Genworth. And only those who have spent most of their assets can qualify for Medicaid to pay for the nursing home.

　　[ F] Assisted living is another option. Residents can have their own apartment to maintain some independence. But the facilities generally provide personal care services, such as meals, housekeeping and assistance with activities. Still, it’s not cheap: The national median cost in 2011 was $39,135, according to Genworth. Assisted living isn’t covered by Medicaid.

　　[G ] If they have a choice, at least 90% of elderly parents prefer to stay at home as long as they can, according to AARP research. But if the parents can no longer safely live at home, it can be hard for children to move them into an adult care facility. There may be another option. Sometimes the home can be modified so a parent can stay there. For example, Baldocchi put in a chair lift for her mother. She also arranged for a home caregiver.

　　[H] Family caregivers take over many responsibilities. One might manage a parent’s finances, while another sibling will take the parent to doctors" appointments and shopping. Those who move in with a parent take on a significant and sustained burden of care. Jan Walker moved into her mother’s home in Leesburg, Fla. After her mother, who is 83, had fallen, she wasn’t able to get around as well. Walker, 55, has three brothers. But she is the only daughter, is divorced and has no children. “I always knew that this was the role that I would have, and I guess my mind was prepared for it,” says Walker, who now is a full-time caregiver and works from home as a tutorial instructor for a digital scrapbooking website. “When you get into the trenches, it’s literally baptism by fire,” she says. “New things come up. It’s not just about advance planning for finances or medical care. It’s everything,” she says.

　　[I ] Caregivers need to also watch their own health. “There is such a thing as caregiver burnout, ” Cona says. Among female caregivers 50 and older, 20% reported symptoms of depression, according to a 2010 study on working caregivers by MetLife. “It’s a hard job,” Walker says. “But most worthwhile things are hard. She was always there for me when I needed a helping hand. It’s only natural that I be here for her now.”

　　英語四級閱讀匹配習題選項：

　　1. When elderly parents cannot live at home safely, their children can change their home instead of sending them to an adult care facility.

　　2. To talk about long-term care is not easy because sometimes aged parents are suspicious of their children’s financial motives.

　　3. Besides advance planning for finances or medical care, family caregivers take over many other responsibilities.

　　4. The difference between a durable power of attorney and a health care proxy is that the latter allows someone to make decisions regarding medical treatment.

　　5. Baldocchi did not want to send her mother to a nursing home, but she had difficulty taking care of her.

　　6. Over 42 million caregivers helped an adult with everyday activities in the USA in 2009.

　　7. If a family needs information or help to sort out disagreements, there are many people they can call on.

　　8. Caregivers should pay attention to their own health, or they may burn out or become depressed.

　　9. One will have to petition the court to be the parent’s legal guardian, if there is no advance directive.

　　10. The national median cost of assisted living in 2011 was $39,135 and it is not covered by Medicaid.

　　英語四級閱讀匹配習題答案詳解：

　　1. [G]。題干意為，當上了年紀的父母住在家里不安全時，他們的孩子可以改變他們的家，而不是將他們送 到成人看護中心去。注意抓住題干中的關鍵詞live at home safely和adult care facility。文章段落中，[G]段提 到了上了年紀的父母住在家里不安全和成人看護中心的內容，該段第二至四句提到，如果上了年紀的父 母住在家里不再安全，對于孩子來說將他們送到成人看護中心也很難，不過有另外一種選擇——可以改 變他們的家以適合他們在那里度過晚年。由此可知，題干是對原文的同義轉述，故答案為[G]。

　　2. [D]。題干意為，談論長期護理問題并不容易，因為有時老年人會懷疑自己孩子有金錢方面的動機。注意 抓住題干中的關鍵詞talk about long-term care、suspicious of和financial motives。文章段落中，[D]段提到了 談論長期護理和老年人會懷疑自己孩子的內容，該段前三句指出，家庭成員談論長期護理問題是很重要 的，這樣才能了解父母的喜好和意愿等，但是這并不容易，有時候父母會懷疑子女有金錢方面的動機。由 此可知，題干是對原文的同義轉述，故答案為[D]。

　　3. [H]。題干意為，除了提前進行資金和醫療方面的規劃，家庭護理人員還有其他許多責任。注意抓住題干 中的關鍵詞planning for finances or medical care和many other responsibilities。文章段落中，[H ]段首先就提到 了家庭護理人員要承擔許多責任，該段最后指出，家庭護理不僅僅要提前做好資金和醫療規劃，一切問題 都要考慮到。由此可知，題干是對原文的同義轉述，故答案為[H]。

　　4. [C]。題干意為，永久授權書和醫療保健代理委托書的區別在于，后者允許某人做出有關醫療方面的決定。 注意抓住題干中的關鍵詞a durable power of attorney和a health care proxy。文章段落中，只有[C]段提到了 這兩個專有名詞，該段第二句指出，護理指示應該包含a durable power of attorney、a health care proxy和a living will。在介紹health care proxy時提到，它與durable power of attorney相似，只是它允許某人做出有關醫療方面的決定。由此可知，題干是對原文的同義轉述，故答案為[C]。

　　5. [A]。題干意為，Baldocchi不想將母親送到療養院，但是她又很難照顧她。注意抓住題干中的關鍵詞 Baldocchi和nursing home。文章段落中，有幾段都提到了 Baldocchi,但是提到她不想將母親送往療養院但 自己照顧母親又有困難的只有[A]段。題干內容是對原文第一段的總結，故答案為[A]。

　　6. [B]。題干意為，2009年，美國有超過4200萬護理人員幫忙照料成年人的日常生活。題干中的關鍵詞為Over 42 million caregivers和help an adult with everyday activities。文章段落中，[B]段倒數第三句提到 了 More than 42 million Americans provide family caregiving for an adult who needs help with daily activities,其中 More than 42 million和daily activities分別與題干中的Over 42 million和everyday activities為同義互換。故答案為[B]。

　　7. [D]。題干意為，如果一個家庭需要解決糾紛的信息或幫助，他們可以向很多人求助。注意抓住題干中的關 鍵詞sort out disagreements和call on。文章段落中，[D]段倒數第二句提到，如果一些家庭需要解決糾紛的信息或 者幫助，他們可以向老年法律師、金融規劃師、老年人護理經理和護理人員組織求助。由此可知，題干是對 原文的同義轉述，故答案為[D]。

　　8. [I]。題干意為，家庭護理人員應該注意自己的身體健康，否則他們可能會累垮或者變得心情抑郁。注意抓 住題干中的關鍵詞their own health、burn out和depressed。文章段落中，提到要護理人員注意自己身體的是[I] 段，該段前三句指出，家庭護理人員也要注意自己的身體，有的時候護理者可能會累垮。對年齡在50歲及以 上的女性護理人員的調查顯示，有20%的人稱自己有抑郁癥狀。由此可知，題干是對原文這三句話的同義轉 述，故答案為[I ]。題干中的 pay attention to their own health和原文中的 watch their own health對應。

　　9. [C]。題干意為，如果沒有提前準備一份護理說明，那么想成為父母的合法監護人需要向法庭申請。注意 抓住題干中的關鍵詞petition the court、parent’s legal guardian和no advance directive。本題比較簡單，這幾個關 鍵詞均在文章[C ]段中直接出現，該段最后一句提到，Without an advance directive, the family will have to petition the court to be appointed the parent’s legal guardian。由此可知，題干是對原文的同義轉述，故答案 為[C]。

　　10. [F]。題干意為，2011年，全國生活協助的平均花費為39，135美元，而且這項花費也不在醫療補助計劃的范 圍之內。注意抓住題干中的關鍵詞2011、$39，135和Medicaid。本題也比較容易，掃讀全文，可以發現在[F] 段出現了2011和$39，135這兩個關鍵詞，并且后面也提到生活協助并不包含在醫療補助計劃之內。由此可 知，題干是對原文的同義轉述，故答案為[F]。

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