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CRNE - Canadian Registered Nurse Examination - Dump Information

Vendor : Medical
Exam Code : CRNE
Exam Name : Canadian Registered Nurse Examination
Questions and Answers : 262 Q & A
Updated On : October 18, 2018
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CRNE Canadian Registered Nurse Examination

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CRNE exam Dumps Source : Canadian Registered Nurse Examination

Test Code : CRNE
Test Name : Canadian Registered Nurse Examination
Vendor Name : Medical
Q&A : 262 Real Questions

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Burma: 'I face up to in my intellect handiest' | killexams.com Real Questions and Pass4sure dumps

Monique Skidmore: i'm surprised by way of the open stage of anger and violence and hatred proven on the streets within the final couple of weeks. The name callings, the curses, the hatred -- even americans lifting up their lungi, their sarong, and revealing themselves in public to those americans's militia companies suggests a hatred of the defense force regime.

Natasha Mitchell: medical and political anthropologist Dr Monique Skidmore, from the Australian country wide university, who's travelled backward and forward from Burma for over a decade as part of her fieldwork. Natasha Mitchell becoming a member of you, this is All within the intellect on ABC Radio country wide -- welcome.

nowadays we're probing the psyche below Burma's armed forces dictatorship.

Monique Skidmore: The regime's ideology of building up the country to a mountain of gold, as it likes to focus on, of creating a sense of prosperity for the inhabitants, of being the handiest people who can manipulate economically and politically the nation -- that that moral bankruptness is so utterly pervasive now that I believe the regime has definitely lost handle...in the experience that or not it's managed to place the cork back within the bottle, but the anger, the drive that is constructing is not going to go away.

Natasha Mitchell: Why does it surprise you?

Monique Skidmore: as a result of there hasn't been a period through which anger has come out on the streets, even throughout the final ten or fifteen years of hit and run pupil demonstrations. sometimes there are slogans chanted corresponding to 'supply us again our army', or 'free Aung San Suu Kyi', or 'freedom or loss of life'. but there hasn't been the kind of verbal abuse being hurled at the regime as individuals who deny the liberty and the simple human rights of the population. I consider that this is the starting of the end, the conclusion should be would becould very well be a couple of years off however I don't feel it's possible now to position the genie returned in the bottle.

[From archive] Aung San Suu Kyi: If i'm asked why i am an recommend of human rights i need to answer with no trouble that I do not like seeing so a good deal human distress round me. A society that lacks human rights is a society that breeds distress. there are many these days whose lives have been blighted via a sense of insecurity and helplessness common to those who are at the mercy of the whims of unjust authoritarian rulers. individuals need to be protected towards the misuse of vigour.

analyzing from Monique Skidmore's Karaoke Fascism: Burma and the Politics of fear: remaining evening I asked Ma Khin Nu concerning the condition, she whispered that she become very afraid. She turned into very disturbed via my questions and couldn't get to sleep that nighttime. The next morning she instructed me that she hadn't slept in any respect and became involved about what she'd told me. She had informed me handiest that she is afraid on account of the love she bears Aung San Suu Kyi and that (her eyes glinted as she idea about telling me this) she knew Aung San Suu Kyi's cellphone quantity. now and again when she is certain nobody is listening she recites it to herself. this is her personal sort of resistance and revealing it to a person for the primary time has terrified her and left her sleepless.

Natasha Mitchell: From Monique Skidmore's Karaoke Fascism: Burma and the Politics of worry. In contemporary weeks on the demonstrate we've explored the character of worry; additionally the deep psychology of state sanctioned violence -- and haven't these themes been writ gigantic, as we've watched events unfold on the streets of Rangoon and imagined the scenes invisible to us now within the country's jails and monasteries.

Later an interview with a medical expert in refugee camps on the Thai-Burma border. but the psychological vigor of Burma's armed forces state has been the focal point of a great deal of Monique's anthropological work. She's interviewed sex laborers, people in psychiatric hospitals, drug clinics and a lot of others. We recognize the regime's actual force comprises torture, beatings, rape, destruction of villages, compelled relocation and labour. however concern and manipulation of the psyche is simply as insidious.

Monique Skidmore: I actually, in reality hated the primary shuttle to Burma in 1994, it had probably the most world's worst third-world infrastructure, I hadn't understood how terrified the population could be of seeing a foreigner, so i would go into some villages in Shan State and individuals would physically push me out of the village and in damaged English are trying and spot my passport. So I hadn't really understood the level of fear, the diploma of informers, and how carefully the state created self censorship in its inhabitants.

Natasha Mitchell: As an anthropologist you're interested in how Burma's political dictatorship constructs the emotional lifetime of the Burmese, but your personal event of worry figures largely for your fieldwork. So just give us a real sense of that palpable sense of worry that you just think should you are trying to do fieldwork in Burma.

Monique Skidmore: smartly many individuals once they go to Burma suppose no concern at all. if you commute in a bus, on a guided tour, you're very cautiously kept away from the inhabitants, you go to night puppet indicates, or performances -- then or not it's fairly feasible no longer to be afraid. Being afraid occurs once you delivery to identify your self as a person who works against the goals of the state. And the goals of the state are so invariably to your intellect because of the barrage of propaganda on a daily groundwork; in sign boards, in newspapers, on state television -- so inevitably over a duration of time one becomes more and more aware of the responsibilities the state places upon you. then you turn into actually an activist by proxy whether you love it or now not.

i was doing issues that would had been seen by the regime as subversive, even though they weren't truly subversive.

Natasha Mitchell: have you ever been confronted by way of the regime in your personal work?

Monique Skidmore: The last formal warning I had became through the leading minister, Khin Nyunt. He turned into the head of the armed forces intelligence and he was locked up in 2004. And simply earlier than he become imprisoned he gave me my last kind of broad access research visa, and he stated to me, 'Monique, you might be an angel of easy who has come to support our country. You absolutely have very excessive karma however can be a shame to lose that karma and go to hell by associating with bad political features.'

There have additionally been instances when site visitors police will also put a gun within the motor vehicle window and demand funds, and throughout the 1996/97 demonstrations troops made it rather clear that in case you approached them then they might shoot you. So there's those forms of styles of very overt violence, but then there are the entire kinds of symbolic violence the place your notebooks and recordings are confiscated, you might be always on alert to guard yourself against the surveillance apparatus.

[Reading]: worry can register in reaction to an omnipresent threat, for those who drive or walk past a gate or turn a corner and are confronted through a actual manifestation of state vigor equivalent to a tank. but it surely isn't without problems the tank, a brooding shop of probably lethality that menaces, it is additionally the militia personnel with their reflective dark glasses, helmets and boots who generate risk. Your eyes involuntarily move over the reflective surfaces to the matt gun, which looks to take in your gaze, it is tough to stop gazing it. In that quick you are once once again assailed by way of the renewed realisation -- made dull via the continual nature of the state of emergency -- that here is no longer a comic story, now not a online game, and not an inflation or paranoid turn of thought. you are bowled over with the renewed realisation that these men are prepared to kill you. (Monique Skidmore 2003).

Natasha Mitchell: I accumulate there's basically a state department of psychological war inside the Ministry of Defence?

Monique Skidmore: sure, and in fact Senior widespread Than Shwe, the top of the regime, it truly is where he discovered his trade.

Natasha Mitchell: And what's their focus?

Monique Skidmore: They are looking for to create disinformation and to win the hearts and minds of the inhabitants via some very, very suave tactics of eliding cultural and spiritual norms and lengthy-held beliefs, and simply mismatching them a little. So for example one of the vital militia organizations which have been beating individuals with lead pipes this week in Rangoon is the USDA, the Union team spirit and construction association, and their symbol is a fierce lion that protects Buddhist pagodas -- so there are two at the foot of each stairway main into a pagoda in Burma. and that's the reason an emblem of defence of Buddhism, defence of the mother land, and that symbol of non secular constancy and coverage has been elided somewhat so now it seems as if the USDA stands for these issues.

Natasha Mitchell: for those who have in no way been to Burma, inform us about the americans's desire billboards.

Monique Skidmore: I wrote concerning the people's want virtually ten years ago now, because massive placards started to be erected around the cities, declaring what the people's want become. So the people preferred as an example to crush all external and interior destructionists, to crush all opposing international locations that threatened the sovereignty of the nation. And it became very away from direction that that turned into the anti-americans's desire and in the demonstrations this week we noticed people conserving up placards announcing the americans's desire is freedom. or provide us what we need.

Natasha Mitchell: I've got one of those billboards in front of me and it's things like 'Oppose these relying on exterior facets performing as stooges retaining negative views'. 'Oppose those trying to jeopardise the steadiness of the state and growth of the nation'. 'Crush all interior and external damaging facets as the general enemy'. here's putting over people's lives.

Monique Skidmore: this is appropriate, or not it's omnipresent.

[Reading]: concern of imprisonment, fear of torture, worry of demise, fear of dropping chums, household, property or capability of livelihood, concern of poverty, fear of isolation, concern of failure. A most insidious form of concern is that which masquerades as commonsense, or even knowledge, condemning as foolish, reckless, insignificant or futile the small, every day acts of braveness which support to preserve man's self respect and inherent human dignity. It isn't effortless for a americans conditioned through fear below the iron rule of the precept that might is right, to free themselves from the enervating miasma of concern. Yet even under the most crushing state equipment courage rises up again and again, for fear is not the herbal state of civilised man. (Aung San Suu Kyi, 1990)

Natasha Mitchell: Natasha Mitchell with you and talking with Monique Skidmore on ABC Radio countrywide's All within the mind coming to you on Radio Australia and as podcast. seem, your common interest became in how madness is conceived and experienced in Burma and you did some wonderful interviews round that hobby.

Monique Skidmore: I begun via working at the Yangon Psychiatric medical institution as a result of i used to be attracted to how people saw their personal diseases. however the interviews all started speakme about every kind of magical imagery and spiritual imagery. And above all amongst schizophrenics, there changed into a sense that when they heard voices coming during the radio that these were interviews with senior individuals within the political headlines -- in order that they had been both military leaders, they have been drug lords, or they had been leaders of opposition events such as Aung San Suu Kyi. and i all started to look that within the minds of individuals who have been struggling a intellectual affliction that there changed into a talk that wasn't allowed to be spoken out in the street however that changed into typical in americans's minds.

Natasha Mitchell: I suggest there seem to be...their personal stories around their mental illness and their intellectual state gave the impression to join with the greatest state of political disharmony.

Monique Skidmore: and i all started to consider very subversive myself, taking recordings...and naturally if there was an occasional team of workers member in the room they might simply nervously snort.

Natasha Mitchell: The health equipment in Burma is notoriously appalling with a minute expenditure, annual expenditure on health care. So what did you stumble upon in those hospitals?

Monique Skidmore: smartly Burma ranks 190 out of 191 when it comes to total health performance globally. So or not it's relatively dangerous. I suppose Haiti has a worse health system. americans would defecate over open drains, patients' households vital to convey adequate meals in, individuals would urinate on me, americans would receive Diazepam as a sort of reality serum, individuals got ECT devoid of sedation...

Natasha Mitchell: i used to be drawn to a remark you made that madness is a common trope in Burma. What do you suggest with the aid of that?

Monique Skidmore: I mean that there are lots of, many reviews and prophecies in regards to the vigour of madness, of the visionary capacity of americans with impaired minds to in fact see during the veneer of truth, or the fact that we have round us, to entry different realities and other dimensions and for this reason access different forms of certainty and ultimately different forms of vigour. So there's all the time been a terror, and at some stage a kind of respect for the mad in Burma.

Natasha Mitchell: At one factor a Burmese pal of yours says in your work, 'Paranoia is so widespread you do not feel about it any more, all of us are living with this delusion.' I suggest that is type of speaking to the psychologically dementing political context. How palpable is the paranoia?

Monique Skidmore: it's pretty much a physical issue so you might touch in Burma. It goes away all the way through instances in case you don't see any troop actions, as an instance with Rangoon being depopulated by the top honchos after they moved to the new capital, to Naypyidaw, there became a bit of of a launched experience in Rangoon of a peaceful safety presence. however at any second that security presence can rear its head and then suddenly you are straight lower back into that paranoid blanket that surrounds Burma.

Natasha Mitchell: greater from Monique Skidmore in a second. The psychological torment leaks backyard of borders and brains too, as Pam Rogers a Canadian dependancy counsellor and co-founding father of the grassroots NGO, the DARE network, is aware of all too smartly. A drug and alcohol healing and education application, they set up to work in the 9 tremendous camps of over one hundred fifty,000 refugees now residing on the Thai/Burma border, and the million plus displaced people in and across the border, many working as migrants in Thailand.

Alcohol use is an enormous problem for a population confronting trauma, unemployment and deep boredom in the camps, which had been described as 'open detention centres' wrapped in barbed wire. Ever hopeful, one of DARE's mottos is 'A free mind cannot be destroyed'.

Pam Rogers: here is our motivator. we're in a condition where everything has been destroyed, and the Burmese regime are very satisfied to have individuals develop into addicted to drugs, or addicted to alcohol, as a result of then they can't feel, they cannot plan, they cannot face up to. So we took the strategy that recuperating from addiction is form of like a method to face up to, a non violent solution to withstand, as a result of however every little thing else has been taken from them, as long as they keep their minds they're free individuals.

Natasha Mitchell: Does that resonate with the americans you're employed with?

Pam Rogers: it truly is what makes the lights go on at the back of the eyes.

Natasha Mitchell: Giving it a political area?

Pam Rogers: fully, since it is political. every thing here is political.

Natasha Mitchell: one of the vital themes that's come up in a couple of discussions we now have had this week for the software is that this palpable and ongoing sense of fear that Burmese americans who've escaped Burma experience and live with. Is that anything that is part of the psychology of the individuals you're employed with?

Pam Rogers: Most basically. americans are so afraid. The anxiety is palpable, as you say, however it receives redirected because it can not be acted upon. So it goes into widespread existence and this is where the domestic violence comes from, it be where the alcohol and drug abuse comes from, is this worry. there's nowhere to place it. We are attempting to locate methods for individuals to categorical these feelings with each different -- now not within the western average feel however in the method that they already know a way to do -- we just make alternatives for it that allows you to discuss it, draw about it, sing about it, something they need to do.

Natasha Mitchell: Burma is on the heart of the so known as Golden Triangle, it changed into the area's biggest opium producer within the late 90s, and i accumulate now it's the simple supply of methamphetamines for the realm market -- with smuggling really going on across the borders. So does that drug trade have direct have an impact on on the refugee populations?

Pam Rogers: Of route it does, methamphetamines mainly have an effect on the migrant inhabitants. they are working in farmers' fields, they are working in factories and that they should not have very lots expertise concerning the outcomes of medicine. The buyers of path do the historic dealer trick of creating the drugs obtainable very cheaply and even free initially, after which americans take them, they locate they can work harder, they could work longer and they seem upon it as an outstanding component unless ultimately the addiction cycle begins to take over and they can not work any more. also we have stories of factories on the border inserting methamphetamines in the water.

Natasha Mitchell: in reality.

Pam Rogers: yes, so this of course puts up production after which when individuals burn out on it they just change them. The other component about it's the Burmese army offers their troopers methamphetamines and there are reviews from the ethnic armies of Burmese troopers marching down the road feeling impervious to anything else.

Natasha Mitchell: excessive on speed?

Pam Rogers: Yeah, because they think omnipotent.

Natasha Mitchell: Let's come lower back to alcohol, as a result of it's one of the crucial most important complications and i gather there are some fairly poisonous home brews being made in the refugee camps across the border.

Pam Rogers: in the camps themselves no longer so plenty is made; one of the vital refugees use their rice rations to trade for alcohol or to have made into alcohol. one of the most alcohol comes from outdoor the camps and individuals don't basically comprehend what's in it. There are pesticides, fertilisers and rubber and things like this that people put into the rice wine to try and make it more potent, or make it ferment greater instantly -- and these of route are very dangerous.

Natasha Mitchell: what's the affect then of alcohol use in the communities, can you provide us some examples of scenes that play out?

Pam Rogers: neatly I suppose you must seem on the root motives. individuals -- they are digital prisoners, they have no vigor, they have no solution to express deep anger and unhappiness and rage about what has happened to them. So all of it variety of implodes, the feelings are suppressed, americans use the alcohol to dull the ache of what has took place to them. So we now have americans who are depressed, they have been there for therefore lengthy. The men have nothing to do, they've misplaced their typical subculture. The values that the americans grasp, their cultural values are eroded through being within the camp.

Natasha Mitchell: Does that play out when it comes to domestic violence?

Pam Rogers: Oh most basically. each person lives so intently collectively, every thing that you should do will also be viewed and heard, there's completely no privateness. but we have been trying to tackle this by way of cooperating with the women's establishments, cooperating with the camp committees and searching at ways that individuals can get into remedy rather than going to detention, or having any other type of punitive action taken against them. We do not take a clinical strategy, we aren't taking a right away western strategy.

Natasha Mitchell: so that you've needed to problem your own understandings as a western addiction counsellor, how have you ever needed to do this?

Pam Rogers: neatly or not it's been very enjoyable. most of the western phrases would not translate so we needed to locate one other English language to talk in. after I got here people had been dealing with addiction with the aid of exiling americans out of villages, or simply capturing them as a result of that was the end of the difficulty; or digging holes and putting them in and masking them up and just putting a bit water down there and anticipating ten days and if they survived, they'd put them within the army. as a way to herald this complete western idea on abstinence, or damage discount, or some thing we are looking to name it -- I think we now have just in reality needed to go with what people related to and what americans felt worked for them, and that is the reason where we have now gone. So one of the issues we introduced in at once like Narcotics anonymous, since it's structured, it has a better vigor and americans like structure should you're in a chaotic condition. however we additionally checked out ordinary therapeutic massage, Burmese natural medicine, herbal saunas and acupuncture for detoxing, and tried to move americans's beliefs and ideas around alcoholics and drug addicts being bad individuals.

Natasha Mitchell: Pam Rogers of DARE network on the mobile from the Thai/Burma border having a big affect via community driven medicine and schooling. For the refugees she and her Burmese colleagues work with, drug and alcohol can also be a psychological unlock.

scientific anthropologist Monique Skidmore has discovered that escapism is a typical psychological theme inside Burma.

Monique Skidmore: I think that here is the most ordinary approach of all to face up to the Burmese regime. And it be a very energetic approach, although it gets tied up with that terribly inaccurate idea that Buddhism is by some means a non-violent, passive variety of religion the place americans sit round letting go and forgetting and forgiving. In Burma what's going on is that we now have this phenomenon known as the brand new laity; thousands and thousands of americans who will flock to monasteries to meditate. we've hermit monks, woodland monks, monks that live on mountains; we now have every kind of how in which people are seeking for to access geographical regions of psychological existence that are not the present truth.

So for instance americans will are trying to obtain mastery through meditation and through occult practices to gain access to these psychological geographical regions. For younger people who will not have entry to that form of Buddhist and pre-Buddhist cultural law, they are trying to send their minds flying to places that they imagine we in the west have that they do not -- swimming pools, image theatres, Disneyland, leisure parks -- they try to envisage realities that are greater pleasing and are far away from their present truth.

Natasha Mitchell: I mean in a sense all here's about resisting in the intellect, isn't it, so in its place of demonstrating an outward resistance which is what we're seeing on the streets this week, it be an inner resistance one way or the other?

Monique Skidmore: it's, now and again I feel it's thoroughly now not at the stage of recognition and at other times, notably through meditation, or not it's entirely conscious.

Natasha Mitchell: The eighth of the eighth of 1988, the day of the historic rebellion, seems to have a amazing psychological force within the minds of the Burmese, they call it the strike, that day. How does that loom massive?

Monique Skidmore: or not it's called the 4 Eights, or not it's develop into a temporal marker in regards to the way that existence modified straight. When the military fired upon its personal individuals it broke what had been a very, very crucial pact with the Burmese people, because Aung San Suu Kyi's father widespread Aung San had created the Burma independence military and he'd noted that the Burmese military may still be the servant of the individuals, the individuals should still certainly not be oppressed by way of the military. So it become with excellent shock that the military opened fire upon the inhabitants. Of direction now it's turn into a activities part of generic existence, but in 1988 it created an incredible psychological damage with understandings of history and of the previous.

Natasha Mitchell: and you've spoken to students who are involved within the 1996 student rebellion. So it's unique to replicate -- despite the fact that you might have followed amazing emotional constraint and discretion in the individuals that you've interviewed over the years -- do you've got a sense of what compels them to break away of that at definite levels, like we're seeing now?

Monique Skidmore: I feel that americans hang their emotions in determine unless such time as some thing like this occurs. What amazed me about the demonstrations in 96 and ninety seven became that americans at streetlevel would begin to birth whispering to each and every other as they watched the college students. It become as if the students gave them the braveness and permission to break out of the psychological means of being in Burma and to envisage the chance of this duration of ready coming to an conclusion. And people would say, 'i am apprehensive but i'm hopeful'. So scared of their personal personal security but an amazing sense of reduction that this psychological ready that has consisted most of their lives, and for some individuals all of their lives, that this might actually be over.

Natasha Mitchell: In all this work do you suppose just like the keeper of secrets? you're always asking americans about their concern.

Monique Skidmore: I did until the remaining couple of weeks, and what's took place has been that people have been standing up and taking a single cellular telephone image and sending it out to the international media. I suppose that within the remaining two weeks Burmese americans have become citizen journalists, and i feel that has to do with overcoming a burden of fear, and i consider now there may not be secrets and techniques in Burma any further. I think that assistance could be conveyed to the backyard world and basically they can also no longer want anthropologists any longer,

Natasha Mitchell: Let's hope that they are protected as they try this -- which we comprehend they probably won't be, although.

Monique Skidmore: yes.

Natasha Mitchell: smartly it be a fascinating prediction Monique Skidmore makes, no greater secrets, as a result of discovering individuals of the distinct Burmese group in Australia to speak frankly about their feelings become fairly tricky this week; secrets and techniques are being smartly stored, there's a deep worry for family and friends returned in Burma. in case you are looking to arise to velocity on the heritage of Burma my colleagues on Rear vision have put an excellent feature from their archives on the web and i'll link to it from All within the mind at abc.web.au/rn/allinthemind which is where you're going to locate the audio, podcast and later within the week a transcript. e mail your remarks and concepts for us from there too.

due to Anita Barraud and Nick Mirisch, i am Natasha Mitchell, next week the software I promised this week, the ethics of artwork excavated from historical intellectual asylums -- art or medical records -- unless then, take care.


medical doctors debate clinical pot | killexams.com Real Questions and Pass4sure dumps

photograph: The Canadian Press

On Tuesday, the day earlier than leisure pot is legalized, two medical doctors on opposite sides of the problem will take part in a are living streamed debate subsidized by using the college of household Physicians of Canada. THE CANADIAN PRESS

doctors with opposing views on no matter if medical marijuana should be prescribed for a number of circumstances agree on one factor: their career is unwell-prepared to contend with patients requesting a drug that lacks satisfactory scientific analysis.

Two medical doctors with contrasting viewpoints on the situation will take part in a debate on Tuesday — the day before leisure hashish is legalized — as part of a reside streamed event hosted by the school of family unit Physicians of Canada.

Dr. Mark Ware, who practises pain medicine in Montreal and has spent 20 years gaining knowledge of chronic ache, can be arguing for the use of medical hashish for conditions reminiscent of neuropathic ache and chemotherapy-prompted nausea and vomiting.

On the other facet, Dr. Mel Kahan, scientific director of Substance Use services at women's faculty hospital in Toronto, believes the ordinary evidence for medical marijuana is "extremely vulnerable."

Ware, who has taken a go away from his job to work as chief scientific officer for Ontario-based mostly clinical marijuana company cover boom Corp., spoke of most of the analysis on hashish in the closing 40 years has concentrated on recreational use and physicians don't seem to be taught even the basics of the drug as part of their working towards.

He and some colleagues have tried setting up an educational software for medical colleges "however even these run into challenges since the evidence base is proscribed so we now have challenges getting them via education software reviews," Ware spoke of.

"it's a tricky circumstance. I empathize with the practising clinicians who might also take a seat and believe they do not have much tips," he pointed out, adding the neuroscience of cannabinoid pharmacology is "extraordinarily strong."

"I feel with leisure cannabis approaching flow sufferers are now going to come and focus on cannabis for a big range of factors."

however, Kahan, who's also an associate professor within the department of household drugs at the tuition of Toronto, talked about only a few managed trials had been executed on hashish, including the drug has no longer been found to be useful for anxiety and put up-disturbing stress disease despite some claims, and may neatly worsen such circumstances.

"THC has been shown in pre-scientific reports to cause nervousness," he observed, relating to tetrahydrocannabinol, the main psychoactive ingredient found in cannabis. "So I think a lot of the claims are false."

"We should remember there is a grasping and dishonest trade," he spoke of of the proliferation of marijuana clinics.

"or not it's Cowboyland out there presently. that you would be able to prescribe marijuana for the rest you desire, regardless of the proof," he spoke of. "as far as i will inform a lot of them are prescribing very high doses for all types of conditions: arthritis and nervousness etcetera. And here is unhealthy. sure, in the event that they prescribe judiciously and thoroughly to americans with authentic, organic pain circumstances that's ok."

The Canadian clinical affiliation keeps that whereas some sufferers may improvement from scientific hashish, many doctors think uncomfortable prescribing a substance that hasn't undergone the equal regulatory overview tactics required for all different prescription drug treatments to provide physicians with suggestions about dosages and abilities interactions with other medication.

health Canada stated in an emailed response that the department "acknowledges the considerations related to the stage of evidence on the dangers and merits of cannabis for clinical applications, as well as on dosage and potential interactions with different medicinal drugs."

It says new laws coming into effect on Wednesday let "analysis activities" and aid pre-medical and medical research on the use of cannabis and cannabinoids for scientific applications.

Provincial and territorial medical regulatory authorities have put clinical marijuana policies in vicinity for docs.

as an instance, the college and Physicians and Surgeons of British Columbia has advised doctors that hashish is not commonly appropriate for anyone who is beneath 25, has an active substance use ailment, a private or amazing household historical past of hashish use disease, cardiovascular or respiratory ailment and is pregnant, planning to become pregnant or is breast feeding.

patients who've clinical authorization for cannabis from a physician can also entry cannabis with the aid of registering with a certified producer, at the least one hundred thirty of which exist across the country, or via registering with health Canada to supply a confined quantity for his or her own applications or by designating someone to develop it for them.

Canada started providing restricted legal entry to dried marijuana beginning in 1999, earlier than sufferers might possess it with a doctor's authorization for medical purposes beginning in 2001.

As of June, more than 330,000 Canadians have been registered with fitness Canada-approved licensed producers as clients of clinical marijuana.

Dr. Mike Allan, director of courses and observe help at the faculty of family Physicians of Canada, will reasonable the debate between Ware and Kahan.

Allan referred to sufferers should still trust the abilities aspect results of hashish, the equal as with every other "herbal" drug they may additionally take.

"Many will declare that as a result of they're natural they're adverse-adventure free however this is simply no longer the case. There are lots of herbal items that have adverse routine and cannabinoids are certainly one of them."

funds generated from cannabis may still go towards research to greater remember its abilities benefits and harms, he talked about.


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Canadian Registered Nurse Examination

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Canadian nurses struggle with new U.S.-designed exam | killexams.com real questions and Pass4sure dumps

American terminology on a new accreditation exam appears to be tripping up nursing students in Canada, particularly those who speak French as a first language.

As of Jan. 1, nursing students in Canada must pass the National Council Licensure Exam for Registered Nurses (NCLEX) in order to practise nursing. Before this year students took the Canadian Registered Nurse Examination in order to practise after schooling. The NCLEX exam uses some U.S.-based terminology, some in the profession have said, and its prep materials are largely only available in English.

A national Ipsos Reid poll, in association with the Canadian Association of Schools of Nursing (CASN), found that four out of five Canadians agreed that nurses should be assessed using a test based on this country’s requirements. The CASN has previously spoken out against the move to the NCLEX exam, saying in a statement that Canada is the only non-U.S. jurisdiction to use the NCLEX to qualify nurses in their own country, and that nursing is the only Canadian health profession using a non-Canadian certification exam.

Pass rates for Canadian nursing students are coming in below the average for their American counterparts, and those in provinces with a large francophone population are being hit particularly hard. Nursing associations in the country are concerned that the low pass rates could delay the entry of new nurses into the health-care system.

“Canada has very strong nursing education programs, and graduates of these programs are providing safe and competent care,” Karima Velji, president of the Canadian Nurses Association (CNA), said in a statement. “CNA believes it is crucial to ensure Canadians have access to a sustainable and knowledgeable nursing workforce.”

The Canadian pass rate for the first half of 2015 was 70.6 per cent, about 10 per cent lower than the average rate of 78.3 in the United States. For the old version of the exam, designed in Canada, the pass rate was 84.7 per cent.

Some provinces are faring worse than others with the new test. From a period of January to June, the pass rate in Ontario was just 68 per cent. At 54 per cent, just more than half of students in New Brunswick — the province with the highest percentage of Francophone nursing students — got a passing grade on the exam.

“The drop in pass rates in New Brunswick and in other jurisdictions across the country is not a reflection of some overnight change in the quality of Canada’s nurses,” Dr. Kirsten Woodend, president of the Canadian Association of Schools of Nursing, tells Yahoo Canada News. “Our nurses are graduates of four-year baccalaureate degree programs, in high demand the world over, including in the United States. Rather, it is evidence of a broader problem.”

Some provinces showed notable improvements in scores on the exam from the first quarter of the year to the second. For example, the pass rate in Manitoba was just 42.6 per cent from January to March of 2015, but rose to 75.6 per cent from April to June. Other provinces performed above the national average for the first six months, including British Columbia, Newfoundland and Labrador and the Northwest Territories and Nunavut.

The updated exam uses some American terminology that has led to confusion. Linda Haslam-Stroud, president of the Ontario Nursing Association, told the Ottawa Citizen that some of the exam’s questions involve medications not approved for use in Canada. And Dianne Tapp, dean of the faculty of nursing at the University of Calgary, told the Globe and Mail that there were questions concerning Obamacare and the U.S. Food and Drug Administration.

The new exam also includes both metric and imperial measurements, adding to the confusion. The questions on the exam used in Canada are in metric, but the prep material uses the American standard of imperial. Canada officially began switching to the metric system in 1970.

“Fully half of the competencies expected of a Canadian nurse are not addressed by the NCLEX-RN,” Dr. Woodend says. “Left behind are important nursing activities reflecting national guidelines related to patient safety, interprofessional collaboration, client-centred care and cultural safety; each of which is an essential element of patient safety in the Canadian context.”

Story Continues

As for francophone students, they must deal not only with the different terminology and measurements but also translations of the exam that do not transfer well and prep materials that are only available in English.

“At the Université de Moncton, a mainly francophone institution, the pass rate was 30 per cent compared to 64 per cent at the University of New Brunswick, a mostly anglophone institution. On the previous exam, New Brunswick’s nurses performed as well as or better than the national average,” Dr. Woodend says.

The switch to a new exam came about when nursing regulating bodies, including the College of Nurses of Ontario, formed a national federation. The switch to the American-designed exam was announced in 2011 and the NCLEX is now used in every province and territory except Quebec and the Yukon.

The previous exam was paper based and administered three times annually, while the NCLEX is computer adaptive and can be taken throughout the year, prompting the switch.

The NCLEX exam is not designed to be specific to any country, Canada or the U.S., Canadian Council of Registered Nurse Regulators executive co-ordinator Beth Ann Kenny said in a release. As well, variations in test scores for nursing students across the country is normal during the adjustment period of switching to a new exam, Kenny said.

“It is important to note that the purpose of the exam is for nursing regulators to determine that nurses entering the profession have the knowledge and skills needed to ensure public safety,” Kenny said in the release.

The CNA declined to comment.


Canadian nursing students failing new exam at high rate | killexams.com real questions and Pass4sure dumps

TORONTO — Ontario nursing students are failing their licensing exams at an alarming rate. Canadian nurses are now required to take an American-based exam and some claim it asks questions that have nothing to do with Canadian healthcare.

“What we are concerned about is what we’re learning in school because obviously the success rate is not the greatest,” said York University nursing student Rachel Ip. “I’m kind of nervous now too.”

The America-based online exam, dubbed NCLEX, replaced the written Canadian Registered Nurse Examination in January 2015. The results are in for the first round of exams since January and they are worrisome.

Across Canada 4,701 students took the exam in the past six months and of those, 1,380 failed. In Ontario, 1,688 exams were written and 539 failed. The number of failures in Ontario is up by about 20 per cent from the year before. Ip said those statistics were “daunting.”

“It seems to me it’s a very strong indicator that this is not a good exam for testing the competency that a nurse needs to practice in the Canadian health care setting,” said Dr. Kirsten Woodend, President of the Canadian Association of Schools of Nursing.

This has students and even nursing faculty stressed out over the new exam, but the faculty at York University isn’t planning on altering their curriculum to match the American program.

“We are trying to help student prepare for an exam that wasn’t designed for them, it was designed for nurses that practice in the United States,” said Janet Jeffrey, director of School of Nursing at York University.

The Canadian Council of Registered Nurse Regulators imposed the new exam.

“[The NCLEX] does not test knowledge of health care systems, cultural issues, or government policy and laws,” CCRNR said in a statement.

“In addition, all drug names are generic and refer to medications that entry-level nurses are expected to know. Measurements in metric are provided, as well.”

Nursing educators are not convinced though.

“I would like to see that there is recognition that there have been some real issues with the exam this year,” said Jennifer Medves, Council of Ontario University Programs in Nursing.

“We respectfully request that we have an online exam that is Canadian content developed in Canada. I would like the regulators to take a second look at the decision they have made.”

The new exam also means that Canadian nursing students will be licensed to practice in the United States, something some students are looking forward to benefiting from.

“I personally was really excited because I do want to practice in the U.S. in the future,” said Ip.

“So it worked out really great because if I were to take the old one, the CRNE, then it meant that I’d have to take another exam and I didn’t want that stress

© 2015 Shaw Media


Francophone nursing students struggle with new American accreditation exam | killexams.com real questions and Pass4sure dumps

A new U.S.-designed exam that uses American terminology and mixes imperial and metric measurements is tripping up Canadian nursing students, especially francophones who have struggled with poor translations and English-only preparatory materials.

In some cases, French-speaking students have opted to take the exam in English.

“Most of the time I didn’t understand what they were saying,” said Elise Grenier, a University of Ottawa graduate who failed her first attempt, in French, of the new exam.

“I’m French — hardcore French — and I was like, ‘What are you asking me?'” Grenier said.

Since Jan. 1, nursing students have had to pass the new test, the National Council Licensure Examination for Registered Nurses (NCLEX), to practise professionally. In the first six months the exam has been used, the Canadian pass rate was 70.6 per cent, well below the 78.3 per cent pass rate achieved by Americans. In Ontario, the rate was even worse: 68.1 per cent for the 1,600 nursing students who took the test between Jan. 1 and June 30. In New Brunswick, with its high percentage of francophones, the pass rate was 54 per cent.

In contrast, the 2014 Ontario pass rate for the previous, Canadian-designed exam was 84.7 per cent.

“We’ve had really disgusting pass rates through, I believe, no fault of the nursing students,” said Linda Haslam-Stroud, president of the Ontario Nursing Association. “I believe it’s the fault of the exam and our regulators in putting forward an exam that’s not based on our curriculum and not based on the prep material they used.”

Until this year, nurses had to pass the Canadian Registered Nurse Examination to be accredited. That changed when the College of Nurses of Ontario and other bodies that regulate the profession formed a national federation and switched to the American test. The switch was announced in 2011, plenty of time, the college says, for schools and students to prepare for the new exam.

But the test, now used in every province except Quebec, has left many Canadian students floundering.

“You shouldn’t have to be taught toward an exam, but these students are scrambling,” Haslam-Stroud said. “You have to realize that they started in a curriculum prior to this exam ever being in existence.”

One problem is that though the exam questions are in metric, the American-designed prep material is all in imperial measurements. Some questions involve medications that aren’t even approved for use in Canada, said Haslam-Stroud.

Very little of the prep material is available in French and what is offered is poorly translated, said Elise Grenier’s mother, Carole Bourcier, a 27-year RN and nursing educator. “It looks like they used Google Translate,” she said.

Elise already had a job lined up at the Ottawa Hospital’s General campus when she failed the NCLEX test in French last spring. When six of Elise’s friends failed too — all of them francophones — she and Bourcier decided to set up a Wednesday night study group at their Gloucester home. Part study circle, part support group, the sessions helped Elise pass the exam when she took it again in August.

On a recent Wednesday night, the young women fired questions at one another, shared advice and socialized by playing RNtertainment, an American, Trivial Pursuit-type board game designed to help students study for the NCLEX (Sample question: “A hospitalized client has developed a superficial thrombophlebitis of the right hand in an intravenous catheter site. The nurse should plan to do which of the following …”).

Carole Bourcier a RN who runs an informal study group at her home on Wednesday evenings to help nursing students pass an extremely difficult certification exam at her Ottawa home Wednesday October 14, 2015. L-R Lorein Fuenmayor, Melissa Routhier, Elise Sequin, Carole Bourcier and Valerie Charron play Mosby's RNtertainment, a board game to help test their knowledge and prepare for the challenging test. Photos by Ashley Fraser, Ottawa Citizen

Melissa Routhier, Elise Seguin, Carole Bourcier and others play a board game designed to help nursing students test their knowledge.

Elise booked her second test at the University of Toronto, where an instructor there advised her chances would be better if she took the exam in English. “She said, if you can understand English you should take it in English,” said the fluently bilingual Elise, now a proud registered nurse.

Five of the original study group members have now passed and the sixth will take the exam next year after missing classes because of a broken arm. Bourcier is confident that she, too, will get a passing grade.

“I’m so proud of them. They’re my little girls,” she said.

The University of Ottawa has 1,130 nursing students, 457 of them francophone. Ninety-two U of O students wrote the NCLEX exam between January and June, although the school can’t say how many opted to write in French. It hasn’t received its pass rate from the college.

“We do know that some francophone students opted to write the NCLEX in English because they did not trust the translation of the questions,” the university’s assistant director of nursing, Amelie Perron, told the Citizen in an email. “We also know of some francophone students who struggled with the French version of the NCLEX who are currently wondering whether they should retake the exam in English. Such issues were unheard of with the previous (Canadian) national exam.”

The College of Nursing said the sample size of francophones is too small to get an accurate reading of the pass rate for the French version of the test, but it’s confident the NCLEX exam is a fair and accurate measure. Full French-language results will be available next year when the college has more data.

“We are working with a Canadian translation panel made up of nurses and educators fluent in French and English who review exam items for language equivalency on an ongoing basis,” the college wrote in an email response to questions from the Citizen.

“It is important to remember that the results released by the regulators are preliminary, and represent only the first six months of the year. In some jurisdictions, this represents a small number of writers … The College is working with different stakeholders to review exam results, and we are seeing wide variation between programs and areas of the province. We will to continue to work with programs to promote the sharing of their best practices for exam preparation for their students.”

bcrawford@ottawacitizen.com

Twitter.com/getBAC



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Medical CRNE Exam (Canadian Registered Nurse Examination) Detailed Information



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