CRNE preparation advices needed - page 3

:spin: Hello,everyone.I'm a international trained nurse and my registration process in Alberta is in progress. I'm planning to take CRNE this OCT. According to whatever you discussed regarding... Read More

  1. by   NotReady4PrimeTime
    Have you read through FAQ: The Canadian Registered Nurse Examination (CRNE) for pointers? The standard passing score is usually less than 80%.
  2. by   Mykami
    What is it meant by "primary" versus "tertiary" care?

    My perception is primary focuses on health promotion and prevention and tertiary is when the client has an active illness and requires intervention.

    Is this right?
  3. by   NotReady4PrimeTime
    Quote from Mykami
    What is it meant by "primary" versus "tertiary" care?

    My perception is primary focuses on health promotion and prevention and tertiary is when the client has an active illness and requires intervention.

    Is this right?
    You're partly right. Tertiary care is "specialized consultative care, usually on referral from primary or secondary medical care personnel, by specialists working in a center that has personnel and facilities for special investigation and treatment. (Secondary medical care is the medical care provided by a physician who acts as a consultant at the request of the primary physician.)" (Taken from hopkinsmedicine.org) In Canada tertiary care is found at major medical centers, including those associated with universities; these hospitals will offer some or all of cardiovascular surgery, neurosurgery, intensive burn care, transplants, trauma care, extracorporeal life support and other highly technical care.
  4. by   Mykami
    So primary being the client's main physician. Then secondary would be for example, the cardiologist. And tertiary the cardiovascular surgeon?
  5. by   NotReady4PrimeTime
    Precisely.
  6. by   dishes
    Quote from Mykami
    What is it meant by "primary" versus "tertiary" care?

    My perception is primary focuses on health promotion and prevention and tertiary is when the client has an active illness and requires intervention.

    Is this right?

    What is the context of the question? Did you post the question in the CRNE prep thread for a reason? I ask this because the terms primary, secondary and tertiary are associated with preventative measures to protect health. If you are studying this for CRNE, which component are you looking at? If it is the health promotion component then the following defintions coud apply:
    1. Primary prevention focuses on disease prevention examples are immunization, education and encouraging healthy lifestyles
    2. Secondary prevention emphasizes early detection and prompt intervention against asymptomatic diseases, screening efforts characterize this level of prevention example B/p clinic
    3. Tertiary prevention attempts to minimize disability from existing disease by medical treatment, education and rehabilitation.
    I am not really sure if this helps, and since there are more view points then the ones I listed it would help to know the context of the question. Please post more information about your question.
    Thanks
    dishes
  7. by   Mykami
    Upon studying for the CRNE I have come across some practice questions with the terminology "primary" and "tertiary" care. For example one question was regarding a person in Nunavut territory who had no access to tertiary care.

    Other questions will ask, is this an example of 1) primary care or 2) Tertiary etc.....
  8. by   dishes
    Generally the three levels of care overlap. The distinctions among them are not always clearly drawn or defined. For the patient, the most important factor may be the need for referrals at some levels and not at others. In the case of the person in Nunavut the GP may have to overlap and do both primary and secondary care.
    dishes
  9. by   qveronica
    hi
    what kind of ethical questions. can u give me a sample please to have an idea. im so scared too

    please reply
    regards


    Quote from Hope69
    My friends and I failed in February 2007. It was so terrible exam and we're so disappointed from the results. The "prepare guide" wasn't appropriate. "Mosby" has a lot of medical questions, but exam had 80% ethical questions. I would like to get some advices from successful RN's. Thank you.
  10. by   Mykami
    I understand that there may be questions on the CRNE in regards to Aboroginal culture. Could anyone share some information regarding the culture in regards to health care. What things should I be aware as a nurse in regards the the culture?


    Thanks
  11. by   NotReady4PrimeTime
    Quote from Mykami
    I understand that there may be questions on the CRNE in regards to Aboroginal culture. Could anyone share some information regarding the culture in regards to health care. What things should I be aware as a nurse in regards the the culture?

    Thanks
    That's a HUGE topic. There are many, many ways the aboriginal cultural influences impact on their health care.

    Their traditional diet was largely protein and often feast-or-famine, but in the last two generations they've gone to a more Western (and unhealthy for them) diet. Their metabolisms evolved around the high-protein fish and game diet and cannot cope well with the high refined carbohydrate load they're taking in so type 2 diabetes is almost epidemic in their communities along with all the associated complications. Their communities are typically isolated and have poor infrastructure; food has to be brought in at great cost, so choices are often predicated on economics rather than healthy living.

    Time means different things to different Aboriginal groups. They often miss appointments because they don't have the same concept of time and may arrive too late or on the wrong day. They also may have "compliance" issues with scheduled medications and treatments because of their concept of time. Family members may visit inpatients at what might be considered inappropriate times, but it's perfectly normal for them. They also tend to be poor historians because of how they perceive time.

    Most of the Aboriginal people I've interacted with are shy and don't really make small talk. It can be interpreted as an attitude or even an issue that they don't say much, don't ask many questions, or even communicate their needs (such as an inability to read written instructions) when their culture tells them that it's disrespectful to ask questions as it implies distrust. They will chatter to their family or friends but feel uncomfortable with people in a position of authority.

    These are just some attributes. I'm sure there will be other responses.
  12. by   dishes
    I don't think you are expected to know details about aboriginal culture for the CRNE. A question of this nature, is intended to assess the nurses competency in providing culturally sensitive care, not her knowledge of different cultural practices. For the CRNE it is likely the cultural practice will be described in a scenario, for example,
    "a client from a first nations community requests that a sweetgrass ceremony be performed in the hospital as part of treatment. The ceremony involves chanting and burning some substances, this is against hospital policy but the nurse understands the importance of this treatment to the client"

    What action would show the nurses committment to client centered care?

    http://www.cno.org/docs/prac/41040_CulturallySens.pdf

    regards
    dishes
  13. by   jay_j
    FOR SUZANNE n JANFRN

    i'm planning to migrate to canada next year.. i just started processing for my visa last june 2009. I'm planning to take the CRNE when i'm finally there... probably start applying by then too, not earlier. I want to make sure i'm settled in and adjusted to everything. I don't want to stress myself with deadlines or to an upcoming exam I have already paid for and having to worry about preparing myself to moving and living in a new environment at the same time.

    you mentioned above that an alredy-RN-from-somewhere-else will have d title of GN until he/she passes the CRNE. i was wondering, since i am a RN here in philippines for 4 years now, does that qualify me to hold the the title GN when i move to canada (as immigrant)? will i be able to get a job as a GN until i take and pass the exam? or should i settle for jobs such as nursing aide/nursing assistant if i will decide to work before i take the CRNE?

    what's d difference between a GN from aides? i know d aides' payrate's between 9-13 cad.. the most 15. how bout for GNs?

    i'm just wondering coz i want to know how much i would be earning there if i work as a GN (if qualified) or as an aide until i get registered as a nurse in canada.

    thank you for your posts.. it's been very enlightening and helpful. .

    keep em coming!

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