Professor Lane and class,
I feel like it may be a common misconception for someone to think the way Jessica’s co-worker
was thinking. If you are practicing under a physician, why wouldn’t they be accountable for your
practice? Right? Wrong. Whether working independently or in a collaboration with a physician, a
nurse practitioner requires self-thinking and decision making, thus making the nurse practitioner
accountable for their own treatment plans of their patients [And18]. Jessica herself states she is
not sure she would be ready for the responsibilities of a Nurse Practitioner, so I do not feel like
this would be the right area for her. But this discussion will review the scope of not only the NP,
but the Certified Registered Nurse Anesthetist, Clinical Nurse Specialist, and the Certified Nurse
Midwife.
Certified Nurse Practitioner
There are different focuses that can be attained by a CNP
including Psych, gerontological, pediatrics, neonatal, or women’s health with advanced
certifications in these areas. However, receiving a MSN-NP allows the practitioner to practice in
primary care. CNP’s may also have privileges in a hospital setting or long-term care setting as
well. It is a very versatile title to have. There are many options as far as what can be done with
this degree. The scope of the CNP can vary in depth from state to state. With the full practice of
the CNP, the role includes assessment, diagnosis, development of treatment plans,
implementation and evaluation along with prescribing medications and ordering diagnostic
testing [And18]. A CNP is responsible for encouraging health education and promotion advocacy
and collaborative efforts as well [And18]. A CNP is involved with direct patient care and
impacting patient care, just like Jessica is looking for, but has a large amount of responsibility

that Jessica stated she may not be interested in. The salary for a CNP varies from state to state,


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- Registered Nursing