In Texas, primary and acute care CNPs provide initial, ongoing, and comprehensive care, includes taking comprehensive histories, providing physical examinations and other health assessment and screening activities, and diagnosing, treating, and managing patients with acute and chronic illnesses and diseases. This includes ordering, performing, supervising, and interpreting laboratory and imaging studies; prescribing medication and durable medical equipment; and making appropriate referrals for patients and families. Clinical CNP care includes health promotion, disease prevention, health education, and counseling as well as the diagnosis and management of acute and chronic diseases(Advanced Practiced Registered Nurse Joint Dialogue Group Report, 2008. p. 8)ReferencesBerger, A., Eilers, J., Pattrin, L., Rolf-Fixley, M., Pfeifer, B. A., & Rogge, J. A. (2012).