During this course, I am hopeful to gain knowledge of caring for primary care patients, how to document better, and grow as a provider in knowledge and caring. I am a fast learner and like to learn from the book as well as hands on. I have been a nurse for 11 years now, though the last 5 have been as a case manager for worker’s compensation so I have not been very hands on with my patients. I think this sets me back some with a little less confidence in the things I used to do daily, however it has given me much more experience in the doctor’s office setting where I will be doing clinical hours now. I reviewed the list of procedures in the PRAC course and was slightly intimidated at the amount of procedures I am new to, though that is the purpose of our classes and clinical hours, to be able to learn. I am confident that I will be able to get through them and become more at ease.


My career goal is to have my own primary care practice. I am in Delaware where it is not required to have a contract with a physician at all, so I have the ability to do this. There is a significant shortage of primary care providers in my area, this would help the people here have better access to primary care. FNPs are able to fill in the holes caused by a lack of providers, I may not be a physician, but I will be able to provide excellent care to my patients, education in their health, and a better outlook on their health. Not to mention the fact that I would be able to have my own business and provide for myself and my family in a way that I see best fit (How to open your own clinic as a Nurse Practitioner, 2022).

A goal that I have is to be better able to put my knowledge of preventive care into helping my patients get or stay healthy or at least giving them the best access to care and education that we can so that they can make the best decision for themselves in treatment. Providing knowledge and preventive care testing and treatment would help people make better diet, exercise, and treatment choices which would help decrease the incidence of developing chronic illness as well as help those with chronic illness prevent hospitalizations or need for acute treatment (Buttaro et al., 2021).

Another goal is to learn more on proper documentation as well as billing and coding. There are risk factors in relation to both and importance to out patients. Ensuring that we properly describe in detail the key factors of a visit are vital in ensuring there is a picture of what the patient is experiencing so it is recorded for others who need to know the information, including other providers, specialists, and the insurance providers to be able to better treat the patient themselves or approve necessary further treatment or referrals. Ensuring we are giving accurate information while covering all the bases and risk factors is very important to each of these groups and factors (Eramo, 2019).

I am eager to begin my final courses and grow more as a professional so that I may be able to provide my future patients with the best care possible.



Buttaro, T. M., Trybulski, J., Polgar Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier.

Eramo, L. (2019). Level of care coding tips to boost revenue, mitigate riskLinks to an external site.Medical Economics96(10), 17–20

How to open your own clinic as a nurse practitioner. (2022, September 6).



An advanced practice nurse collaborates and communicates with patients, families, doctors, nurses, and specialists to ensure patients receive the care they need. As they diagnose, treat, manage, and educate patients, they are responsible for ensuring patient safety and maintaining ethical behavior. Competencies have been developed to help the advanced practice nurse to understand the practice knowledge, skills, and attitudes they need to be successful.

For this Discussion, you will examine advanced nursing practice competencies and reflect on your strengths and challenges related to the competencies. In light of your reflection, you will consider how this course may help you attain your career goals or objectives.



Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.



  • Review the Learning Resources for this week, specifically the advanced nursing practice competencies. As you review the competencies, reflect on your own strengths and challenges when working with adults across the lifespan.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply



Post a summary of your expectations of this course. Also, include a brief explanation of your strengths and challenges as they relate to nursing practice competencies when working with adults. Describe any career goals or objectives this course may help you accomplish in the Family Nurse Practitioner (FNP) or Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP) role and explain why. Use your research to support your explanations by providing credible and scholarly sources.  Provide at least 3 credible and current scholarly sources. Read a selection of your colleagues’ responses.


Respond to at least two of your colleagues on two different days by offering a suggestion or resources to help your colleagues in addressing their personal strengths or challenges, or their career goals. Use your research to support your suggestions.

My Expectations of this course

In my total 25 years of experience in the field of nursing, maximum area I worked was in the operating room which is a closed environment with less interactions with patients as mostly they are under anesthesia. I would like to do my patient care in another setting where I can spent more time in interacting about their needs and concerns in a more detailed manner.  I believe that I can achieve only through patient interactions.  Now a days the patient care is more challenging and its  involves various aspects to consider. So I choose nurse practitioner program to face and overcome those challenges in my future career.  The interactions between nurse and the patients can improve the quality of the care given to the patient and improve the patient satisfaction and helps to reduce the length of the hospital stay (Bastami et al., 2022).

Strength and Challenges in nursing practice while working with Adult patients

I always maintain my professional ethics in my everyday work specially during patient care.  I believe that is my biggest strength while working with adult patients.  I strongly believe that compromising the professional ethics in patient care directly affects the patient’s safety (Papinaho et al., 2022). Also I believe communication is an effective tool which I hold on to interact with patients and family which makes me get closer to them professionally.  My biggest challenge will be the stress which nurses generally undergo due to various reasons.  Stress not only affects the individuals physical, emotional, social environment, also affect the professional area (Starc, 2018).

My Career goal to accomplish the FNP program

I believe by developing trust through communication with patients while providing patient care  will improve the quality of patient care.    Also patient care begins with adequate interaction with patients and family about their problems and needs to find evidence based problem solving while implementing it in the patient care (Kennedy, 2017).  Without communication with the patients, we cannot achieve the goal. I can assure that  through this goal I am confident to bring a positive impact to the society through the FNP role.


Bastami, M., Imani, B., & Koosha, M. (2022). Operating room nurses’ experience about patient cares for laparotomy surgeries: A phenomenological study.                  Journal of Family Medicine and Primary Care11(4), 1282–1287. to an external site.

Kennedy, D. M. (2017). Creating an Excellent Patient Experience Through Service Education. Journal of Patient Experience4(4), 156–161.                                    to an external site.

Papinaho, O., Häggman-Laitila, A., & Kangasniemi, M. (2022). Unprofessional conduct by nurses: A document analysis of disciplinary decisions. Nursing Ethics,            29(1), 131–144. to an external site.

Starc, J. (2018). Stress Factors among Nurses at the Primary and Secondary Level of Public Sector Health Care: The Case of Slovenia. Open Access Macedonian           Journal of Medical Sciences6(2), 416–422.