Problem:
Full Practice Authority: The NP can independently diagnose the patient with insomnia and anxiety, potentially related to his history of depression. The NP can initiate a treatment plan that may include cognitive-behavioral therapy for insomnia (CBT-I), lifestyle modifications, and possibly pharmacological interventions. Reduced Practice Authority: The NP may need to consult with a collaborating physician before finalizing the diagnosis and treatment plan. This could delay the initiation of appropriate interventions. Restricted Practice Authority: The NP would require direct supervision to diagnose and treat the patient, potentially leading to further delays and increased patient anxiety. Medication Management: Full Practice Authority: The NP can prescribe medications such as sleep aids or anti-anxiety medications independently, ensuring timely management of the patient's symptoms. Reduced Practice Authority: The NP may need to obtain approval from a collaborating physician to prescribe certain medications, which could delay treatment. Restricted Practice Authority: The NP would need direct supervision to prescribe medications, potentially leading to delays and increased patient distress. Follow-Up and Monitoring: Full Practice Authority: The NP can schedule follow-up appointments and adjust the treatment plan as needed without additional oversight, providing continuous and efficient care.