“Professional Roles and Responsibilities” Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients. Share your thoughts Discussion 3 Much of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions: Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting? Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD? Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ? Discussion 4: CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances. ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:  Presigning blank prescription forms.  Prescribing a Schedule II for office use.  Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.  Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.  Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.  Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.  Prescribing, dispensing, or administering a controlled substance to himself or herself.  Prescribing, dispensing, or administering laetrile.  Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.  Promoting or advertising controlled substances.

Professional Roles and Responsibilities of Family Nurse Practitioners (FNPs)


Family nurse practitioners (FNPs) are advanced practice registered nurses (APRNs) who provide comprehensive healthcare services to patients across the lifespan, ranging from infants to geriatric patients. Educated at the graduate level, FNPs possess national certification and state licensure, allowing them to diagnose and treat various medical conditions within their scope of practice. This paper aims to discuss the professional roles and responsibilities of FNPs, with a focus on their scope of practice, specifically in terms of working in adult primary care settings and diagnosing and treating uncomplicated mental health conditions.

Scope of Practice for Acute Care Nurse Practitioners in Primary Care Settings

The question of whether an NP, who is educationally prepared as an acute care NP, should work in an adult primary care setting is a topic of debate. Acute care NPs typically receive education and training that focuses on managing complex acute and chronic conditions in acute care settings, such as hospitals and critical care units. However, it is important to recognize that the role and scope of practice of NPs are determined by their education, training, and certification.

While acute care NPs are trained to manage complex conditions, they also receive education in primary care principles and can provide basic primary care services. FNPs, on the other hand, receive specialized education and training in primary care across the lifespan. Therefore, it could be argued that an acute care NP could function effectively in an adult primary care setting, especially if they receive additional training and support to enhance their primary care skills.

However, it is essential to consider the potential limitations of an acute care NP working in a primary care setting. Acute care NPs may have limited experience in providing preventive care and managing common primary care conditions that require long-term management. In addition, they may need to collaborate with other healthcare professionals, such as primary care physicians, to ensure comprehensive and holistic patient care. Therefore, while it is within the scope for an acute care NP to work in an adult primary care setting, careful consideration must be given to their education, experience, and ongoing support to provide high-quality primary care services.

Scope of Practice for FNPs in Diagnosing and Treating Mental Health Conditions

FNPs play a crucial role in diagnosing and treating various health conditions, including mental health conditions such as depression, anxiety, and attention deficit hyperactivity disorder (ADHD). Mental health conditions are common and can significantly impact a patient’s overall well-being and quality of life. FNPs, as primary care providers, are often at the frontline of healthcare delivery and are well-positioned to identify and manage mental health conditions.

In many states, FNPs have the authority to diagnose and treat uncomplicated mental health conditions within their scope of practice. This includes conducting assessments, providing therapy, and prescribing medications, such as selective serotonin reuptake inhibitors (SSRIs) or antipsychotics, for patients with mood disorders. However, it is important to note that the scope of practice for FNPs may vary from state to state due to differences in regulations and laws surrounding advanced practice nursing.

While FNPs have the knowledge and skills to manage uncomplicated mental health conditions, it is crucial for them to work collaboratively with mental health specialists, such as psychiatrists or psychologists, to ensure comprehensive care for patients with complex or severe mental health conditions. Collaborative practice models, involving regular communication and consultation with mental health providers, can enhance the overall quality and effectiveness of mental health care provided by FNPs.


Family nurse practitioners (FNPs) are highly skilled and educated healthcare professionals who play a critical role in providing primary care services to patients of all ages. Their scope of practice includes managing acute and chronic conditions, as well as diagnosing and treating mental health conditions within their educational preparation and certification. While the scope of practice for FNPs allows them to work in various settings, including adult primary care, additional training and support may be necessary for NPs with a specialty in acute care. Furthermore, FNPs must collaborate with mental health specialists in managing complex mental health conditions. By understanding and respecting the scope of practice and collaborating with other healthcare professionals, FNPs can effectively contribute to improving patient outcomes and quality of care.