You made a reference to something I said so Ill further explain. For me, its not about not being "bothered" to care for patients, its more about how I can best care for a patient. I never said that I would not work in either of the roles I named, rather its not my passion. As a matter of fact, at the end of each CNA class at the school I attended, the CNAs and the instructor get together for superlatives and awards and I received most outstanding in leadership and skills competency; I also had very nice things said about me to the instructor from two of the actual residents as it related to bedside care. I know I made a great CNA and I enjoyed the residents, but its not for me. Think about a telephone triage nurse that works in a call center for an insurance company. He or she went through the rigors of school and the NCLEX just like any other nurse. Its not about an ego, its just where you feel most comfortable so that you can do the most good for the patients.