FullGlass

Yes, some youths regret trans surgery. The beginning of a huge wave of lawsuits over this has just started. A hospital was recently sued by a formerly transgender person; the patient won $2 million. This is why more and more hospitals are discontinuing transgender treatments for minors.

The PMHNP programs do not provide enough education and training to produce qualified talk therapists. Some PMHNPs obtain separate education and training for talk therapy, such as also earning an LCSW. However, that is not common. The issue is economics. Talk therapists generally get paid very little for the amount of education and training required to enter the profession - much less than NPs make. That is because the insurance companies have crap reimbursement for talk therapy services. As a result, most MDs and NPs only do med mgt, while talk therapy is performed by LCSWs and psychologists. Med mgt is reimbursed at a much higher rate by insurance, plus it takes less time. So an insurance company may reimburse a PMHNP visit at $450 for a 20 min visit, while it will only pay $40 to $70 for a 50 min talk therapy apppointment. A PMHNP or MD in a cash pay practice could do both and get paid well for it, but the majority of us can't find work in a cash-pay only environment.

I don't understand how being an NP causes one to have a lot of work that follows one home. That was never true for me even as a new grad NP. Yes, for my first few months it took me longer to finish my charting, but that was 30 to 60 minutes extra most days. After about 6 months, I had learned to chart as I go and rarely worked extra time. As for support, try being proactive and actively go and ask questions. I had to do that and once I did, I got a lot of support from my NP colleagues and the MDs at the practice. I am sorry OP is going through this, but this is a great example of why RNs need to think long and hard before becoming an NP. They must be able to answer the following questions: 1. Do I really, really want to be a a provider and do provider work as opposed to looking for some sort of "RN promotion?" 2. Will I be happy working typical primary care hours, which are five 8-hour days or four 10-hour days? 3. Will I be OK potentially taking an initial pay cut as a new grad NP versus an experienced RN? (With experience, NPs generally end up making more) 4. Do I know the NP job market where I want to live and work? Will it be easy to get an NP job? Where I live, there is high demand for FNPs. I just saw a job listing for an FNP offering a $55K relo package on top of a very handsome salary. But it is also not in a major metropolitan area. Look at where there is high or unmet demand for FNPs. You can do a search for FQHCs near you, as these clinics are generally happy to hire and train new grad FNPs. The VA and other large organizations also have NP residencies. https://findahealthcenter.HRSA.gov/ My first NP job was at a rural FQHC, and it was a great experience - good learning, support and great variety of work. Several of the providers, MDs and NPs, would work and stay in the area during the week, then would drive to their permanent home on weekends (3 to 4 hours each way).

No, I do not have children. However, when I decided to change careers and become a Nurse Practitioner, I made a lot of sacrifices in time, moneym, and relocation. That took me about 3 years of essentially little time for anything but school. Many of my classmates were married with children. Some even worked FT as RNs while completing their NP Program! So only become an NP if you are willing to make the necessary sacrifices and if you really, really, really want to become a PROVIDER. Being an NP is not some sort of "RN promotion." Think long and hard about if you want to be a provider as opposed to an RN. Best wishes.

How much nursing experience do you have? One year? If you have 1 year, then you have a decent amount of experience to be considered for positions. Bedside nursing may not be your cup of tea. But there are other options as others have suggested and provided some ideas. Have you thought about school nursing? How about working in the OR? Some of classmates took that route and love it. When I was in nursing school, a local hospital was actively recruiting students to sign on after graduation for extensive OR training and then to be hired. Becoming an RN First Assist can be a great career option. I also did a clinical rotation in the OR and an RN was off to the side, doing some sort of computer-based monitoring. She said she really liked it as it was fairly low stress and was not bedside nursing. I also did a clinical rotation in a Pediatric Psych Day Hospital. A couple of RNs worked there and loved it. These are lower acuity patients that just go to the hospital for the day for therapy and school from 8 am to 4 pm. Psych RN might also be worth considering. I did a clinical rotation for an organization that helped homeless people transition to permanent housing. They had a couple of RN case managers who also visited patients in their homes. Home RN can also be a good position. My own mother had regular visits from a home nurse when she was in terminal decline. RNs also work in research. If there is a university or other medical research outfits where you live and they run research studies, often an RN will be responsible for evaluating possible test subjects and monitoring them. Some larger outpatient and primary care clinics employ RNs. This is less stressful than working in a hospital and is not bedside nursing - usually involves supervising the Medical Assistants, handling some basic wound care, administrative duties, performing some med review and renewing noncontrolled RX, etc. Good luck

I am sorry, but if you want to work or go to school, that means you are not going to spend FT with your family. If spending time with your children is your top priority, perhaps you should consider not working and becoming a FT stay-at-home mom or just working PT until your children are older. Your husband - I really don't understand what is going on with him. You should sit down and talk to him about this. I don't understand how a grown man "having the patience for long periods by himself is hard for him." That is how a small child acts. If he can't bear being by himself, how does he cope when you are working? And what body language are you talking about? Perhaps he is OK and you are reading too much into his body language. Personally, I don't think you are ready to complete an MSN and then to take on a completely different role. You appear to lack the required commitment at this time in your life and have different priorities.

As they say in weight-lifting: no pain, no gain. It takes some sacrifice to advance in life. And the more work required, generally the greater the reward, like earning an M.D. or J.D. If you truly want to be a provider, then you must complete your MSN. There is no way around that. However, I do not understand why you feel this program is causing you to spend too much time away from your family. Many NP programs are online for didactics (lectures) and that part can be done from home. Of course, you must complete your clinicals in-person. Didn't you have to go to work as an RN? Are you working FT as an RN and also going to school? If so, consider decreasing your work hours until you complete the NP Program. Most FNP programs are only 18 to 24 months, which is not very long for an important career prep program. Frankly, I don't understand why your husband does not like having your daughters "all the time." Doesn't he love them? What kind of father views this as such a horrible burden? He doesn't seem very supportive of you. As far as advancing your career, NP is not the only way to do this. Please make sure you are aware of what a new grad NP makes in your geographic area versus what you would make as an experienced RN. It is common for a new grad NP to make less than an experienced RN. This difference usually goes away with time and most NPs make more than most RNs, but that is with experience. There are other advancement paths for an RN besides NP: management, even executive management teaching case management public health and policy specializing as an RN (specialties can make more money) traveling RNs can make great money So decide if you really, really want to be a provider. It is a completely different role than being an RN, and I've just read too many posts here from new grad NPs who regret spending the time and money to earn an MSN or DNP, only to freak out when they take an initial pay cut or they decide they just don't like the provider role.

Ms. Gibson defintely has issues. She was arrested in September and charged with assault and battery on a family member in October 2025. Not exactly a shining example of personal conduct. And not surprising, given her method of raising money for her election campaign. https://dailycaller.com/2025/10/02/smut-peddling-ex-democratic-candidate-susanna-gibson-payne-domestic-violence-charge/

1. Get the best stethoscope you can 2. PRACTICE, PRACTICE, PRACTICE. There are many audio recordings and YouTube videos availabe on the internet. Practice on every person you can, including friends and family. I even practiced on my dog! 3. At least for me, I really sweated during the "hearing the heart murmur" labs during school. However, once I started working as an NP, this became quite easy. So relax and don't get too anxious about this.

My first NP Program was AGPCNP. My first job was in a primary care facility and I am extremely grateful I had this experience. Unless you are absolutely, 100% sure you want to specialize in a particular area, the primary care experience will be invaluable in providing a wide range of experience. If you are not sure if you want to specialize, then this experience can help you determine what is of most interest to you. You may end up being passionate about an area that would never have occurred to you otherwise. I also don't understand the advice that an FNP should specialize and not do primary care. In many parts of the country, thaere is a desperate shortage of primary care providers. So FNP can be a great position for one's entire career. Pay and benefits for FNPs have gone up a lot, at least where I live. FNP would also give you the opportunity to be in a Residency or Fellowship after completing your program. In addition, being an FNP in an underserved area will give you the best chance when applying for loan repayment or forgiveness programs. Many patients have comorbidities and the primary care experience will help you to better understand the relationships between different diagnoses and conditions. Most Urgent Cares will no hire new grad NPs. You will need at least one year of FNP primary care experience. I worked in an FQHC that had both primary care and urgent care, so we would take turns working in the urgent care. You could look for a job like this. I decided to become an PMHNP after working in primary care for a couple of years. However, I am EXTREMELY grateful an MD mentor advised me to get the primary care experience first. The majority of mental health care is actually provided by PCPs. I also learned how comorbidities can contribute to mental health issues - like diabetes, chronic pain, etc. I also received job offers from specialists that I had sent a lot of referrals to while a PCP. The easiest job to get is FNP, hands down. However, if all you can get is a specialist position, fine. But don't feel that is your only option. Good luck

I have never heard the term "toy" hospital used. Small, rural hospital is sufficient. Why would you expect other people to understand what a "toy" hospital is? I envisioned something like Santa's Workshop. At any rate, this is not the place for a political discussion. There is another are on Allnurses for that. But I will say that you blatantly ignored the historic fact that the Democrats are the reason we do not have national health insurance now. That is a fact. You also dodged the idea of taking positive, constructive action on this issue. Good luck.

What is a rural toy hospital? Is that in the land of broken toys? I'm not sure that fixing broken toys is a useful skill in providing healthcare to people. 1. If changes don't take place until the end of 2026, this provides time for possible solutions. I am also sick of people claiming the changes are effective now. They are not. 3. This is not all up to Trump. Much of the responsibility is at the state level. For example, I live in California. If the state had not blown billions on caring for illegals, there would be more money for things like rural hospitals. In addition, Newsome has called a special election which will cost over $250 million, just as a way to get publicity for his future presidential run. That money would save a lot of rural hospitals here. 4. We need a bipartisan solution to our messed up healthcare system. Neither party has done a good job of addressing our healthcare system issues. President Eisenhower considered national health insurance back in the 1950s. President Nixon was very serious about trying to pass national health insurance. Unfortunately, sleazebag Teddy Kennedy blocked it because he did not want a Republican to get credit for this, as he admitted later and called it one of the biggest regrets of his life. We could have had national health insurance 50 years ago! 5. Change takes work. So start advocating for your desired changes with your elected representatives at the local, state, and federal level. You could organize fundraisers for clinics and hospitals. Be part of the solution.

You are confusing Medicaid cuts with Medicaid expansion with problems of rural hospitals. 1. Rural hospitals - my first NP job was in a very remote, rural area with one tiny rural hospital and a primary care clinic system. No, they simply could not afford to have an OB on staff. They could not even justify a FT WHNP. Same thing for a pediatric primary care provider - tried it but had to d/c due to lack of demand (in the clinic). The hospital had to d/c their L&D services except in emergencies. Women in labor had to go to the nearest city, which was about 50 miles away, to give birth in a hospital. Hospitals have to be financially viable and if there is low demand for a service, then they can't offer it. This is true even in countries with national health insurance. There was a big uproar in a Scandinavian country (I think it was Sweden) b/c rural hospitals were having to close their L&D wings due to lack of demand. 2. The BBB possible Medicaid cuts do not take effect until the end of 2026. 3. Medicaid expansion is at the state level. Some states did not agree to that. This is not a Federal issue. 4. I am well aware that ACA plans are not free. I am disappointed in the GOP for not addressing healthcare. Frankly, this could cost them elections. The cost of healthcare is a huge issue. We also have a lot of people with no healthcare insurance. Trump is not a traditional conservative, but a populist. Healthcare is ripe for a populist solution. What can be done is that individual states can do a lot to address healthcare issues in their state. California, where I live, does this. Voters should be advocating to their State representatives to take action where needed.

The nursing school admissions offices should be able to answer your questions. If you don't get a response, then go down there in person. Just send in the application and transcripts you have. You can note that while you enrolled at Acme and XYX colleges, you never took any courses there and as a results, those schools did not issue a transcript. You can even print out a screen shot - you should be able to log into the school system and call up what classes you took - which in your case will be blank. Again, go to some of those schools in person and ask to speak to an admissions counselor if you don't hear back from phone, email inquiries. You also contacted them in August, and a lot of people would be on vacation then.

Why on earth would you need an attorney? You need to pass the NCLEX. That is on you and no one else. Every single practicing nurse in the US has managed to pass the NCLEX. Complete the required remedial training program. Figure out why you are failing the NCLEX and work on those areas. If you can't pass the NCLEX, you can't be a nurse and no lawyer can do anything about that.