This is a tough decision for many nurses who have the desire to improve themselves and move on to a more advanced level of practice. I also think it is a question of do you want to care for the "awake or the asleep" patient. That doesn't mean that it's not ok to desire both paths, but we have to choose one when working on that level. What "feels right" is also important. We do have that gut instinct, you know. Just beginning in a ANP program, and excited about the adventure. I will have many questions for those of you who have traveled the course already.