Write a 3- to 5-page paper about how your state’s practice act encourages or discourages quality and effective patient care for a patient with comorbid conditions.
Consider this case:
A 35-year-old African-American male reports trouble with sleep for over 3 months. He has trouble both falling and staying asleep. He has increased his drinking habits at night to try and increase his sleepiness before bed. He states he is drinking 1–2 beers every night before bed. He also states he has a history of depression that was successfully treated with Prozac for 4 years. He has not been on medication for the last 24 months and states that his depression has been somewhere from a 1–2 on a 0–10 scale with 10 being the worst. He denies SI/HI, and A/VH. However, he does state an increase in anxiety when he does not sleep. He states he feels fidgety and out of it during the day. His vitals for today’s visit are:
• 9
• HR72
• 1BP47/82
• R20
• Wt192
• Ht5’9”
• BMI: 28
Your paper should include:
• Title page (APA)
• Introduction to your state’s NP practice:California
• Discussion of how the NP practice laws in your state affect patient care
• Specific case and how it is affected by your state’s practice act
• Conclusion
Include at least three scholarly articles, in addition to your textbooks.
Paper must be in APA format including, reference page, cover page, in-text citations, and overall paper format.

Journal #4
For each assessment tool you select, you will identify an instrument and do the following:
• Identify a scholarly, peer-reviewed article that addresses the use of the instrument.
• Discuss if the instrument is appropriate for diagnosing the condition it is designed to assess or if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder.
• Describe whether the instrument can be used to measure patient response to therapy/treatment.
• Discuss the psychometrics/scoring of the instrument, including reliability and validity.
• Discuss any limitations associated with the use of the instrument.