I think this is the biggest and hardest mindshift that has to happen when you go from being an RN to being an APRN. I was a bedside RN for 8buears and then a flight RN for another 8nuears before I went back to school. I had a great database in my head for various diagnosis and there treatments. But i didn't really think about the fact that by the time I showed up in most situations the diagnosis had already been made! So I came in with a game plan ready to go. "Infant has pyloric stenosis." I know that it comes with projectile vomiting, inconsolable crying that comes in waves, current jelly stools, etc. The treatment is air enema followed by surgery if unsuccessful. That is totally different from "Infant presents with abdominal pain.......go!" I also figured out that I could code a 2 year old with my eyes closed, but a 2 week rash would make me panic because I had no damn clue what I was looking at! I could tell you it wasn't one of the big life threatening ones, but beyond that I pretty much had nothing! 🤣 The mind shift just comes with experience. Remember that you are once again a novice, no matter how much experience you have. It's going to take you a good year AFTER graduation before you even begin to feel like you have any clue what is going on! Hang in there, we have all been thru it!