Evolving for the Future NPs work independently, as well as in collaboration, with a variety of individuals to diagnose and manage clients’ health care problems. For example, a NP might be the only health care provider in a rural, underserved community. In this setting, the NP would function fairly independently, with physician consultants available when needed. Conversely, a NP might function autonomously while in a joint practice with a physician or group of physicians. In this setting, the physician(s) or NP provide initial care for clients. The NP would manage the care of clients with minor acute or stable chronic conditions. In this collaborative model, the NP and physician(s) would work together closely; and the NP would consult with the physician when necessary for elaboration and illustrations of autonomous and collaborative NP practice.