NOT title . only guide by questions

1.  How much time do you think is appropriate for an APN to spend with a patient and their family on the initial encounter?  

2.   do you think communication is being an important and vital process to developing a trusting and therapeutic relationship. 

 3. Do you think  direct clinical practice is the central competency of the seven core competencies for advanced practice nurses 

 4.  When confronted with an ethical dilemma, what do you think is the first step to make? Do you consult the team right away?

I need 4 separated word message for each question. Should be at least 120 words for each question. Not need APA format. Only answer the questions. Please must include at least 4 references. one reference for each of the question.