College of Nursing, Washington State University, Pullman.
The author reports no conflicts of interest. The author alone is responsible for the content and writing of this article.
Correspondence related to content to: Merry Armstrong, MSN, DNSc, PMHNP-BC, College of Nursing, Washington State University, 412 E. Spokane Falls Blvd., Spokane, WA 99202. E-mail: Armstrong@wsu.edu