Advanced Diabetes Management, Nurse Practitioner Version, Board Certification Exam Content Outline

This is a computer-based test (CBT)

There are 175 questions on this examination. Of these, 150 are scored questions and 25 are nonscored pretest questions. Questions are pretested to determine how well they perform before they are used in the scored portion of the examination. The pretest questions cannot be distinguished from those that will be scored, so it is important that a candidate answer all questions. However, a candidate's score is based solely on the 150 scored questions. Performance on pretest questions does not affect a candidate's score.

This Test Content Outline identifies the areas that are included on the examination. The percentage and number of questions in each of the major categories of the scored portion of the examination are also shown.

Test Content Outline

1. Clinical Practice
   1. Assessment and data collection
      1. Therapeutic communication
      2. History and physical examination (diabetes-specific and/or comprehensive)
         1. Medical and family history
         2. Physical findings
         3. Drug therapy (i.e., prescription, over-the-counter, and herbal drugs; drug allergies; and compliance)
         4. Medical nutrition therapy
         5. Developmental and mental status
         6. Functional assessment
         7. Cultural, ethnic, and lifestyle assessment
         8. Diabetes self-care skills and behavior
         9. Complications and risks
      3. Health care resources assessment (e.g., insurance, health care team)
      4. Diagnostic tests, procedures, and evaluations
   2. Diagnosis/problem identification
      1. Pathophysiology and analysis of diagnostic tests
      2. Problem list
   3. Planning and intervention
      1. Identification and negotiation of expected outcomes
      2. Pharmacotherapy options and interventions
         1. Selection, initiation, and adjustment of pharmacotherapy
         2. Medication delivery systems
         3. Acute diabetes problems
         4. Chronic complications of diabetes
         5. Comorbid complications of diabetes (e.g., hyperlipidemia, hypertension)
         6. Other health-related conditions (e.g., pregnancy, thyroid conditions, celiac disease, cystic fibrosis, human immunodeficiency virus [HIV] infection)
         7. Preventive interventions (e.g., aspirin, angiotensin-converting enzyme [ACE] inhibitors)
      3. Nonpharmacologic and lifestyle options and interventions
         1. Medical nutrition therapy
         2. Exercise
         3. Cessation of substance abuse (e.g., alcohol, tobacco, drugs)
         4. Mental health issues (e.g., stress management, depression)
         5. Obesity management
      4. Plan of care
      5. Self-management education (e.g., teaching/learning and change strategies)
      6. Outcomes monitoring (e.g., clinical, behavioral, economic, quality of life)
2. Collaboration
   1. Clinical coordination and case management
      1. Referrals
      2. Family, support system, and community resources
      3. Multidisciplinary health care teams
      4. Reimbursement
   2. Consultant role
      1. Focused intervention (e.g., drug, disease, or device problems)
      2. Drug information request (e.g., interactions, side effects)
3. Public and Community Health
   1. Public health trends and epidemiology
   2. National health initiatives
   3. Prevention strategies and programs
4. Research
   1. Identification of research problems
   2. Research design and methodology
   3. Study coordination
   4. Translation, dissemination, and utilization of research findings
5. Leadership and Professional Practice
   1. Organizational and management issues
      1. Patient care program development
      2. Team building and conflict resolution
      3. Staffing and resource management
      4. Financial management
      5. Health care delivery systems
      6. Marketing
      7. Technology and information systems (e.g., blood glucose meter and insulin pump downloading, data analysis and management)
   2. Continuous quality improvement
      1. Protocol development
      2. Outcomes monitoring
   3. Legal and ethical issues
      1. Informed consent
      2. Patient advocacy
      3. Other issues
   4. Scope and standards of practice
      1. Scope and Standards of Diabetes Nursing (American Nurses Association, American Association of Diabetes Educators, 1998, ANA Pub. No. 9808ST)
      2. Position Statement: the 1999 Scope of Practice for Diabetes Educators and the Standards of Practice for Diabetes Educators [The Diabetes Educator. May/June 2000; 26(3):519-525].
      3. Other
   5. Professional development
      1. Mentorship and preceptorship
      2. Continuing education and staff development
      3. Other activities (e.g., publishing, presentations)
   6. Regulatory, accreditation, recognition, and reimbursement programs and standards for institutions and providers
      1. Occupational, Safety, and Health Administration (OSHA)
      2. Medicare and Medicaid (CMS)
      3. Clinical Laboratory Improvement Amendments (CLIA) to the Public Health Service Act
      4. Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
      5. Health Plan Employer Data and Information Set (HEDIS)
      6. Diabetes Quality Improvement Project (DQIP)
      7. National Standards for Diabetes Self-Management Education
      8. Evidence-based clinical practice guidelines and recommendations
      9. Health Insurance Portability and Accountability Act (HIPAA)
      10. Other

This page last revised 1/24/2007.