in this project the simulate intervention help increase the clinical judgment skills of all 20 participants, Psychiatric nurses consummated a pretest estimation of their information of care for veterans with diabetes. During the intervention stage a human patient simulator was to produced interactive scenario for joiner to offer a diagnosis and administer treatment. Clinical judgment ascribes were estimated during the simulation by mentors using a rubric (LCJR,Lasater,2007). Joiner then consummated a posttest estimation. In adjunction, data about medical transfer ratio of veterans with diabetes were supplied 1 month before and 1 month after plan realization