THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT, GENDER, ELDERLY AND

CHILDREN

DIRECTORATE OF HUMAN RESOURCE DEVELOPMENT

ASSESSMENT PLAN FOR ORDINARY DIPLOMA

(NTA LEVEL6)
IN NURSING AND MIDWIFERY

AUGUST 2020

DECEMBER, 2018
© Ministry of Health, Community Development, Gender, Elderly and Children, Department of Human Resources
2020, Dodoma, Tanzania

Assessment Plan NMT Level 6 Page ii

Table of Contents
Acronyms ............................................................................................................................................... v
Acknowledgement ..................................................................................... Error! Bookmark not defined.
1.0. Assessment Plan for NMT 06101.............................................................................................. 1
1.1. Introduction: ............................................................................................................................. 1
1.2. Enabling and Sub-Enabling Outcomes for NMT 06101 ........................................................... 1
1.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06101 ................................... 3
1.4. Examinations Instructions/Rubric for NMT 06101 .................................................................. 19
1.5. Continuous Assessment (CA) ................................................................................................ 19
1.6. Semester Examination (SE) .................................................................................................. 20
2.0. Assessment Plan for NMT 06102............................................................................................ 22
2.1. Introduction: ........................................................................................................................... 22
2.2. Enabling and Sub-Enabling Outcomes for NMT 06102 ......................................................... 24
2.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06102 ................................. 24
2.4. Examinations Instructions/Rubric for NMT 06102 .................................................................. 28
2.5. Continuous Assessment(CA) ................................................................................................. 28
2.6. Semester Examination(SE) ................................................................................................... 30
3.0. Assessment Plan for NMT 06103............................................................................................ 32
3.1. Introduction: ........................................................................................................................... 32
3.2. Enabling and Sub-Enabling Outcomes for NMT 06103 ......................................................... 33
3.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06103 ................................. 34
3.4. Examinations Instructions/Rubric for NMT 06103 .................................................................. 40
3.5. Continuous Assessment(CA) ................................................................................................. 40
3.6. Semester Examination(SE) ................................................................................................... 41
4.0. Assessment Plan for NMT 06104............................................................................................ 44
4.1. Introduction: ........................................................................................................................... 44
4.2. Enabling and Sub-Enabling Outcomes for NMT 06104 ......................................................... 45
4.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06104 ................................. 46
4.4. Examinations Instructions/Rubric for NMT 06104 .................................................................. 54
4.5. Continuous Assessment (CA) ................................................................................................ 54
4.6. Semester Examination (SE) .................................................................................................. 55
5.0. Assessment Plan for NMT 06105............................................................................................ 57
5.1. Introduction: ........................................................................................................................... 57
5.2. Enabling and Sub-Enabling Outcomes for NMT 06105 ......................................................... 58
5.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06105 ................................. 58
5.4. Examinations Instructions/Rubric for NMT 06105 .................................................................. 62
5.5. Continuous Assessment(CA) ................................................................................................. 62
5.6. Semester Examination(SE) ................................................................................................... 63
6.0. Assessment Plan for NMT 06106............................................................................................ 66
6.1. Introduction: ........................................................................................................................... 66
6.2. Enabling and Sub-Enabling Outcomes for NMT 06106 ......................................................... 67
6.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06106 ................................. 67
6.4. Examinations Instructions/Rubric for NMT 06105 .................................................................. 69
6.5. Continuous Assessment(CA) ................................................................................................. 69
6.6. Semester Examination(SE) ................................................................................................... 70
7.0. Assessment Plan for NMT 06207............................................................................................ 72

Assessment Plan NMT Level 6 Page iii

7.1. Introduction: ........................................................................................................................... 72
7.2. Enabling and Sub-Enabling Outcomes for NMT 06207 ......................................................... 73
7.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06207 ................................. 75
7.4. Examinations Instructions/Rubric for NMT 06204 ................................................................ 103
7.5. Continuous Assessment(CA) ............................................................................................... 104
7.6. Semester Examination(SE) ................................................................................................. 105
8.0. Assessment Plan for NMT 06208.......................................................................................... 107
8.1. Introduction: ......................................................................................................................... 107
8.2. Enabling and Sub-Enabling Outcomes for NMT 06208 ....................................................... 108
8.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06208 ............................... 108
8.4. Examinations Instructions/Rubric for NMT 06208 ................................................................ 114
8.5. Continuous Assessment (CA) .............................................................................................. 114
8.6. Semester Examination (SE) ................................................................................................ 115
9.0. Assessment Plan for NMT 06209.......................................................................................... 118
9.1. Introduction: ......................................................................................................................... 118
9.2. Enabling and Sub-Enabling Outcomes for NMT 06209 ....................................................... 119
9.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06209 ............................... 120
9.4. Examinations Instructions/Rubric for NMT 06209 ................................................................ 133
9.5. Continuous Assessment (CA) .............................................................................................. 133
9.6. Semester Examination (SE) ................................................................................................ 134
10.0. Assessment Plan for NMT 06210.......................................................................................... 137
10.1. Introduction: ......................................................................................................................... 137
10.2. Enabling and Sub-Enabling Outcomes for NMT 06210 ....................................................... 138
10.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06210 ............................... 138
10.4. Examinations Instructions/Rubric for NMT 06210 ................................................................ 142
10.5. Continuous Assessment (CA) .............................................................................................. 143
10.6. Semester Examination (SE) ................................................................................................ 144
11.0. Assessment Plan for NMT 06211.......................................................................................... 146
11.1. Introduction: ......................................................................................................................... 146
11.2. Enabling and Sub-Enabling Outcomes for NMT 06104 ....................................................... 147
11.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06104 ............................... 148
11.4. Examinations Instructions/Rubric for NMT 06104 ................................................................ 153
11.5. Continuous Assessment (CA) .............................................................................................. 154
11.6. Semester Examination (SE) ................................................................................................ 155

Assessment Plan NMT Level 6 Page iv

Acronyms
ADLs activities of daily living
CA Continuous Assessment
CDC Center for Disease Control
CCF Congestive Cardiac Failure
CVA Cerebral Vascular Accident
CHRD Coordinator Human Resource Development
CBET Competence Based Education Training
DIC Disseminated Intravascular Coagulopathy
ECT Electroconvulsive Therapy
HELLP haemolysis elevated liver enzymes and low platelets count
HRH Human Resources for Health
IUGR Intrauterine Growth Restriction
IV Intravenous Fluid
KCMC Kilimanjaro Christian Medical College
MVA manual vacuum aspiration
MOHCDGEC Ministry of Health, Community Development, Gender
MUHAS Muhimbili University of Health and Allied Sciences
NACTE National Council for Technical Education
NMT Nursing and Midwifery Training
NTA National Technical Award
PPH Post-Partum Haemorrhage
PVE Per-Vaginal Examination
PROM Premature Rupture of Membrane
PTB Pulmonary Tuberculosis
OSCE Objective Structured Clinical Examination
OSPE Objective Structured Practical Examination
OPP Occipital Posterior Position
SE Semester Examination
UTIs Urinary Tract Infections
WHO World Health Organization

Assessment Plan NMT Level 6 Page v

Assessment Plan NMT Level 6 Page vi
1.0. Assessment Plan for NMT 06101
Module Name: Care of a Woman with Abnormal Pregnancy, Labour and Puerperium

Qualification: NTA Level 6 - Ordinary Diploma in Nursing and Midwifery

1.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module named (NMT 06101) Care of a Woman with
Abnormal Pregnancy, Labour and Puerperium was under the close guidance by the National
Council for Technical Education (NACTE) so as to ensure that the plan meets the required qualification
standards set by the regulatory authority. Assessment plan is one of the tools that are required during
the implementation of the competence based education and training (CBET) curricula.
The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application The holder of the qualification will be able to apply skills and
knowledge in a broader range of activities, some of which are non-routine and be able to assume
operational responsibilities
The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Ordinary Diploma in Nursing
and Midwifery (NTA Level 6) which contained in the Curriculum information for Ordinary Diploma
Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in use until
when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes and the
other is for specification of competences. The latter has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/ rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module.
This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum.

Assessment Plan NMT Level 6 Page 1

1.2. Enabling and Sub-Enabling Outcomes for NMT 06101
Enabling Outcomes (Ability to……..) Sub-Enabling Outcomes (Ability to……)
2.1 Utilize guidelines, standards and protocols 2.1.1. Provide care to a pregnant woman with
of bleeding conditions due to abortion, ectopic
midwifery in the provision of care to a pregnancy and hydatidiform mole according
woman with abnormal pregnancy to standards
2.1.2. Provide care to a pregnant woman with
antepartum Haemorrhage (placenta praevia
and abruption) according to guidelines and
protocols
2.1.3. Provide care to a pregnant woman with
Urinary Tract Infections (UTIs) and syphilis
according to protocols and guidelines
2.1.4. Provide care to a pregnant woman with
anaemia, cardiac diseases and diabetes
mellitus according to standards and
protocols
2.1.5. Provide care to a pregnant woman with
Pulmonary Tuberculosis (PTB) and malaria
according to protocols and guidelines
2.1.6. Provide care to a pregnant woman with
disorders of amniotic fluid according to
guidelines and standards
2.1.7. Provide care to a pregnant woman with
hypertensive disorders of pregnancy
according to guidelines and standards
2.1.8. Provide care to a pregnant woman with
hyperemesis gravidarum according to
standards and guidelines
2.2 Utilize standards and protocols of midwifery 2.2.1. Provide care to a woman with abnormal
in the provision of care to a woman with uterine action according to standards and
abnormal labour guidelines
2.2.2. Provide care to a woman with prolonged
labour according to standards and
guidelines
2.2.3. Provide care to a woman with obstructed
labour according to standards and
protocols
2.2.4. Provide care to a woman with precipitate
labour according to standards
2.2.5. Conduct vacuum extraction delivery
according to standards and guidelines
2.2.6. Provide care to a woman undergoing

Assessment Plan NMT Level 6 Page 1

 Enabling Outcomes (Ability to……..) Sub-Enabling Outcomes (Ability to……)
caesarean section according to standards
and protocols
2.2.7. Provide care to a woman during induction,
augmentation and trial of labour according
to standards and guidelines
2.2.8. Provide care to a woman with preterm
labour and premature rupture of
membranes according to standards
2.3 Utilize guidelines and standards of midwifery 2.3.1. Provide care to a woman with breech
in the provision of care to women with foetal presentation according to standards
malpresentation, malposition and multiple 2.3.2. Provide care to a woman with face
pregnancy presentation according to standards
2.3.3. Provide care to a woman with brow
presentation according to standards
2.3.4. Provide care to a woman with shoulder
presentation according to standards
2.3.5. Provide care to a woman with unstable lie
and compound presentation according to
standards
2.3.6. Provide care to a woman with occipital
posterior position according to standards
2.3.7. Provide care to a woman with multiple
pregnancy according to standards
2.5 Utilize guidelines and standards of 2.5.1. Provide care to a woman with puerperal
midwifery in the provision of care to a sepsis according to standards and
woman with abnormal puerperium guidelines
2.5.2. Provide care to a woman with puerperal
psychosis according to guidelines and
protocols
2.5.3. Provide care to a woman with breast
infections according to guidelines and
protocols
2.5.4. Provide care to a woman with sub-
involution of uterus according to guidelines
and protocols
2.5.5. Provide care to a woman with venous
thrombosis according to guidelines and
protocols
2.5.6. Provide care to a woman with urine
incontinence according to guidelines and
protocols

Assessment Plan NMT Level 6 Page 2

1.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06101
Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
2.1.1. Provide care to a pregnant woman with
bleeding conditions due to abortion,
ectopic pregnancy and hydatidiform
mole according to standards
Related Tasks:
a) Define abortion, ectopic pregnancy and  
hydatidiform mole
b) State causes of abortion, ectopic  
pregnancy and hydatidiform mole
c) Explain signs and symptoms of abortion,  
ectopic pregnancy and hydatidiform mole
d) Explain the classifications of abortion,  
ectopic pregnancy and hydatidiform mole
e) Explain complications of abortion, ectopic  
pregnancy and hydatidiform mole
f) Conduct assessment of a woman with  
bleeding in early pregnancy
g) Counsel a woman with bleeding in early  
pregnancy
h) Give conservative care to a woman with  
threatened abortion
i) Give care to a woman with ectopic  
pregnancy
j) Perform manual vacuum aspiration (MVA)  
for incomplete abortion
k) Give care to a woman with hydatidiform  
mole
l) Refer a woman with complicated condition  
Sub-enabling outcome
2.1.2. Provide care to a pregnant woman with
antepartum Haemorrhage (placenta
praevia and abruption) according to

Assessment Plan NMT Level 6 Page 3

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
guidelines and protocols
Related Tasks:
a) Define ante partum haemorrhage  
b) Describe placenta praevia  
c) Describe placenta abruption  
d) Outline the complications associated with  
placenta praevia and abruption placenta
e) Monitor Maternal and Fetal Conditions  
f) Assess amount of blood loss  
g) Give conservative management to a  
patient with placenta praevia
h) Prepare a woman for caesarean section  
Sub-enabling outcome
2.1.3. Provide care to a pregnant woman with
Urinary Tract Infections (UTIs) and
syphilis according to protocols and
guidelines
Related Tasks:
a) Explain the impact of UTIs and syphilis in  
pregnancy
b) Outline risk factors of UTIs and syphilis  
c) Detect signs and symptoms of UTIs and  
syphilis in pregnancy
d) Teach a pregnant woman on prevention of  
UTI and syphilis
e) Monitor maternal and foetal conditions  
Sub-enabling outcome
2.1.4. Provide care to a pregnant woman with
anaemia, cardiac diseases and
diabetes mellitus according to
standards and protocols
Related Tasks:
a) Define anaemia in pregnancy, cardiac  
diseases and diabetes mellitus

Assessment Plan NMT Level 6 Page 4

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
b) Explain the impact of anaemia, cardiac  
diseases and diabetes mellitus to a
pregnant woman and foetus
c) State factors contributing to anaemia and  
gestational diabetes in pregnancy
d) Examine a pregnant woman to rule out  
anaemia in pregnancy
e) Carry out Haemoglobin test to determine  
the severity of anaemia
f) Administer routine medicine for prevention  
of anaemia
g) Administer haematenics for treatment of  
mild to moderate anaemia
h) Teach a pregnant woman on prevention of  
anaemia
i) Prepare women with cardiac disease  
and/or diabetes for ultrasound examination
to confirm gestational age and detect
abnormalities.
j) Monitor blood glucose levels  
k) Administer insulin according to guideline  
l) Advice a pregnant woman with diabetes  
on nutrition
m) Help the woman with cardiac diseases  
and/or diabetes to control obesity
Sub-enabling outcome
2.1.5. Provide care to a pregnant woman with
Pulmonary Tuberculosi s (PTB) and
Malaria according to protocols and
guidelines
Related Tasks:
a) Explain the impact of Pulmonary  
Tuberculosis (PTB) and malaria in
pregnancy

Assessment Plan NMT Level 6 Page 5

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
b) Teach a pregnant woman with PTB on  
nutrition
c) Counsel a pregnant woman on adherence  
to medication
d) Teach a pregnant woman on prevention of  
PTB and malaria
e) Treat uncomplicated malaria  
f) Give pre referral management in severe  
malaria in pregnancy
g) Administer anti TB to a pregnant woman  
using direct observed therapy
h) Give adequate fluid to prevent dehydration  
i) Monitor maternal and foetal conditions  
Sub-enabling outcome
2.1.6. Provide care to a pregnant
woman with disorders of amniotic fluid
according to guidelines and standards
Related Tasks:  
a) Define polyhydramnios and
oligohydramnios
b) State causes and predisposing factors of  
polyhydramnios
c) Explain the diagnostic measures for  
polyhydramnios
d) State the complications associated with  
polyhydramnios
e) Explain the diagnostic measures for  
oligohydramnios
f) State causes and predisposing factor of  
oligohydramnios
g) State the complications associated with  
oligohydramnios
h) Test for polyhydramnios and  
oligohydramnious

Assessment Plan NMT Level 6 Page 6

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
i) Refer a woman with polyhydramnios and  
oligohydramnious for further management
Sub-enabling outcome
2.1.7. Provide care to a pregnant woman with
hypertensive disorders of pregnancy
according to Guidelines and standards
Related Tasks:
a) Define hypertensive disorders of  
pregnancy
b) Describe different classes of hypertensive  
disorders of pregnancy
c) Explain etiology of hypertensive disorders  
of pregnancy
d) Explain pathophysiology of hypertensive  
disorders of pregnancy
e) Explain signs and symptoms of imminent  
eclampsia
f) Describe haemolysis elevated liver  
enzymes and low platelets count (HELLP)
syndrome
g) Identify principles of managing eclampsia  
h) Assess a woman to diagnose hypertensive  
disorders of pregnancy
i) Give care to a pregnant woman with mild  
preeclampsia during antenatal
j) Give care to a pregnant woman with  
severe preeclampsia during antenatal
k) Give care to a pregnant woman with pre-  
eclampsia during intra-partum
l) Give care to a pregnant woman with  
eclampsia
Sub-enabling outcome
2.1.8. Provide care to a pregnant woman with
hyperemesis gravidarum according to

Assessment Plan NMT Level 6 Page 7

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
standards and guidelines
Related Tasks:
a) Define hyperemesis gravidarum  
b) Explain etiology and diagnosis of  
hyperemesis gravidarum
c) Outline signs and symptoms of  
hyperemesis gravidarum
d) Asses a pregnant woman with  
hyperemesis gravidarum
e) Give care to a pregnant woman with  
hyperemesis gravidarum
Sub-enabling outcome
2.2.1. Provide care to a woman with abnormal
uterine action according to standards
and guidelines
Related Tasks:
a) Define abnormal uterine action  
b) Describe types of abnormal uterine action  
c) Describe causes of abnormal uterine  
action
d) Assess uterine contraction  
e) Monitor maternal and foetal condition  
f) Perform vaginal examination to determine  
the progress of labour
g) Administer analgesics for pain relief  
Sub-enabling outcome
2.2.2. Provide care to a woman with
prolonged labour according to
standards and guidelines
Related Tasks:
a) Define prolonged labour  
b) Explain prolonged first stage of labour  
c) State the possible causes of prolonged  
first stage of labour

Assessment Plan NMT Level 6 Page 8

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
d) Describe prolonged second stage of  
labour
e) State causes of prolonged second stage  
of labour
f) Assess a woman to diagnose prolonged  
labour
g) Give care to a woman with prolonged  
labour
h) Prepare the woman for caesarean section  
if no progress despite good uterine
contraction
Sub-enabling outcome
2.2.3. Provide care to a woman with
obstructed labour according to
standards and protocols
Related tasks
a) Define obstructed labour  
b) List causes of obstructed labour  
c) Identify signs and symptoms of obstructed  
labour
d) Explain prevention of obstructed labour  
e) State complications of obstructed labour  
f) Give IV drip with a large needle or cannula  
g) Administer antibiotics  
h) Prepare the woman for caesarean section  
Sub-enabling outcome
2.2.4. Provide care to a woman with
precipitate labour according to
standards
Related tasks:
a) Define precipitate labour  
b) Explain causes of precipitate labour  
c) Identify signs and symptoms of precipitate  

Assessment Plan NMT Level 6 Page 9

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
labour
d) Explain complications of precipitate labour  
e) Monitor maternal and foetal condition  
f) Monitor progress of labour  
g) Help the woman to adopt comfortable  
position
Sub-enabling outcome
2.2.5. Conduct vacuum extraction delivery
according to standards and guidelines
Related tasks:
a) Define vacuum extraction  
b) Explain indications and contraindications  
for vacuum extraction.
c) Outline preconditions for using a vacuum  
extraction
d) State the complications of vacuum  
extraction
e) Prepare equipment for vacuum extraction  
f) Inform the woman about the procedure  
g) Help the woman to adopt comfortable  
position
h) Perform vaginal examination to ensure  
correct positioning for the cap
i) Create vacuum negative pressure  
j) Apply traction to deliver the head  
k) Release the pressure when the head is  
delivered
l) Conduct delivery of the baby  
Sub-enabling outcome
2.2.6. Provide care to a woman undergoing
caesarean section according to
standards and protocols
Related Tasks:

Assessment Plan NMT Level 6 Page 10

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
a) Define caesarean section  
b) Explain types of caesarean section  
c) Explain indications for caesarean section  
d) Monitor vital signs  
e) Give pre-operative care  
f) Give post-operative care  
Sub-enabling outcome
2.2.7. Provide care to a woman during
induction, augmentation and trial of
labour according to standards and
guidelines
Related Tasks:
a) Define induction, augmentation and trial of  
labour
b) Explain indications and contraindications  
for induction of labour.
c) Explain methods of induction of labour.  
d) Perform pre induction assessment  
e) Induce labour  
f) Monitor titration rate according to  
standard
g) Monitor contraction  
h) Monitor the progress of labour  
Sub-enabling outcome
2.2.8. Provide care to a woman with preterm
labour and premature rupture of
membranes according to standards
Related Tasks:
a) Define preterm labour and Premature  
Rupture of Membrane (PROM)
b) Explain causes of preterm labour and  
PROM
c) Explain signs and symptoms of preterm  

Assessment Plan NMT Level 6 Page 11

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
labour and PROM
d) Explain complications of preterm labour  
and PROM
e) Take medical, social and obstetric history  
f) Perform abdominal examination  
g) Monitor foetal and maternal conditions  
h) Give conservative management to a  
woman with preterm labour and PROM
i) Monitor cervical dilatation every 4 hours  
j) Prepare resuscitation equipment for the  
preterm baby
k) Conduct delivery using appropriate  
techniques
Sub-enabling outcome
2.3.1. Provide care to a woman with breech
presentation according to standards
Related Tasks:
a) Define breech presentation  
b) Explain types of breech presentation  
c) Describe causes of breech presentation  
d) Explain mechanism of breech delivery  
e) Outline complications of breech delivery  
f) Assess for breech presentation  
g) Give care to the woman during first stage  
of labour
h) Conduct spontaneous breech delivery  
i) Conduct delivery of the extended legs  
j) Conduct delivery of the extended arms  
k) Conduct delivery of the extended head  
l) Give management in 3rd and 4th stage of  
labour
Sub-enabling outcome
2.3.2. Provide care to a woman with face

Assessment Plan NMT Level 6 Page 12

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
presentation according to standards
Related Tasks:
a) Define face presentation  
b) Describe causes of face presentation  
c) Explain mechanism of face presentation  
d) Explain the course and outcome of labour  
in face presentation
e) Describe complications of face  
presentation
f) Assess for face presentation  
g) Give care to the woman during first stage  
of labour
h) Deliver the head  
i) Give care during 3rd and 4th stage of  
labour
Sub-enabling outcome
2.3.3. Provide care to a woman with brow
presentation according to standards
Related Tasks:
a) Define brow presentation  
b) Explain causes of brow presentations  
c) Explain complications of brow  
presentation
d) Assess for brow presentation during  
labour
e) Give pre and post-operative  
Sub-enabling outcome
2.3.4. Provide care to a woman with shoulder
presentation according to standards
Related Tasks:
a) Define shoulder presentation  
b) Explain causes of shoulder presentation  
c) Outline complications of shoulder  

Assessment Plan NMT Level 6 Page 13

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
presentation
d) Assess for shoulder presentation  
e) Give pre and post-operative care to the  
woman
Sub-enabling outcome
2.3.5. Provide care to a woman with unstable
lie and compound presentation
according to standards
Related Tasks:
a) Define unstable lie and compound  
presentation
b) Explain causes of unstable lie and  
compound presentation
c) Explain complications of unstable lie and  
compound presentation
d) Assess for unstable lie and compound  
presentation
e) Give pre and post-operative care  
Sub-enabling outcome
2.3.6. Provide care to a woman with occipital
posterior position according to
standards
Related Tasks:
a) Define Occipital Posterior Position (OPP)  
b) Explain causes of OPP c) Explain signs  
and symptoms of OPP
c) Explain the mechanism of OPP e) Explain  
the course and outcome of labour
d) Outline complications of OPP  
e) Assess for OPP  
f) Give general care to the woman during  
first stage of labour
g) Deliver the baby  
h) Give care to the woman with deep  

Assessment Plan NMT Level 6 Page 14

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
transverse arrest
i) Give management in 3rd and 4th stage of  
labour
Sub-enabling outcome
2.3.7. Provide care to a woman with multiple
pregnancy according to standards
Related Tasks:
a) Define the term multiple pregnancy  
b) Explain types of multiple pregnancy  
c) Explain complications associated with  
multiple pregnancy
d) Assess for twin pregnancy  
e) Give care of labour  
f) Perform Per-Vaginal Examination (PVE)  
to confirm the presenting part
g) Deliver first twin  
h) Perform abdominal examination and PVE  
to confirm the second twin
i) Deliver second twin  
j) Give care in 3rd and 4th stage of labour.  
Sub-enabling outcome
2.5.1. Provide care to a woman with puerperal
sepsis according to standards and
guidelines
Related Tasks:
a) Define puerperal sepsis  
b) Outline predisposing factors of puerperal  
sepsis
c) Identify causative organisms of puerperal  
sepsis
d) Explain signs and symptoms of puerperal  
sepsis
e) Give general nursing care to a woman  
with puerperal sepsis

Assessment Plan NMT Level 6 Page 15

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
f) Administer analgesics, antipyrexia, and  
antibiotics
g) Perform vulva hygiene  
h) Monitor vital signs  
i) Give health talk  
Sub-enabling outcome
2.5.2. Provide care to a woman with puerperal
psychosis according to guidelines and
protocols
Related Tasks:
a) Define puerperal psychosis  
b) Explain the a etiological factors of  
puerperal psychosis
c) Outline clinical features of a woman with  
puerperal psychosis
d) Give general nursing care to a woman  
with puerperal psychosis
e) Perform mental status evaluation  
f) Give antipsychotic drugs 
g) Protect woman and baby from harm  
h) Monitor behaviour  
i) Give emotional support to relatives  
j) Refer the woman and baby for further  
management
Sub-enabling outcome
2.5.3. Provide care to a woman with breast
infections according to guidelines and
protocols
Related Tasks:
a) Define breast infection and mastitis  
b) Identify causes of breast infections  
c) Explain two types of mastitis  
d) Explain preventive measures of mastitis  

Assessment Plan NMT Level 6 Page 16

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
e) Explain complications of breast infections  
f) Give nursing care to a woman with  
breast infections
g) Apply hot or cold compresses to the  
affected breast
h) Administer analgesics, antibiotics  
i) Refer the woman for simple needle  
aspiration or incision and drainage
j) Teach the woman on prevention of  
breast infections
Sub-enabling outcome
2.5.4. Provide care to a woman with sub-
involution of uterus according to
guidelines and protocols
Related Tasks:
a) Define sub- involution  
b) Outline causes of subinvolution of uterus  
c) Outline signs and symptoms of a woman  
with uterine sub-involution
d) State complications of uterine sub-  
involution
e) Give nursing care to a woman with uterine  
subinvolution
f) Catheterize the woman  
g) Massage the uterus  
h) Expel blood clots  
i) Give antibiotics  
j) Give oxytocic drugs  
k) Refer the woman for evacuation of the  
uterus
Sub-enabling outcome
2.5.5. Provide care to a woman with venous
thrombosis according to guidelines and
protocols

Assessment Plan NMT Level 6 Page 17

 Tasks assessed under
Sub-enabling Outcomes and Related Task Competence to be Continuous
Assessed Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Related Tasks:
a) Define venous thrombosis,  
thrombophlebitis, phlebothrombosis and
pulmonary embolism
b) Outline predisposing factors for venous  
thrombosis
c) Identify signs and symptoms of venous  
thrombosis
d) Give anti-embolism stocking  
e) Elevate the legs  
f) Administer analgesics  
g) Administer anticoagulants  
h) Instruct the woman to perform leg  
exercises
i) Refer the woman for further management  
Sub-enabling outcome
2.5.6. Provide care to a woman with urine
incontinence according to guidelines
and protocols
a) Define urine incontinence, stress  
incontinence and vesico-vagina fistula
b) Identify redisposing factors of urine  
incontinence
c) Outline signs and symptoms of urine  
incontinence
d) Assess the woman with urine incontinence  
e) Refer to physiotherapist for pelvic floor  
muscles exercise and bladder training
f) Refer the woman for operative repair  
g) Perform postnatal check-up  
149 91

Assessment Plan NMT Level 6 Page 18

1.4. Examinations Instructions/Rubric for NMT 06101
This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nurses and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment (CA) and Semester
Examination (SE). Continuous assessment will be conducted throughout the semester and shall
contribute 40% of the module weight. Each component of both continuous assessment and Semester
Examination will be graded into 100%. All results will be uploaded into a system which converts the
grades into specific appropriate weight of the assessment. The Semester Examination shall be
conducted at the end of a module and contribute 60% of the module weight be graded into 100% that
will be uploaded in system.
1.5. Continuous Assessment (CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be five (5)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight
1. Written tests which shall contribute 10%
2. Assignments report which shall contribute 05%
3. Practical Examination OSCE/OSPE 10%
4. Case study 05%
5. Practical procedure book 05%
6 Delivery books 05%
TOTAL 40%

1.5.1. Duration of assessments

The duration of each written test shall be NOT more than 2½ hours, and that of practical examination
shall be not be more than one hour.
1.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written tests. The continuous written assessment tests shall have five
sections; A, B, C, D and E
S/N Description Assessment Type Marks for Total Marks
each item
1. Section A 20 Multiple Choice Questions 01 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

In all sections candidates shall be required to answer ALL questions.

b) Practical test Oral tests
There shall be one Practical test OSCE/OSPE with total of 100% which shall be converted to 10%.
c) Written Assignments

Assessment Plan NMT Level 6 Page 19

The student shall be required to submit at least two individual written assignments each comprising
total of 100% which shall be converted to 05%.
d) Portfolio (case study)
Students will be required to have portfolio with at least two (2) case studies each comprising fifty marks
(50) marks. The total shall be converted to 05%.
Practical procedure book
Students will be required to have a well signed practical procedures books according to the stipulated
competences. It will contribute 05% of the continuous assessment.
e) Delivery book
Students will be required to have a well signed delivery books according to the stipulated
competences. It will contribute 05% of the continuous assessment.
1.6. Semester Examination (SE)
1.6.1. Weight
The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
a) Written examination which shall contribute 25% of the SE weight
b) Clinical examination which shall contribute 35% of the SE weight

1.6.2. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.
1.6.3. Number of questions, marks distributions and sections
Written examination
S/N Description Assessment Type Marks for each Total Marks
item
1. Section A 20 Multiple Choice 1 20
Questions with four (4)
options
2. Section B 10 True/False 00½ 05
Questions
3. Section C 10 Matching Item 00½ 05
Questions
4. Section D 10 Short answer 01 10
Questions
5. Section E Three (3) Essay 20 60
Questions
TOTAL 100

In all sections candidates shall be required to answer ALL questions.

a) Clinical Examination
There shall be one Clinical Examination with total of 100% which shall be converted to 40%. The
scoring shall be guided by the rating scale.

Assessment Plan NMT Level 6 Page 20

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,
GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06101 CARE OF A WOMAN WITH ABNORMAL PREGNANCY,

LABOUR AND PUERPERIUM

END OF SEMESTER I EXAMINATION

CANDIDATE NUMBER…………………..

TIME: 2½ HOURS DATE:

Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 21

2.0. Assessment Plan for NMT 06102

Module Name: Care of a Woman with Obstetric Emergency Conditions

Qualification: NTA Level 6 – Ordinary Diploma in Nursing and Midwifery

2.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module NMT 06102 Care of a Woman with Obstetric
Emergency Conditions was under the close guidance by the National Council for Technical Education
(NACTE) so as to ensure that the plan meets the required qualification standards set by the regulatory
authority. Assessment plan is one of the tools that are required during the implementation of the
competence based education and training (CBET) curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application of knowledge and skills .The holder of the qualification will be
able to apply skills and knowledge in a broader range of activities, some of which are non-routine and
be able to assume operational responsibilities.

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Basic Technician Certificate
in Nursing and Midwifery (NTA Level 4) which contained in the Curriculum information for Ordinary
Diploma Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in
use until when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes; and the
other is for specification of competences. The later has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates when the task shall be
assessed in both. A task that has lower level competences shall be assessed during the Continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the

Assessment Plan NMT Level 6 Page 22

Semester examination (SE). Assessors shall focus on those core areas of competences as stipulated in
the curriculum.

Assessment Plan NMT Level 6 Page 23

2.2. Enabling and Sub-Enabling Outcomes for NMT 06102
Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
2.4. Employ principles and standards of 2.4.1. Describe concepts of obstetric emergency
obstetric emergency in the provision of in relation to midwifery practice
care to a pregnant woman with obstetric 2.4.2. Provide care to a woman in labour with
emergency cord presentation and prolapse according
to guidelines and standards
2.4.3. Provide care to a woman with amniotic
fluid embolism and Disseminated
Intravascular Coagulopathy (DIC)
according to guidelines and standards
2.4.4. Provide care to a woman with ruptured
uterus according to guidelines and
protocols
2.4.5. Provide care to a woman in labour with
shoulder dystocia according guidelines
and standards
2.4.6. Provide care to a woman with acute
inversion of the uterus according to
guidelines and protocols
2.4.7. Provide care to a woman with Post-
Partum Haemorrhage (PPH) according to
guidelines and protocols
2.4.8. Provide care to a woman with obstetric
shock according to guidelines and
protocols

2.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06102

Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Examination
Wider attributes
Understanding
Knowledge

Skills

CA = 40% SE= 60%

Assessment Plan NMT Level 6 Page 24

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE= 60%
Sub-enabling outcome
2.4.1. Describe concepts of obstetric
emergency in relation to midwifery
practice
Related Tasks:
a) Define obstetric emergency √ √
b) Identify types of obstetric emergency √ √
c) Explain the aims of obstetric emergency √ √
Sub-enabling outcome
2.4.2. Provide care to a woman in labour with
cord presentation and prolapse
according to guidelines and standards
Related Tasks:
a) Define cord presentation and cord prolapse √ √
b) Explain predisposing factors of cord √ √
presentation and cord prolapse
c) Explain complications of cord presentation √ √
and cord prolapse
d) Assess for cord presentation and cord √ √
prolapse
e) Give care to the woman with cord √ √
presentation
f) Give immediate care to a woman with cord √ √
prolapse
g) Decide on mode of deliver √ √
Sub-enabling outcome
2.4.3. Provide care to a woman with amniotic
fluid embolism and Disseminated
Intravascular Coagulopath y (DIC)
according to guidelines and standards
Related Tasks:
a) Define amniotic fluid embolism and DIC √ √
b) Explain predisposing factors of amniotic √ √

Assessment Plan NMT Level 6 Page 25

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE= 60%
fluid embolism and DIC
c) Outline signs and symptoms of amniotic √ √
fluid embolism and DIC
d) Explain the complications of amniotic fluid √ √
embolism and DIC
e) Give immediate care to a woman with √ √
amniotic fluid embolism
f) Observe signs of bleeding from different √ √
parts of the body for patient with DIC
g) Collect blood specimen for HB, Grouping √ √
and cross matching for patient with DIC
h) Give pre referral management √ √
Sub-enabling outcome
2.4.4. Provide care to a woman with ruptured
uterus according to guidelines and
protocols
Related Tasks:
a) Define ruptured uterus √ √
b) Explain the types of ruptured uterus √ √
c) Outline the causes of rupture of uterus √ √
d) Identify signs of rupture of uterus √ √
e) Give pre and post-operative care to the √ √
woman with raptured uterus
Sub-enabling outcome
2.4.5. Provide care to a woman in labour with
shoulder dystocia according guidelines
and standards
Related Tasks:
a) Define shoulder dystocia √ √
b) Outline risk factors of shoulder dystocia √ √
c) Outline causes of shoulder dystocia √ √
d) Explain warning signs of shoulder dystocia √ √
e) Explain complications of shoulder dystocia √ √

Assessment Plan NMT Level 6 Page 26

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE= 60%
f) Conduct delivery to a woman with shoulder √ √
dystocia
Sub-enabling outcome
2.4.6. Provide care to a woman with acute
inversion of the uterus according to
guidelines and protocols
Related Tasks:
a) Define acute inversion of the uterus √ √
b) Outline types of acute inversion of the √ √
uterus
c) Explain the classifications of inversion of the √ √
uterus
d) Outline the causes of inversion of the uterus √ √
e) Explain the warning signs and diagnosis of √ √
inversion of the uterus
f) Perform immediate actions to save the life √ √
of the woman
Sub-enabling outcome
2.4.7. Provide care to a woman with Post-
Partum Haemorrhage (PPH) according
to guidelines and protocols
Related Tasks:
a) Define the PPH √ √
b) Outline the types of PPH √ √
c) Explain the causes of PPH √ √
d) Identify complications of PPH √ √
e) Call for help √ √
f) Resuscitate the woman with intravenous √ √
fluids
g) Stop bleeding √ √
h) Identify the cause of PPH and manage √ √
accordingly
Sub-enabling outcome

Assessment Plan NMT Level 6 Page 27

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Examination

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE= 60%
2.4.8. Provide care to a woman with obstetric
shock according to guidelines and
protocols
Related Tasks:
a) Define obstetric shock √ √
b) Explain causes of obstetric shock √ √
c) Explain Signs of a shock √ √
d) Outline classification of obstetric shock √ √
e) Explain the effects of obstetric shock √ √
f) Outline clinical observation for the woman in √ √
obstetric shock
g) Give immediate care to the woman with √ √
obstetric shock
h) Give care to woman with obstetric shock √ √
Number of tasks provided 36 15

2.4. Examinations Instructions/Rubric for NMT 06102

This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nurses and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment (CA) and Semester
Examination (SE). Continuous assessment will be conducted throughout the semester and shall
contribute 40% of the module weight. Each component of both continuous assessment and Semester
Examination will be graded into 100%. All results will be uploaded into a system which converts the
grades into specific appropriate weight of the assessment. The Semester Examination shall be
conducted at the end of a module and contribute 60% of the module weight be graded into 100% that
will be uploaded in system.
2.5. Continuous Assessment(CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be six (6)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight
1. Written tests which shall contribute 10%
2. Assignments report which shall contribute 05%

Assessment Plan NMT Level 6 Page 28

 3. Practical Examination OSCE/OSPE 10%
4. Case study 05%
5. Practical procedure book 05%
6 Delivery books 05%
TOTAL 40%

2.5.1. Duration of assessments

The duration of each written test shall be NOT more than 2½ hours, and that of practical examination
shall be not be more than one hour.
2.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written tests which will carry 100% each. The continuous written
assessment tests shall have five sections; A, B, C, D and E as follows:
S/N Description Assessment Type Marks for Total Marks
each item
1. Section A 20 Multiple Choice 01 20
Questions with four (4)
options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100
b) Practical test Oral tests
There shall be one Practical test OSCE/OSPE with total of 100%. Coverage and marks distribution
for the practical shall have: Introduction, preparation, performance, and termination.

NB: Distribution of marks shall be done in accordance to the practical assessment forms/ checklist

c) Written Assignments
The student shall be required to submit at least two written assignments, one individual assignment and
one group assignment, each comprising total of 100%.
d) Case Study
Students will be required to have at least two (2) case studies each comprising total of 100%.

e) Practical procedure book

Students will be required to have a well signed practical procedures books according to the stipulated
competences comprising total of 100%

f) Delivery book
Students will be required to have a well signed delivery book according to the stipulated competences
comprising total of 100%

Assessment Plan NMT Level 6 Page 29

2.6. Semester Examination(SE)
The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
a) Written examination which shall contribute 25% of the SE weight
b) Clinical examination which shall contribute 35% of the SE weight.

2.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.

2.6.2. Number of questions, marks distributions and sections

a) Written examination
S/N Description Assessment Type Marks for Total Marks
each item
1. Section A 20 Multiple Choice Questions 1 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer 01 10
Que9k,stions
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Clinical Examination
There shall be one Practical test OSCE/OSPE with total of 100%. Coverage and marks distribution
for the practical shall have: Introduction, preparation, performance, and termination.

NB: Distribution of marks shall be done in accordance to the practical assessment forms/ checklist

Assessment Plan NMT Level 6 Page 30

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,

GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06102 CARE OF A WOMAN WITH OBSTETRIC EMERGENCY

END OF SEMESTER I EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 31

3.0. Assessment Plan for NMT 06103
Module Name: Care of Newborns with Abnormal Conditions

Qualification: NTA Level 6 - Ordinary Diploma in Nursing and Midwifery

3.1. Introduction:

This assessment plan has been prepared by Department of Human Resource Development under
Ministry of Health, Community Development, Gender, Elderly and Children for the module named NMT
06103 Care of New-borns with Abnormal Conditions was under the close guidance by the National
Council for Technical Education (NACTE) so as to ensure that the plan meets the required qualification
standards set by the regulatory authority. Assessment plan is one of the tools that are required during
the implementation of the competence based education and training (CBET) curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application of skills and knowledge the holder of the qualification will be
able to apply skills and knowledge in broader of activities some of which are non- routine and be able to
assume operational responsibilities.

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Basic Technician Certificate
in Nursing and Midwifery (NTA Level 4) which contained in the Curriculum information for Ordinary
Diploma Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in
use until when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes and the
other is for specification of competences. The latter has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/ rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum

Assessment Plan NMT Level 6 Page 32

3.2. Enabling and Sub-Enabling Outcomes for NMT 06103
Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
2.6. Utilize protocols and standards of midwifery 2.6.1. Provide care to a new-born with soft
in the provision of care to a new-born with tissue injuries according to standards
birth injuries 2.6.2. Provide care to a new-born with
haemorrhage according to standards
and protocols
2.6.3. Provide care to a new-born with
fractures and dislocations according to
standards
2.7. Utilize guidelines and standards of 2.7.1. Provide care to a preterm baby
midwifery in the provision of care to a new- according to guidelines and protocols
born with high risk conditions 2.7.2. Provide care to a new-born with birth
asphyxia according to guidelines and
standards
2.7.3. Provide care to small for gestation age
baby according guidelines and
standards
2.8. Utilize guidelines and protocols of 2.8.1. Provide care to a new-born with
midwifery in the provision of care to a new- gastrointestinal malformations according
born with congenital abnormalities and to guidelines and protocols
disorders 2.8.2. Provide care to a new-born with central
nervous system disorders according to
standards
2.8.3. Provide care to a new-born with
musculoskeletal malformations
according to standards
2.8.4. Provide care to a new-born with uro-
genital abnormalities according to
standards
2.8.5. Provide care to a new born with genetic
disorders according to standards
2.8.6. Provide care to a new born with
haemolytic disorders according to
standards
2.8.7. Provide care to a new born with
metabolic disorders according to
guidelines and standards
2.8.8. Provide care to new born with infections
according to guidelines and standards

Assessment Plan NMT Level 6 Page 33

3.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06103
Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
Sub-enabling outcome
2.6.1. Provide care to a new born with soft
tissue injuries according to standards
Related Tasks:  
a) Define soft tissue injury
b) Explain causes of soft tissue injuries  
c) Describe types of soft tissue injuries  
d) Assess for soft tissue injuries  
e) Give psychological support to the  
parents
f) Refer a new born for further  
investigation
Sub-enabling outcome
2.6.2. Provide care to a new-born with
haemorrhage according to standards
and protocols
Related Tasks: 
a) Define haemorrhage  
b) Describe haemorrhage due to trauma  
c) Describe causes of haemorrhage  
d) Explain complications of haemorrhage  
e) Assess the amount of blood loss  
f) Give psychological support to the  
parents
g) Prepare the new-born for further  
investigation
h) Refer the new-born for further  
management
Sub-enabling outcome
2.6.3. Provide care to a new-born with
fractures and dislocations according to
standards
Related Tasks:

Assessment Plan NMT Level 6 Page 34

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
a) Define fracture and dislocation  
b) Explain common types of fractures and  
dislocation
c) Explain causes of fractures and  
dislocation
d) Outline complications of fractures and  
dislocation to a new-born
e) Assess for fracture or dislocation  
f) Give care to a new-born with fracture or  
dislocation
g) Give psychological support to the  
parents
h) Prepare the new-born for further  
investigation
i) Refer the new-born for further  
management
Sub-enabling outcome
2.7.1. Provide care to a preterm baby
according to guidelines and protocols
Related Tasks:
a) Define preterm baby  
b) Explain causes of preterm birth  
c) Outline characteristics of preterm baby  
d) Explain complications of preterm baby  
e) Give kangaroo mother care  
f) Give medicines  
g) Teach the woman on prevention of  
infection
h) Give psychological support to the  
parents
i) Monitor new-born weight  
Sub-enabling outcome
2.7.2. Provide care to a new-born with birth
asphyxia according to guidelines and

Assessment Plan NMT Level 6 Page 35

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
standards
Related Tasks:
a) Define birth asphyxia  
b) Identify signs of birth asphyxia  
c) Explain the causes of birth asphyxia  
d) Classify birth asphyxia  
e) Assess the new-born  
f) Perform new-born resuscitation  
g) Monitor the new-born’s condition  
Sub-enabling outcome
2.7.3. Provide care to small for gestation age
baby according guidelines and
standards
Related Tasks:
a) Define small for gestation age, Intrauterine  
Growth Restriction (IUGR), low birth
weight
b) Explain the classification of small for  
gestation age and low birth weight
c) Explain causes of intrauterine growth  
restriction, low birth weight and small for
gestation age
d) Differentiate between small for gestation  
age and IUGR
e) Assess for intrauterine growth restriction,  
low birth weight and small for gestation
age
f) Give psychological support to parents  
g) Monitor new-born’s condition  
Sub-enabling outcome
2.8.1. Provide care to a new-born with
gastrointestinal malformations
according to guidelines and protocols
Related Tasks:

Assessment Plan NMT Level 6 Page 36

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
a) Define gastrointestinal malformation  
b) Identify types of gastrointestinal  
malformations (Hirschsprung’s disease,
Cleft lip and Cleft Palate, Pyloric stenosis,
Atresia
c) Explain causes of gastrointestinal  
malformations
d) State complications of gastrointestinal  
malformations
e) Identify new-born with gastrointestinal  
malformations
f) Give pre-operative nursing care to a new-  
born with gastrointestinal malformations
g) Give pre and post-operative care to a new-  
born
Sub-enabling outcome
2.8.2. Provide care to a new-born with
central nervous system disorders
according to standards
Related Tasks:
a) Define central nervous system disorders  
b) Explain types of central nervous system  
disorders (Anencephaly, Spinal bifida,
Hydrocephalus,Microcephaly,
Encephalocele)
c) Explain causes of central nervous system  
disorders
d) Outline complication of Central nervous  
system problems
e) Identify the new-born with central nervous  
system disorders
f) Give care to a new-born with central  
nervous system disorders
g) Give psychological support to parent  

Assessment Plan NMT Level 6 Page 37

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
Sub-enabling outcome
2.8.3. Provide care to a new-born with
musculoskeletal malformations
according to standards
Related Tasks:
a) Define musculoskeletal malformations  
b) Explain causes of musculoskeletal  
malformations to a new-born.
c) State types of musculoskeletal  
malformations (Hip dislocation, Club foot,
Polydactyly, Syndactyly, Hip
Achondroplasia,
d) Outline the complications of  
musculoskeletal malformations.
e) Assess for musculoskeletal malformations  
f) Give care to a new-born with  
musculoskeletal malformations
g) Give psychological support to parents  
Sub-enabling outcome
2.8.4. Provide care to a new-born with
urogenital abnormalities s according to
standards
Related Tasks:
a) Define uro-genital abnormality  
b) Outline types of uro-genital abnormalities  
(Renal agenesis, Hypospadias,
Epispadias, Cryptorchidism, Ambiguous
genitalia/, Congenital adrenal
hyperplasia,)
c) Explain causes of urogenital  
abnormalities d) State complications of
urogenital abnormalities
d) Assess for uro-genital abnormalities  
e) Give care to a new-born with uro-genital  

Assessment Plan NMT Level 6 Page 38

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
abnormalities
Sub-enabling outcome
2.8.5. Provide care to a new-born with
genetic disorders according to
standards
Related Tasks:
a) Define genetic disorders  
b) Explain the causes of genetic disorders  
c) Outline types of genetic disorders  
(Down’s and Turner’s Syndrome)
d) Outline the complication of genetic  
disorders
e) Assess for genetic disorders  
f) Give care to a new-born with genetic  
disorders
g) Give psychological support to parents  
Sub-enabling outcome
2.8.6. Provide care to a new-born with
haemolytic disorders according to
standards
Related Tasks:
a) Define haemolytic disorders  
b) Explain types of haemolytic disorders  
c) Describe causes of haemolytic disorders  
d) Outline complications of haemolytic  
disorders
e) Assess for haemolytic disorders  
f) Give care to a new-born with haemolytic  
disorders
g) Give psychological support to parents  
Sub-enabling outcome
2.8.7. Provide care to a new-born with
metabolic disorders according to
guidelines and standards

Assessment Plan NMT Level 6 Page 39

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
Related Tasks:
a) Define metabolic disorders  
b) Explain types of metabolic disorders  
c) Explain causes of metabolic disorders  
d) Outline complications of metabolic  
disorders
e) Assess for metabolic disorders  
f) Give care to a new-born with metabolic  
disorder
Number of tasks provided 69 23

3.4. Examinations Instructions/Rubric for NMT 06103

This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nursing and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment and Semester Examination.
Continuous assessment will be conducted throughout the semester and shall contribute 40% of the
module weight. Each component of both Continuous Assessment (CA) and Semester Examination (SE)
will be graded into 100%. All results will be uploaded into a system which converts the grades specific
appropriate weight of the assessment.
3.5. Continuous Assessment(CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be five (5)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight
1. Written tests which shall contribute 15%
2. Assignments report which shall contribute 05%
3. Practical Examination OSCE/OSPE 10%
4. Case study 05%
5. Practical procedure book 05%
TOTAL 40%

3.5.1. Duration of assessments

The duration of each written test shall be NOT more than 2½ hours, and that of practical examination
shall be not be more than one hour.

Assessment Plan NMT Level 6 Page 40

3.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written test which carry 100% each. The continuous assessment
written test shall have five section; A, B, C, D and E as follows

S/N Description Assessment Type Marks for each Total Marks

item
1. Section A 20 Multiple Choice Questions with four 01 20
(4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100
b) Practical test/ Oral tests
There shall be one Practical test OSCE/OSPE with total of 100%. Coverage and marks distribution for
the practical shall have: Introduction, preparation, performance and termination.
NB: Distribution of marks shall be done in accordance to the practical assessment forms/checklist.

c) Written Assignments
The student shall be required to submit at least two individual written assignments, one individual
assignment and one group assignment, each comprising total of 100%.

d) Portfolio (casework)
Students will be required to have portfolio with at least two (2) case studies each comprising one
hundred (100%) marks.

e) Practical procedure book

Students will be required to have a well signed practical procedure books according to the stipulated
competences. It will be graded into 100%.
3.6. Semester Examination(SE)
The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
a) Written examination which shall contribute 25% of the SE weight
b) Clinical examination which shall contribute 35% of the SE weight.

3.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.

3.6.2. Number of questions, marks distributions and sections

a) Written examination
S/N Description Assessment Type Mark(s) for each Total Marks
item
1. Section A 20 Multiple Choice Questions 01 20

Assessment Plan NMT Level 6 Page 41

 with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Clinical Examination
There shall be one Clinical Examination with total of 100%. Coverage and marks distribution for the
practical shall have: Introduction, preparation, performance, and termination.
NB: The scoring shall be done in accordance to the oral and practical assessment form/checklist.

Assessment Plan NMT Level 6 Page 42

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,
GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06103 CARE OF NEWBORNS WITH ABNORMAL CONDITIONS

END OF SEMESTER I EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 43

4.0. Assessment Plan for NMT 06104
Module Name: Supervision In Nursing And Midwifery Practice

Qualification: NTA Level 6 - Ordinary Diploma In Nursing And Midwifery

4.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module named NMT 06104 Supervision in Nursing and
Midwifery Practice was under the close guidance by the National Council for Technical Education
(NACTE) so as to ensure that the plan meets the required qualification standards set by the regulatory
authority. Assessment plan is one of the tools that are required during the implementation of the
competence based education and training (CBET) curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application of skills and knowledge. The holder of the qualification will be
able to apply skills and knowledge in broader of activities some of which are non- routine and be able to
assume operational responsibilities.

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Basic Technician Certificate
in Nursing and Midwifery (NTA Level 4) which contained in the Curriculum information for Ordinary
Diploma Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in
use until when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes and the
other is for specification of competences. The latter has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/ rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum

Assessment Plan NMT Level 6 Page 44

4.2. Enabling and Sub-Enabling Outcomes for NMT 06104
Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
1.1. Utilize knowledge and skills of supportive 1.1.1. Describe concepts of supervision in the
supervision in the provision of nursing and context of nursing and midwifery
midwifery services practice
1.1.2. Conduct supportive supervision
according to guidelines
1.1.3. Conduct orientation to newly employed
nurses and midwives by utilizing
knowledge and skills of supportive
supervision
1.1.4. Mentor staff and students at work place
by utilizing knowledge and skills of
supportive supervision
1.1.5. Facilitate availability and accessibility of
health policies and guidelines for nursing
and midwifery practice
1.2. Implement supervisory functions in the 1.2.1. Prepare duty roster, annual leave, job
facilitation of nursing and midwifery activities allocation and schedules according to
guidelines and protocols
1.2.2. Prepare a budget for the department or
facility by using guidelines and protocols
1.2.3. Allocate/relocate resources (human and
non-human, equipment and supplies) by
using guidelines and protocols
1.2.4. Utilize quality improvement standards in
the provision of quality nursing care at
work place
1.2.5. Coordinate departmental/unit nursing
and midwifery activities according to
standards
1.2.6. Monitor nursing and midwifery services
according to guidelines and protocols
1.3. Utilize interpersonal skills in the supervision 1.3.1. Motivate staff according to guidelines
of nursing and midwifery services and interpersonal skills
1.3.2. Provide counselling on staff
performance by using guidelines
1.3.3. Solve disputes or conflicts among staff
and between staff and clients by using
conflict resolution strategies
1.3.4. Take disciplinary actions to staff
according to disciplinary guidelines and
regulations
1.3.5. Appraise staff performance according to

Assessment Plan NMT Level 6 Page 45

 standards
1.3.6. Build a working team according to
interpersonal skills and guidelines

4.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06104

Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
Sub-enabling outcome
1.1.1. Describe concepts of supervision in
the context of nursing and midwifery
practice
Related Tasks:
a) Define supervision and supervisor  
b) Explain the qualities of a supervisor  
c) Differentiate between supervisor, leader  
and manager
d) Outline roles of a supervisor  
e) Outline importance of supervision  
f) Explain principles of supervision  
Sub-enabling outcome
1.1.2. Conduct supportive supervision
according to guidelines
Related Tasks:
a) Define supportive supervision  
b) Outline importance of supportive  
supervision
c) Explain stages of supportive supervision  
d) Identify tools for supportive supervision  
e) Develop supportive supervision plan  
f) Provide technical support  
g) Conduct on-job training  
h) Write supportive supervision report  

Assessment Plan NMT Level 6 Page 46

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
Sub-enabling outcome
1.1.3. Conduct orientation to newly
employed nurses and midwives by
utilizing knowledge and skills of
supportive supervision
Related Tasks:
a) Define the term orientation  
b) Outline the purpose of orientation  
c) Explain steps of staff orientation  
d) Explain key areas for orientation  
e) Orient newly employed nurses on job  
description, policy, guidelines and
regulations, organizational structure,
safety measures and personnel benefits
Sub-enabling outcome
1.1.4. Mentor staff and students at work
place by utilizing knowledge and skills
of supportive supervision
Related Tasks:
a) Define a mentor, preceptor and a coach  
b) Outline roles of a mentor  
c) Outline the qualities of a mentor  
d) Explain principles of mentorship  
e) Outline the advantages of mentorship  
f) Explain the process of mentoring  
g) Guide staff and students at work place  
Sub-enabling outcome
1.1.5. Facilitate availability and accessibility
of health policies and guidelines for
nursing and midwifery practice
Related Tasks:
a) Define policy and guideline  

Assessment Plan NMT Level 6 Page 47

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
b) Explain the types of policy  
c) Outline the importance of health policy  
and guidelines
d) Explain strategies of health policy  
e) Identify health policies and guidelines  
related to nursing and midwifery practice
f) Keep the health policy and guideline  
documents safe and available
g) Share the information on health policies  
and guidelines with other staff
Sub-enabling outcome
1.2.1. Prepare duty roster, annual leave, job
allocation and schedules according to
guidelines and protocols
Related Tasks:
a) Define duty roster, annual leave, job  
allocation and schedules
b) Explain the purpose of duty roster, job  
allocation, leave roster and schedules
c) Identify factors to consider in planning  
duty roster job allocation, leave roster
and schedules
d) Outline steps of preparing duty roster  
job allocation, leave roster and
schedules
e) Outline components of duty roster, job  
allocation, leave roster and schedules
f) Demonstrate ability in preparing duty  
roster, job allocation, leave roster and
schedules
Sub-enabling outcome
1.2.2. Prepare a budget for the department
or facility by using guidelines and

Assessment Plan NMT Level 6 Page 48

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
protocols
Related Tasks:
a) Define budget  
b) Outline types of budget  
c) Explain the purpose of budgeting  
d) Explain steps in budgetary process  
e) Explain methods of budgeting  
f) Budget for the department activities  
Sub-enabling outcome
1.2.3. Allocate/re-allocate resources (human
and non-human, equipment and
supplies) by using guidelines and
protocols
Related Tasks:
a) Define human and nonhuman  
resources
b) Explain categories of human and non-  
human resources
c) Explain the importance of human and  
non-human resources
d) Allocate staff according to demand  
and job descriptions
e) Prepare staff attendance register  
books
f) Keep inventory of the department/unit  
g) Receive and issue supplies and  
equipment
Sub-enabling outcome
1.2.4. Utilize quality improvement standards
in the provision of quality nursing care
at work place
Related Tasks:
a) Define quality, quality control, quality  

Assessment Plan NMT Level 6 Page 49

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
assurance and quality improvement
b) Explain indicators of quality  
improvement
c) Explain the basic steps in quality  
control
d) Describe control standards  
e) Describe the basic concepts of quality  
improvement
f) Explain concept of 5S (Sort, Set,  
Shine, Standardize, Sustain)
g) Describe the steps for 5S  
implementation
Sub-enabling outcome
1.2.5. Coordinate departmental/unit nursing
and midwifery activities according to
standards
Related Tasks:
a) Define coordination  
b) Explain importance of coordination  
c) Explain principles of coordination  
d) Prepare monthly/ quarterly and annual  
reports
e) Conduct departmental meetings  
f) Attend the health committee meetings  
at different levels
g) Link nurses with other members of the  
health care team
Sub-enabling outcome
1.2.6. Monitor nursing and midwifery
services according to guidelines and
protocols
Related Tasks:
a) Define monitoring  

Assessment Plan NMT Level 6 Page 50

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
b) Explain the purpose of monitoring  
c) Describe the process of monitoring  
d) Outline methods and tools for monitoring  
nursing activities
e) Develop a monitoring tool  
f) Observe staff performance  
g) Review nursing care records  
h) Check status of supplies and equipment  
i) Identify gaps in service delivery  
j) Develop plan of action  
Sub-enabling outcome
1.3.1. Motivate staff according to guidelines
and interpersonal skills
Related Tasks:
a) Define motivation  
b) Describe motivation theories  
c) Explain types of motivation  
d) Outline motivating factors at work place  
e) Outline strategies to create motivating  
climate
f) Give feedback to staff  
g) Reward staff performance  
Sub-enabling outcome
1.3.2. Provide counselling on staff
performance by using guidelines
Related Tasks:
a) Define performance, counselling  
b) Explain steps of staff performance  
counselling
c) Outline principles of staff performance  
counselling
d) Outline importance of staff performance  

Assessment Plan NMT Level 6 Page 51

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
counselling
e) Counsel staff on performance  
Sub-enabling outcome
1.3.3. Solve disputes or conflicts among staff
and between staff and clients by
using conflict resolution strategies
Related Tasks:
a) Define conflict and disputes  
b) Outline the categories of conflicts  
c) State the sources of conflicts  
d) Explain conflict process  
e) Describe strategies for conflict resolution  
f) Resolve disputes or conflicts at work  
place
Sub-enabling outcome
1.3.4. Take disciplinary actions to staff
according to disciplinary guidelines
and regulations
Related Tasks:
a) Define discipline and disciplinary action  
b) Explain reasons for disciplinary action  
c) Explain types of disciplinary action  
d) Identify guidelines and regulations for  
disciplinary action
e) Initiate a disciplinary committee meeting  
f) Participate in disciplinary committee 
meeting
g) Implement disciplinary action  
Sub-enabling outcome
1.3.5. Appraise staff performance according
to standards
Related Tasks:

Assessment Plan NMT Level 6 Page 52

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA= 40% SE = 60%
a) Define appraise, staff appraisal and  
evaluation
b) Explain different methods used to  
evaluate staff performance
c) Outline factors influencing effective  
performance appraisal
d) Explain the strategies to ensure accurate  
and fairness in performance appraisal
e) Conduct staff appraisal session  
f) Give feedback on work performance  
g) Conduct follow up on identified  
performance deficiencies
h) Document the appraisal process  
Sub-enabling outcome
1.3.6. Build a working team according to
interpersonal skills and guidelines
Related Tasks:
a) Define a team and teamwork  
b) Explain the importance of teamwork in  
health care
c) State the qualities of an effective team  
d) State features/characteristics of effective  
and in-effective team
e) Describe the team development process  
f) Conduct a staff meeting  
g) Develop a plan for teamwork  
h) Assign responsibilities to each member of  
the team
87 29

Assessment Plan NMT Level 6 Page 53

4.4. Examinations Instructions/Rubric for NMT 06104
This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulation shall be those agreed jointly by the
MoHODGEC. Tanzania Nursing and Midwifery Council (TNMC) and NACTE
The rubric will consist of two assessments: Continuous Assessment (CA) and Semester Examination
(SE). CA will be conducted throughout the semester and shall contribute 40% of the module weight and
SE will be conducted at the end of a module and shall contribute 60% of the module weight, be graded
into 100% that will be uploaded in system. Each component of both CA and SE will be graded into
100%. All results will be uploaded into systems which converts the grades into specific appropriate
weight of the assessment.
4.5. Continuous Assessment (CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be four (4)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight
1. Written tests which shall contribute 15%
2. Assignments report which shall contribute 05%
3. Clinical exams 15%
4. Practical procedure book 05%
TOTAL 40%

4.5.1. Duration of assessments

The duration of each written test shall be NOT more than 2½ hours, and that of practical examination
shall be not be more than one hour.
4.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written tests which will carry 100% each. The continuous written
assessment tests shall have five sections; A, B, C, D and E as follows: describe

S/N Description Assessment Type Marks for each item Total Marks
1. Section A 20 Multiple Choice Questions 01 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Practical test Oral tests

There shall be one Clinical Examination with total of 100%. Coverage and marks distribution for the
practical shall have: Introduction, preparation, performance, and termination.

NB: Distribution of marks shall be done in accordance to the practical assessment forms/
checklist.
c) Written Assignments

Assessment Plan NMT Level 6 Page 54

 The student shall be required to submit at least two individual written assignments, one individual
assignment and one group assignment, each comprising total of 100%.
d) Practical procedure book
Students will be required to have a well signed practical procedures books according to the
stipulated competences. It will graded 100% of the continuous assessment.
4.6. Semester Examination (SE)
The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
a) Written examination which shall contribute 25% of the SE weight
b) Clinical examination which shall contribute 35% of the SE weight

4.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.
4.6.2. Number of questions, marks distributions and sections
a) Written examination
S/N Description Assessment Type Mark(s) for each Total Marks
item
1. Section A 20 Multiple Choice Questions 01 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Clinical Examination
There shall be one Clinical Examination with total of 100%. Coverage and marks distribution for the
practical shall have: Introduction, preparation, performance, and termination.
NB: The scoring shall be done in accordance to the oral and practical assessment form/checklist.

Assessment Plan NMT Level 6 Page 55

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,
GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT:06104 SUPERVISION IN NURSING AND MIDWIFERY PRACTICE

END OF SEMESTER I EXAMINATION

CANDIDATE NUMBER…………………..

TIME: 2½ HOURS DATE:

Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consists………….number of pages

Assessment Plan NMT Level 6 Page 56

5.0. Assessment Plan for NMT 06105
Module Name: Basics of Epidemiology and Biostatistics

Qualification: NTA Level 6 - Ordinary Diploma in Nursing and Midwifery

5.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module named (NMT 06105) Basics of Epidemiology and
Biostatistics was under the close guidance by the National Council for Technical Education (NACTE)
so as to ensure that the plan meets the required qualification standards set by the regulatory authority.
Assessment plan is one of the tools that are required during the implementation of the competence
based education and training (CBET) curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application.The holder of the qualification will be able to apply skills and
knowledge in a broader range of activities, some of which are non-routine and be able to assume
operational responsibilities

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Basic Technician Certificate
in Nursing and Midwifery (NTA Level 4) which contained in the Curriculum information for Ordinary
Diploma Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in
use until when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes and the
other is for specification of competences. The latter has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/ rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum.

Assessment Plan NMT Level 6 Page 57

5.2. Enabling and Sub-Enabling Outcomes for NMT 06105
Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
3.1. Apply knowledge of epidemiology in nursing 3.2.2. Describe ecology of disease and models
and midwifery practice of disease causation in the context of
nursing and midwifery practice
3.2.2. Describe natural history of disease and
levels of prevention in nursing and
midwifery practice
3.2.2. Describe principles of disease
transmission in nursing and midwifery
practice
3.2.2. Describe strategies of disease control in
nursing and midwifery practice
3.2.2. Explain sources and uses of morbidity
and mortality data in nursing and
midwifery practice
3.2.2. Describe epidemiological studies as
applied to nursing and midwifery practice
3.2.2. Explain concepts of testing and screening
in nursing and midwifery practice
3.2.2. Describe ecology of disease and models
of disease causation in the context of
nursing and midwifery practice
3.2. Utilize knowledge of biostatistics in the 3.2.2. Explain concepts of biostatistics,
interpretation of data population and samples
3.2.2. Describe different types of data and data
presentation
3.2.2. Calculate measures of central
tendencies and dispersion by using
knowledge of biostatistics
3.2.2. Describe levels of measurements by
using knowledge of biostatistics

5.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06105

Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Assessment Plan NMT Level 6 Page 58

 Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE= 60%
Sub-enabling outcome
3.2.2. Describe ecology of disease and models
of disease causation in the context of
nursing and midwifery practice
Related Tasks:
a) Define disease, ecology, disease ecology  
and disease causation
b) Explain components of etiological disease  
causation model.
c) Identify disease causation models  
d) Explain the interaction between the host,  
agent and environment
Sub-enabling outcome
3.2.2. Describe natural history of disease and
levels of prevention in nursing and
midwifery practice

Related Tasks:
a) Define natural history of disease  
b) Explain three stages of natural history of  
disease
c) Explain the importance of studying natural  
history of disease.
d) Explain the three levels of prevention  
Sub-enabling outcome
3.2.2. Describe principles of disease
transmission in nursing and midwifery
practice
Related Tasks:
a) Explain concepts of disease transmission  
b) Explain the importance of route of  
transmission, transmission cycle and
reservoir
c) Describe modes of disease transmission  
Sub-enabling outcome
3.2.2. Describe strategies of disease control in
nursing and midwifery practice

Assessment Plan NMT Level 6 Page 59

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE= 60%
Related Tasks:
a) Define disease control  
b) Explain three main strategies of disease  
control
c) Describe the importance of disease control  
Sub-enabling outcome
3.2.2. Explain sources and uses of morbidity
and mortality data in nursing and
midwifery practice
Related Tasks:
a) Define morbidity and mortality  
b) Outline the sources of morbidity and  
mortality data
c) Explain uses of morbidity and mortality data  
d) Identify commonly used measures of  
morbidity
e) Identify commonly used measures of  
mortality
f) Identify commonly used measures of fertility  
Sub-enabling outcome
3.2.2. Describe epidemiological studies as
applied to nursing and midwifery practice
Related Tasks:
a) Define epidemiology  
b) Explain terms used in epidemic occurrence  
of disease.
c) Identify types of epidemiological studies  
d) Explain sources of information for  
epidemiological studies
e) Explain uses of epidemiology  
Sub-enabling outcome
3.2.2. Explain concepts of testing and screening
in nursing and midwifery practice

Assessment Plan NMT Level 6 Page 60

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE= 60%
Related Tasks:
a) Define screening and testing.  
b) Explain the four types of screening  
c) Outline principles of screening  
d) Explain the WHO criteria for screening  
test
e) Explain the advantages and  
disadvantages of screening
Sub-enabling outcome
3.2.1. Explain basic concepts of biostatistics,
population and samples
Related Tasks:
a) Define biostatistics, population and sample  
b) Identify types of statistics  
c) Explain the importance of biostatistics in  
nursing practice
d) Identify uses of biostatics  
e) Explain population and samples  
Sub-enabling outcome
3.2.2. Describe different types of data and data
presentation

Related Tasks:
a) Define data  
b) Describe types of data  
c) Explain uses of data.  
d) Explain different methods of data  
presentation.
e) Explain the advantages and disadvantages  
of different methods of data presentation
Sub-enabling outcome
3.2.2. Calculate measures of central tendencies

Assessment Plan NMT Level 6 Page 61

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE= 60%
and dispersion by using knowledge of
biostatistics
Related Tasks:
a) Define mean, mode, median, standards  
deviation, variance and range
b) Explain measures of central tendencies  
c) Explain measures of dispersion/variability  
d) Calculate mean, mode, median, range,  
variance and standard deviation.
e) Interpret results  
Sub-enabling outcome
3.2.2. Describe levels of measurements by
using knowledge of biostatistics
Related Tasks:
a) Define nominal, ordinal, interval and ratio  
b) Describe four levels of measurements  
c) Explain frequency distribution  

5.4. Examinations Instructions/Rubric for NMT 06105

This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nursing and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment and Semester Examination.
Continuous assessment will be conducted throughout the semester and shall contribute 40% of the
module weight and Semester Examination shall be conducted at the end of a module and contribute
60% of the module weight. Each component of both continuous assessment and semester examination
will be graded into 100%. All results will be uploaded into a system which converts the grades into
specific appropriate weight of the assessment.
5.5. Continuous Assessment(CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be two (2)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight

Assessment Plan NMT Level 6 Page 62

 1. Written tests which shall contribute 30%
2. Assignment report 10%
TOTAL 40%

5.5.1. Duration of assessments

The duration of each written test shall be NOT more than 2½ hours, and that of practical examination
shall be not be more than one hour.
5.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written tests which will carry 100% each. The continuous written
assessment tests shall have five sections A, B, C, D and E as follows

S/N Description Assessment Type Marks for each Total Marks

item
1. Section A 20 Multiple Choice Questions 1 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100
b) Assignment report
There shall be one assignment report with total of 100%.
NOTE: Distribution of marks shall be done in accordance to practical assessment form and
checklist.
5.6. Semester Examination(SE)
The semester examination shall contribute 60% of the total weight of the module. There shall be written
examination ONLY of the Semester examination;
The Written examination shall have a total of 100%.

5.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours.
5.6.2. Number of questions, marks distributions and sections
Written examination
S/N Description Assessment Type Marks for each Total Marks
item
1. Section A 20 Multiple Choice 1 20
Questions with four (4)
options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item 00½ 05
Questions
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60

Assessment Plan NMT Level 6 Page 63

 TOTAL 100

Assessment Plan NMT Level 6 Page 64

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,
GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06105 BASICS OF EPIDEMIOLOGY AND BIOSTATISTICS

END OF SEMESTER I EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 65

6.0. Assessment Plan for NMT 06106
Module Name: Fundamentals of Research

Qualification: NTA Level 6 - Ordinary Diploma in Nursing and Midwifery

6.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module named NMT 06106 Fundamentals of Research
was under the close guidance by the National Council for Technical Education (NACTE) so as to
ensure that the plan meets the required qualification standards set by the regulatory authority.
Assessment plan is one of the tools that are required during the implementation of the competence
based education and training (CBET) curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application of skills and knowledge .The holder of the qualification will be
able to apply skills and knowledge in broader of activities some of which are non- routine and be able to
assume operational responsibilities.

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Basic Technician Certificate
in Nursing and Midwifery (NTA Level 4) which contained in the Curriculum information for Ordinary
Diploma Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in
use until when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes and the
other is for specification of competences. The latter has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/ rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum

Assessment Plan NMT Level 6 Page 66

The assessment plan was developed on November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of Competence-Based Education and Training (CBET)
Curriculum prepared by Ministry of Health, Community Development, Gender, Elderly and Children
(MoHCDGEC) and approved by the National Council for Technical Education (NACTE).

6.2. Enabling and Sub-Enabling Outcomes for NMT 06106

Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
3.3. Utilize knowledge of research to obtain 3.3.1. Describe basic concepts of action
evidence based information research in nursing and midwifery
practice
3.3.2. Develop research proposal by applying
knowledge of research
3.3.3. Collect data for a research study by using
knowledge of research
3.3.4. Process research data by using statistical
package
3.3.5. Produce research report by using
knowledge of research

6.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06106

Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam
Wider attributes
Understanding
Knowledge

Skills

CA = 40% SE = 60%
Sub-enabling outcome
3.3.6. Describe basic concepts of action
research in nursing and midwifery
practice
Related Tasks:
a) Define research and action research  
b) Explain the importance of action research 
c) Identify sources of research problems 
d) Outline criteria used to prioritize research 
 
e)Explain types of research
Sub-enabling outcome
3.3.7. Develop research proposal by

Assessment Plan NMT Level 6 Page 67

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
applying knowledge of research
Related Tasks:
a) Define a research proposal  
b) Explain the importance of research  
proposal
c) Explain the steps in developing a  
research
d) Write a research proposal  
Sub-enabling outcome
3.3.8. Collect data for a research study by
using knowledge of research
Related Tasks:
a) Explain methods of data  
collection
b) Identify sources of data  
c) Explain validity and reliability of data  
d) Explain sources of bias in research  
e) Review and pre-test the data collection tool.  
f) Obtain data from the study  
participants
g) Organize the collected data  
Sub-enabling outcome
3.3.9. Process research data by using
statistical package
Related Tasks:
 
a) Enter data using appropriate tool
b) Analyse the data  
c) Interpret the data  
Sub-enabling outcome
3.3.10. Produce research report by using
Knowledge of research
Related Tasks:
a) Explain steps of report writing  

Assessment Plan NMT Level 6 Page 68

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
b) Write research report  
c) Disseminate the findings as  
14 8

6.4. Examinations Instructions/Rubric for NMT 06105

This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nursing and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment and Semester Examination.
Continuous assessment will be conducted throughout the semester and shall contribute 40% of the
module weight. Each component of both Continuous Assessment (CA) and Semester Examination (SE)
will be graded into 100%. All results will be uploaded into a system which converts the grades specific
appropriate weight of the assessment
6.5. Continuous Assessment(CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be two (2)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight
1. Written tests which shall contribute 20%
2. Research Proposal 20%
TOTAL 40%
6.5.1. Duration of assessments
The duration of each written test shall be NOT more than 2½ hours, and that of practical examination
shall be not be more than one hour.
6.5.2. Number of questions, marks distributions and sections
a) Written examination
There shall be NOT less than two written tests which will carry 100% each. The continuous written
assessment tests shall have five sections; A, B, C, D and E as follows:

S/N Description Assessment Type Marks for each item Total Marks
1. Section A 20 Multiple Choice Questions 01 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10

Assessment Plan NMT Level 6 Page 69

 5. Section E Three (3) Essay Questions 20 60
TOTAL 100
b). Research proposal
There shall be one research proposal with total of 100% marks.
6.6. Semester Examination(SE)
The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
a) Written examination which shall contribute 25% of the SE weight
b) Research Report which shall contribute 35% of the SE weight

6.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.
6.6.2. Number of questions, marks distributions and sections
a) Written examination
S/N Description Assessment Type Marks for Total
each item Marks
1. Section A 20 Multiple Choice Questions with four (4) options 1 20
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100
b) Research report
There shall be one research report with total of 100% marks.

Assessment Plan NMT Level 6 Page 70

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,

GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06106 FUNDAMENTALS OF RESEARCH

END OF SEMESTER I EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(g) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(h) You are required to questions in each section.
(i) Section A, B, C, and D answers must be written in CAPITAL letter
(j) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(k) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(l) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 71

7.0. Assessment Plan for NMT 06207
Module Name: Care Of Patients With Medical Conditions

Qualification: NTA Level 6 - Ordinary Diploma In Nursing And Midwifery

7.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module NMT 06207: Care of Patients with Medical
Conditions was under the close guidance by the National Council for Technical Education (NACTE)
so as to ensure that the plan meets the required qualification standards set by the regulatory authority.
Assessment plan is one of the tools that are required during the implementation of the competence
based education and training (CBET) curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application of knowledge and skills .The holder of the qualification will be
able to apply skills and knowledge in a broader range of activities, some of which are non-routine and
be able to assume operational responsibilities.

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Basic Technician Certificate
in Nursing and Midwifery (NTA Level 4) which contained in the Curriculum information for Ordinary
Diploma Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in
use until when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes; and the
other is for specification of competences. The later has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates when the task shall be
assessed in both. A task that has lower level competences shall be assessed during the Continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
Semester examination (SE). Assessors shall focus on those core areas of competences as stipulated in
the curriculum.

Assessment Plan NMT Level 6 Page 72

7.2. Enabling and Sub-Enabling Outcomes for NMT 06207
Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
4.1 Utilize knowledge and skills of medical 4.1.1 Provide nursing care to a patient with bronchitis
nursing in the provision of care to a according to standards
patient with conditions affecting 4.1.2 Provide nursing care to a patient with pleurisy
respiratory system according to standards
4.1.3 Provide nursing care to a patient with pleural
effusion according to standards
4.1.4 Provide nursing care to a patient with adenitis
according to standards
4.2 Utilize knowledge and skills of medical 4.2.1 Provide nursing care to a patient with rheumatic
nursing in the provision of care to a heart disease according to standards
patient with conditions affecting 4.2.2 Provide nursing care to a patient with Congestive
cardiovascular system Cardiac Failure (CCF) according to standards
4.2.3 Provide nursing care to a patient with phlebitis
according to standards
4.2.4 Provide nursing care to a patient with
pericarditis, myocarditis and endocarditis
according to standards
4.2.5 Provide nursing care to a patient with angina
pectoris and myocardial infarction according to
standards
4.2.6 Provide nursing care to a patient with
arteriosclerosis and atherosclerosis according to
standards
4.2.7 Provide nursing care to a patient with bleeding
disorders according to standards
4.2.8 Provide nursing care to a patient with
hypertension according to standards
4.3 Utilize knowledge and skills of medical 4.3.1 Provide nursing care to a patient with
nursing in the provision of care to a osteomyelitis according to standards
patient with conditions affecting 4.3.2 Provide nursing care to a patient with
musculoskeletal system osteoarthritis according to standards
4.3.3 Provide nursing care to a patient with rheumatoid
arthritis according to standards
4.3.4 Provide nursing care to a patient with gout
according to standards
4.3.5 Provide nursing care to a patient with gangrene
according to standards
4.3.6 Provide nursing care to a patient with myositis
and pyomyositis according to standards
4.4 Utilize knowledge and skills of medical 4.4.1 Provide nursing care to a patient with hepatitis
nursing in the provision of care to a according to standards
patient with conditions affecting the 4.4.2 Provide nursing care to a patient with liver

Assessment Plan NMT Level 6 Page 73

 Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
digestive system cirrhosis according to standards
4.4.3 Provide nursing care to a patient with liver
abscess according to standards
4.4.4 Provide nursing care to a patient with
cholecystitis according to standards
4.4.5 Provide nursing care to a patient with
cholelithiasis according to standards
4.4.6 Provide nursing care to a patient with hepatic
coma according to standards
4.5 Utilize knowledge and skills of medical 4.5.1 Provide nursing care to a patient with renal failure
nursing in the provision of care to according to standards
patients with conditions affecting the 4.5.2 Provide nursing care to a patient with
genital urinary system glomerulonephritis according to standards
4.5.3 Provide nursing care to a patient with
hydronephrosis and urolithiasis according to
standards
4.5.4 Provide nursing care to a patient with enlarged
prostate gland according to standards
4.5.5 Provide nursing care to a patient with hydrocele
according to standards
4.5.6 Provide nursing care to a patient with epididymo-
orchitis according to standards
4.5.1 Provide nursing care to a patient with renal failure
according to standards
4.6 Utilize knowledge and skills of medical 4.6.1 Provide nursing care to a patient with
nursing in the provision of care to a hyperthyroidism and hypothyroidism according to
patient with disorders of nervous and standards
endocrine systems 4.6.2 Provide nursing care to a patient with pancreatitis
according to standards
4.6.3 Provide nursing care to a patient with Cushing
syndrome according to standards
4.6.4 Provide nursing care to a patient with
encephalitis according to standards
4.6.5 Provide nursing care to a patient with Cerebral
Vascular Accident (CVA) according to guidelines
4.6.6 Provide nursing care to a patient with paralysis
according to standards
4.6.7 Provide nursing care to a patient with brain
abscess according to standards
4.8 Utilize knowledge and skills of medical 4.8.1 Conduct basic assessment of the eye and vision
nursing in the provision of care to a to a client with eye problems according to
patient with conditions affecting the standards
eye 4.8.2 Provide nursing care to a patient with eye

Assessment Plan NMT Level 6 Page 74

 Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
degenerative changes according to standards
4.8.3 Provide nursing care to a patient with eye
refractive errors according to standards

7.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06207

Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
4.1.1 Provide nursing care to a patient with
bronchitis according to standards
Related Tasks:
a) Define bronchitis  
b) Identify types of bronchitis  
c) State the causes of bronchitis  
d) Explain the pathophysiology of  
bronchitis
e) State signs and symptoms of  
bronchitis
f) Explain diagnostic measures of  
bronchitis
g) Explain complications of bronchitis  
h) Monitor vital signs  
i) Position patient in semi-fowlers  
position
j) Administer medicines  
k) Monitor input and output  
l) Monitor nutrition status  
Sub-enabling outcome
4.1.2 Provide nursing care to a patient with
pleurisy according to standards
Related Tasks:
a) Define pleurisy  
b) Identify causes of pleurisy  

Assessment Plan NMT Level 6 Page 75

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
c) Explain pathophysiology of pleurisy  
d) State signs and symptoms of pleurisy  
e) Explain diagnostic measures of  
pleurisy
f) Assess the patient with pleurisy  
g) Administer Anti-inflammatory and  
additional analgesics
h) Monitor signs and symptom of pleural  
effusion
i) Teach patient on chest exercises  
j) Change patient’s position  
k) Monitor vital sign  
Sub-enabling outcome
4.1.3 Provide nursing care to a patient with
pleural effusion according to standards
a) Define pleural effusion  
b) Explain pathophysiology of pleural  
effusion
c) State signs and symptoms of pleural  
effusion
d) Explain diagnostic measures of  
pleural effusion
e) Assess for shortness of breath  
f) Give oxygen (if necessary)  

g) Prepare patient for thoracentesis  

h) Administer analgesics and antibiotics  

i) Monitor vital sign  

Assessment Plan NMT Level 6 Page 76

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
4.1.4 Provide nursing care to a patient with
adenitis according to standards
a) Define adenitis  
b) State causes of adenitis  
c) Explain pre-disposing factors for  
adenitis
d) Explain pathophysiology of Adenitis  

e) Identify signs and symptoms of  

Adenitis
f) Explain diagnostic measures of  
Adenitis
g) Monitor vital signs  
h) Administer analgesics and antibiotics  
i) Prepare patient for adenoidectomy  

Sub-enabling outcome
4.2.1 Provide nursing care to a patient with
rheumatic heart disease according to
standards
a) Explain concepts of Rheumatic heart  
disease
b) Identify causes of Rheumatic heart  
disease to restore cardiovascular
functions and prevent complications

c) Explain pathophysiology of  
Rheumatic heart disease
d) Identify signs and symptoms of  
Rheumatic heart disease
e) Identify diagnostic measures of  
Rheumatic heart disease

Assessment Plan NMT Level 6 Page 77

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
f) Assess for shortness of breath  
g) Provide oxygen (if necessary)  
h) Administer analgesics and antibiotics  
i) Monitor input and output  
j) Monitor nutrition status  
Sub-enabling outcome
4.2.2 Provide nursing care to a patient with
Congestive Cardiac Failure (CCF)
according to standards

a) Explain concepts of Congestive Cardiac  

Failure
b) Identify causes and risk factors of  
Congestive Cardiac Failure
c) Explain pathophysiology of Congestive  
Cardiac Failure

d) Identify signs and symptoms of  

Congestive Cardiac Failure
e) Identify diagnostic measures of  
Congestive Cardiac Failure

f) Identify complications of Congestive  

Cardiac Failure
g) Monitor pulse rate  
h) Assess for shortness of breath  

Assessment Plan NMT Level 6 Page 78

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
i) Give oxygen (if necessary)  

j) Administer medicines correctly provided  

k) Weigh patient daily  
l) Give low sodium, less fat and cholesterol  
diet
m) Give health education on healthy life style  

Sub-enabling outcome
4.2.3 Provide nursing care to a patient with
phlebitis according to standards

a) Define Phlebitis  
b) Identify risk factors of Phlebitis  

c) Identify signs and symptoms of  

Phlebitis
d) Identify diagnostic measure of  
Phlebitis
e) Administer medicines  

f) Teach the patient on the use of  

stockings and wraps

g) Apply warm/moist heat  

h) Elevate the affected area  

Assessment Plan NMT Level 6 Page 79

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
4.2.4 Provide nursing care to a patient with
pericarditis , myocarditis and
endocarditis according to standards

Related Tasks
a) Define Pericarditis, Myocarditis and  
endocarditis

b) Identify risk factors of Pericarditis,  

Myocarditis, and endocarditis
c) Explain pathophysiology of  
Pericarditis and Myocarditis,
Endocarditis
d) Identify signs and symptoms of  
Pericarditis, Myocarditis and
Endocarditis
e) Identify diagnostic measure of  
Pericarditis, Myocarditis and
Endocarditis
f) Assess for shortness of breath  

g) Give oxygen (if necessary)  

h) Administer medicines  

i) Give psychological support  

j) Monitor vital signs  

Assessment Plan NMT Level 6 Page 80

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
k) Monitor input and output correctly  
provided Position patient in semi
fowlers position
l) Position patient in semi fowlers  
position

m) Monitor for hypotension and allergic  

reaction

Sub-enabling outcome
4.2.5 Provide nursing care to a patient with
angina pectoris and myocardial
infarction according to standards

a) Define Angina pectoris and  

myocardial infarction
b) Identify types of angina pectoris  
c) Explain the pathophysiology of  
Angina pectoris and myocardial
infarction
d) Explain the signs and symptoms of  
angina pectoris and myocardial
infarction
e) Identify diagnostic measure of angina  
pectoris and myocardial infarction
f) Administer oxygen and medicines  
g) Position patient in semi fowlers  
position
h) Monitor vital signs and cardiac  
rhythm

Assessment Plan NMT Level 6 Page 81

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
i) Monitor input and output  
j) Teach the patient on the prevention  
of angina pectoris and myocardial
infarction
Sub-enabling outcome
4.2.6 Provide nursing care to a patient with
arteriosclerosis and atherosclerosis
according to standards

a) Define arteriosclerosis and  

atherosclerosis
b) Identify causes and risk factors of  
arteriosclerosis and atherosclerosis
c) Explain the pathophysiology of  
arteriosclerosis and atherosclerosis
d) Identify signs and symptoms of  
Arteriosclerosis and Atherosclerosis
e) Identify diagnostic measure of  
arteriosclerosis and atherosclerosis
f) Encourage regular exercises  
g) Prepare the patient for stenting  
h) Monitor vital signs  

i) Monitor nutrition status  

j) Provide health education on smoking,  

healthy diet and body weight control
Sub-enabling outcome
4.2.7 Provide nursing care to a patient with
bleeding disorders according to

Assessment Plan NMT Level 6 Page 82

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
standards

a) Define bleeding disorder  

b) Explain causes of bleeding disorders  
c) Explain the types of bleeding  
disorders

d) Assess the state of anaemia  

e) Take history of medication  

f) Administer medicines  
g) Teach patient on preventive  
strategies to reduce risk of bleeding
Sub-enabling outcome
4.2.8 Provide nursing care to a patient with
hypertension according to standards

a) Define hypertension  
b) Explain causes of hypertension  
c) Explain risk factors for hypertension  

d) Explain pathophysiology of  
hypertension
e) Outline sign and symptoms of  
hypertension
f) Describe complications of  
hypertension
g) Monitor blood pressure and weight  

Assessment Plan NMT Level 6 Page 83

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
h) Counsel the patient on lifestyle  
modification
i) Administer medicines  
j) Give care to a patient with  
hypertensive complications

Sub-enabling outcome
4.3.1 Provide nursing care to a patient with
osteomyelitis is according to standards
Related tasks
a) Define osteomyelitis  
b) Explain causes of osteomyelitis  

c) Identify classification of osteomyelitis  

d) Explain pathophysiology of  
osteomyelitis
e) Identify signs and symptoms of  
osteomyelitis
f) Identify diagnostic measure of  
osteomyelitis
g) Give supportive care  
h) Administer medicines  
i) Monitor vital signs  
j) Monitor input and output  

Sub-enabling outcome
4.3.2 Provide nursing care to a patient with
osteoarthritis according to standards

Related Task

Assessment Plan NMT Level 6 Page 84

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
a) Define osteoarthritis  
b) Explain pathophysiology of  
osteoarthritis
c) Explain causes of osteoarthritis  
d) Identify signs and symptoms of  
osteoarthritis
e) Identify diagnostic measures of  
osteoarthritis
f) Teach the patient on weight reduction  
and exercise (general and range of
motion)
g) Teach alternative strategies to  
perform activities of daily living
(ADLs)
h) Give pain relief measures  

i) Monitor vital signs  

j) Monitor input and output  

Sub-enabling outcome
4.3.3 Provide nursing care to a patient with
rheumatoid arthritis according to
standards
Related Tasks
a) Define rheumatoid arthritis  
b) Explain pathophysiology of  
rheumatoid arthritis
c) Explain causes of rheumatoid arthritis  

Assessment Plan NMT Level 6 Page 85

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
d) Identify signs and symptoms of  
rheumatoid arthritis
e) Identify diagnostic measure of  
rheumatoid arthritis
f) Give pain relief measures  
g) Monitor vital signs  
h) Monitor input and output  

i) Teach the patient on weight reduction  

and exercise (general and range of
motion)
j) Teach on activities of daily living  
(ADLs)
Sub-enabling outcome
4.3.4 Provide nursing care to a patient with
gout according to standards

Related tasks

a) Define gout  
b) Identify causes and risk factors of  
gout
c) Explain pathophysiology of gout  
d) Identify signs and symptoms of gout  
e) Identify diagnostic measure of gout  
f) Teach patient on diet (low purine)  
and life style
g) Administer medicines  

Assessment Plan NMT Level 6 Page 86

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
4.3.5 Provide nursing care to a patient with
gangrene according to standards

Related tasks
a) Define gangrene  

b) Explain causes of gangrene  

c) Identify types of gangrene  
d) Identify risk factors of gangrene e)  
Identify diagnostic measures of
gangrene
e) Identify diagnostic measures of  
gangrene
f) Administer medicines  
g) Prepare for surgical intervention  
h) Give care to patient with gangrene  

Sub-enabling outcome
4.3.6 Provide nursing care to a patient with
myositis and pyomyosit is according to
standards
Related tasks
a) Define myositis/pyomyositis  
b) Identify causes of  
myositis/pyomyositis
c) Enumerate signs and symptoms of  
myositis/pyomyositis

Assessment Plan NMT Level 6 Page 87

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
d) Administer medications  
e) Assist the patient with positioning  
f) Teach the patient on range of motion  
exercises

g) Prepare the patient for surgical  

drainage

Sub-enabling outcome
4.4.1 Provide nursing care to a patient with
hepatitis according to standards

Related Tasks

a) Define hepatitis  
b) Identify types of hepatitis  
c) Explain causes and risk factors of  
hepatitis
d) Explain pathophysiology of hepatitis  
e) Explain the clinical manifestations of  
hepatitis
f) Identify diagnostic measure of  
hepatitis

g) Describe complications of hepatitis  

h) Assess a patient with hepatitis  

i) Administer medicines  

Assessment Plan NMT Level 6 Page 88

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
j) Give psychological support  

k) Teach patient and care takers on  

prevention of hepatitis
l) Plan for the continuity of care on  
discharge
Sub-enabling outcome
4.4.2 Provide nursing care to a patient with
liver cirrhosis according to standards

Related Tasks
a) Define liver cirrhosis  
b) Identify causes and risk factors of  
liver cirrhosis
c) Explain pathophysiology of liver  
cirrhosis
d) Identify signs and symptoms of liver  
cirrhosis
e) Identify diagnostic measure of liver  
cirrhosis
f) Identify complications of liver  
cirrhosis
g) Assist the patient in performing self-  
care activities as tolerated
h) Give high carbohydrates with protein  
i) Prepare patient for liver function test  
j) Monitor for potential complications  
k) Monitor intake and output  

Assessment Plan NMT Level 6 Page 89

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
4.4.3 Provide nursing care to a patient with
liver abscess according to standards

Related Tasks
a) Define liver abscess  
b) Identify causes and risk factors of  
liver abscess
c) Explain pathophysiology of liver  
abscess
d) Identify signs and symptoms of liver   
abscess
e) Identify diagnostic measure of liver   
abscess
f) Identify complications of liver abscess   
g) Administer medicines  
h) Prepare patient for percutaneous  
catheter placement
i) Monitor for potential complications  
j) Monitor intake and output  
Sub-enabling outcome
4.4.4 Provide nursing care to a patient with
cholecystitis according to standards

Related Tasks
a) Define cholecystitis  
b) Identify causes and risk factors of  
cholecystitis

Assessment Plan NMT Level 6 Page 90

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
c) Explain pathophysiology of  
cholecystitis
d) Identify signs and symptoms of  
cholecystitis
e) Identify diagnostic measure of  
cholecystitis
f) Identify complications of cholecystitis  

g) Assist patient to rest  

h) Insert NGT for suction  
i) Give adequate fluid orally and  
intravenous
j) Prepare patient for endoscopic  
sphincterotomy
k) Administer antibiotics  
l) Monitor intake and output  

Sub-enabling outcome
4.4.5 Provide nursing care to a patient with
cholelithiasis according to standards

Related Tasks
a) Define cholelithiasis  
b) Identify causes and risk factors of  
cholelithiasis
c) Explain pathophysiology of  
cholelithiasis
d) Identify signs and symptoms of  
cholelithiasis

Assessment Plan NMT Level 6 Page 91

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
e) Identify diagnostic measure of  
cholelithiasis
f) Assess for cholelithiasis  

g) Administer medicines  
h) Insert Nasal-Gastric Tube (NGT) for  
suction
i) Give adequate fluid orally and  
intravenously

j) Prepare patient for endoscopic  

sphincterotomy
k) Prepare patient for surgical  
intervention
l) Monitor intake and output  

Sub-enabling outcome
4.4.6 Provide nursing care to a patient with
hepatic coma according to standards

Related Tasks
a) a) Define hepatic coma  
b) b) Explain causes of hepatic coma  
c) c) Explain pathophysiology of hepatic coma  
d) d) Explain clinical manifestations of hepatic  
coma
e) e) State diagnostic measure of hepatic coma  
f) f) Describe complications of hepatic coma  

Assessment Plan NMT Level 6 Page 92

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
g) g) Prepare equipment for the assessment of a  
patient with hepatic coma
h) h) Assess for hepatic coma hepatic coma  

i) i) Carry out hygiene and comfort measures  

for the patient
j) j) Carry out palliative nursing care  
k) k) Plan for continuity of care on discharge  

Sub-enabling outcome
4.5.1 Provide nursing care to a patient with
renal failure according to standards

Related Tasks
a) Define renal failure  
b) Identify types of renal failure  

c) Identify causes and risk factors of  

renal failure
d) Explain pathophysiology of renal  
failure
e) Identify signs and symptoms of renal  
failure
f) Identify diagnostic measure of renal  
failure
g) Assess for renal failure  
h) Monitor intake and output  
i) Administer antibiotics and  
corticosteroid

Assessment Plan NMT Level 6 Page 93

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
j) Monitor for hypertension  
k) Control proteinuria  
l) Teach patient on prevention  
strategies
m) Prepare patient for urinalysis  
Sub-enabling outcome
4.5.2 Provide nursing care to a patient with
Glomerulonephritis according to
standards
Related Tasks
a) Define glomerulonephritis  
b) Identify causes and risk factors  
glomerulonephritis
c) Explain pathophysiology of  
glomerulonephritis
d) Identify signs and symptoms of  
glomerulonephritis
e) Identify diagnostic measure of  
glomerulonephritis
f) Identify complications of  
glomerulonephritis
g) Assess for glomerulonephritis  
h) Administer ant-hypertensive agents  
and diuretics
i) Monitor intake and output  
j) Monitor weight daily  
k) Give high protein diet and adequate  
calories (restrict sodium and water)

Assessment Plan NMT Level 6 Page 94

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
l) Prepare for dialysis  
m) Give emotional support to patient and  
family
n) Teach on self-care  
Sub-enabling outcome
4.5.3 Provide nursing care to a patient with
hydronephrosis and urolithiasis
according to standards

Related Tasks
a) Define hydronephrosis and  
urolithiasis
b) Identify causes and risk factors of  
hydronephrosis and urolithiasis

c) Explain pathophysiology of  
hydronephrosis and urolithiasis
d) Identify signs and symptoms of  
hydronephrosis and urolithiasis
e) Identify diagnostic measure of  
hydronephrosis and urolithiasis
f) Asses for hydronephrosis and  
urolithiasis
g) Give adequate fluid  
h) Give nutritious diet  
i) Monitor intake and output  
j) Monitor vital sign  
k) Administer medicines  
l) Insert indwelling catheter and NGT  

Assessment Plan NMT Level 6 Page 95

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
m) Monitor complications  

Sub-enabling outcome
4.5.6 Provide nursing care to a patient with
epididymo-orchitis according to
standards
Related Tasks

a) Define epididymo-orchitis  

b) Identify causes and risk factors  

epididymo-orchitis
c) Identify signs and symptoms of  
epididymoorchitis
d) Identify diagnostic measure of  
epididymoorchitis

e) Assess for epididymoorchitis  

f) Administer medicines  
g) Give supportive care  
h) Apply icepack  
i) Teach patient on hygiene and position  
Sub-enabling outcome
4.6.1 Provide nursing care to a patient with
hyperthyroidism and hypothyroidism
according to standards

Related Tasks

Assessment Plan NMT Level 6 Page 96

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
a) Define hyperthyroidism and  
hypothyroidism
b) Explain the causes and risk factors  
hyperthyroidism and hypothyroidism

c) Explain the pathophysiology of  

hyperthyroidism and hypothyroidism
d) Identify signs and symptoms of  
hyperthyroidism and hypothyroidism
e) Identify diagnostic measure of  
hyperthyroidism and hypothyroidism
f) Identify complication of  
hyperthyroidism and hypothyroidism
g) Assess for hyperthyroidism and  
hypothyroidism
h) Administer medicines  
i) Give pre and postoperative care  

Sub-enabling outcome
4.6.2 Provide nursing care to a patient with
pancreatitis according to standards

Related Tasks
a) Define pancreatitis  
b) Identify types of pancreatitis  
c) Identify causes of pancreatitis  

Assessment Plan NMT Level 6 Page 97

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
d) Explain pathophysiology of   
pancreatitis
e) Identify signs and symptoms of  
pancreatitis
f) Explain diagnostic measures of  
pancreatitis
g) List complications of pancreatitis  
h) Assess for pancreatitis  
i) Administer medicines  
j) Manage pain and discomfort  
k) Position patient in semi-fowlers  
position
l) Maintain skin integrity  
m) Monitor for potential complications  
Sub-enabling outcome
4.6.3 Provide nursing care to a patient with
Cushing syndrome according to
standards
Related Tasks
a) Define Cushing syndrome  
b) Identify types of Cushing syndrome  
c) Identify causes of Cushing syndrome  
d) Identify signs and symptoms of Cushing  
syndrome
e) Explain diagnostic measures of Cushing  
syndrome
f) List complications of Cushing syndrome  

Assessment Plan NMT Level 6 Page 98

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
g) Assess for Cushing syndrome  
h) Administer medicines  
i) Monitor for complications  
j) Maintain skin integrity  
k) Teach patient and family on mood  
swings
l) Prepare patient for surgical intervention  
Sub-enabling outcome
4.6.4 Provide nursing care to a patient with
encephalitis according to standards

Related Tasks
a) Define encephalitis  
b) Identify causes of encephalitis  
c) Identify types of encephalitis  
d) Identify clinical manifestation of  
encephalitis
e) Explain diagnostic measures of  
encephalitis
f) Identify preventive measures of  
encephalitis
g) Assess for encephalitis  
h) Administer medicines  
i) Give supportive care  
j) Monitor complications  
Sub-enabling outcome
4.6.5 Provide nursing care to a patient with

Assessment Plan NMT Level 6 Page 99

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Cerebral Vascular Accident (CVA)
according to guidelines
Related Tasks
a) Define Cerebral Vascular Accident (CVA)  
b) Identify causes of CVA  
c) Explain pathophysiology of CVA  
d) Identify signs and symptoms of CVA  
e) Explain diagnostic measures of CVA  
f) Identify preventive measures of CVA  
g) Assess for stroke  
h) Administer medicines  
i) Monitor for potential complication  
j) Perform close cardiac monitoring  
k) Teach on prevention of CVA  
Sub-enabling outcome
4.6.6 Provide nursing care to a patient with
paralysis according to standards
Related Tasks
a) Define paralysis  
b) Identify causes of paralysis  
c) Explain pathophysiology of paralysis  
d) Identify signs and symptoms of paralysis  
e) Explain diagnostic measures of  
paralysis

Assessment Plan NMT Level 6 Page 100

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
f) Teach patient on preventive measures  
of paralysis
g) Assess for paralysis  
h) Administer medicines  
i) Teach patient on preventive measures  
of paralysis
j) Monitor for potential complications  
Sub-enabling outcome
4.6.7 Provide nursing care to a patient with
brain abscess according to standards
Related Tasks
a) Define brain abscess  
b) Identify causes of brain abscess  
c) Explain pathophysiology of brain  
abscess
d) Identify signs and symptoms of brain  
abscess
e) Explain diagnostic measures of brain  
abscess
f) Assess for brain abscess  
g) Administer medicines  
h) Prepare for surgical intervention  
i) Monitor for potential complications  
Sub-enabling outcome
4.8.1 Conduct basic assessment of the eye
and vision to a client with eye problems
according to standards
Related Tasks

Assessment Plan NMT Level 6 Page 101

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
a) Describe the structure of the eye  
b) Explain the functions of the eye  
c) Prepare equipment and materials  
needed for eye and visual assessment
d) Perform eye and visual assessment  
e) Refer the patient for further  
management

Sub-enabling outcome
4.8.2 Provide nursing care to a patient with
eye degenerative changes according to
standards

Related Tasks
a) Define eye degenerative changes  
b) Identify risk factors of glaucoma and  
cataract
c) Outline causes of glaucoma and  
cataract
d) Identify types of glaucoma and cataract  
e) Explain pathophysiology of glaucoma  
and cataract
f) Identify signs and symptoms of  
glaucoma and cataract
g) Identify diagnostic measures of  
glaucoma and cataract
h) Explain complications of glaucoma and  
cataract
i) Prepare for surgical intervention  
j) Teach patient on prevention  

Assessment Plan NMT Level 6 Page 102

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
k) Administer medicines  
Sub-enabling outcome
4.8.3 Provide nursing care to a patient with
eye refractive errors according to
standards

Related Tasks
a) Define eye refractive error  
b) Identify types of eye refractive errors  
c) Describe common types of eye refractive  
errors
d) Assess the eye  
e) Administer medication  
f) Refer patient for further management  
g) Teach patient on the care of spectacles  
Number of tasks assessed 293 107

7.4. Examinations Instructions/Rubric for NMT 06204

This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nurses and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment (CA) and Semester
Examination (SE). Continuous assessment will be conducted throughout the semester and shall
contribute 40% of the module weight. Each component of both continuous assessment and Semester
Examination will be graded into 100%. All results will be uploaded into a system which converts the
grades into specific appropriate weight of the assessment. The Semester Examination shall be
conducted at the end of a module and contribute 60% of the module weight be graded into 100% that
will be uploaded in system.

Assessment Plan NMT Level 6 Page 103

7.5. Continuous Assessment(CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be five (5)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight
1. Written tests which shall contribute 10%
2. Assignments report which shall contribute 05%
3. Practical Examination OSCE/OSPE 10%
4. Case presentation 10%
5. Practical procedure book 05%

TOTAL 40%
7.5.1. Duration of assessments
The duration of each written test shall be not more than 2½hours, and that of practical examination
shall be not be more than one hour.
7.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written tests which will carry 100% each. The continuous written
assessment tests shall have five sections; A, B, C, D and E as follows:
S/N Description Assessment Type Marks for Total Marks
each item
1. Section A 20 Multiple Choice Questions 01 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Practical test Oral tests

There shall be one Practical test OSCE/OSPE with total of 100%. Coverage and marks distribution
for the practical shall have: Introduction, preparation, performance, and termination.

NB: Distribution of marks shall be done in accordance to the practical assessment forms/ checklist

c) Written Assignments
The student shall be required to submit at least two written assignments, one individual assignment and
one group assignment, each comprising total of 100%.
d) Case Presentations
Students will be required to have at least two (2) case studies comprising total of 100% each.

e) Practical procedure book

Students will be required to have a well signed practical procedures books according to the stipulated
competences comprising total of 100%.

Assessment Plan NMT Level 6 Page 104

7.6. Semester Examination(SE)
The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
c) Written examination which shall contribute 25% of the SE weight
d) Clinical examination which shall contribute 35% of the SE weight.

7.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.
7.6.2. Number of questions, marks distributions and sections
a) Written examination
S/N Description Assessment Type Marks for Total Marks
each item
1. Section A 20 Multiple Choice Questions 1 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Clinical Examination
There shall be one Practical test OSCE/OSPE with total of 100%. Coverage and marks distribution for
the practical shall have: Introduction, preparation, performance, and termination.

NB: Distribution of marks shall be done in accordance to the practical assessment forms/ checklist

Assessment Plan NMT Level 6 Page 105

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,
GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06207 CARE OF PATIENTS WITH MEDICAL CONDITIONS

END OF SEMESTER II EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 106

8.0. Assessment Plan for NMT 06208
Module Name: NMT 06208: Care of Patients with Tumours and Cancer

Qualification: NTA Level 6 - Ordinary Diploma in Nursing and Midwifery

8.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module named NMT 06208: Care of Patients with
Tumours and Cancer was under the close guidance by the National Council for Technical Education
(NACTE) so as to ensure that the plan meets the required qualification standards set by the regulatory
authority. Assessment plan is one of the tools that are required during the implementation of the
Competence Based Education and Training (CBET) Curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application of skills and knowledge. The holder of the qualification will be
able to apply skill and knowledge in a broader range of activities, some of which a non-routine and be
able to assume operational responsibilities.

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Basic Technician Certificate
in Nursing and Midwifery (NTA Level 4) which contained in the Curriculum information for Ordinary
Diploma Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in
use until when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes; the other is
for specification of competences. The later has sub-enabling outcomes with the related tasks which
shall be assessed against the competences achieved in relation to the domains. Furthermore, there are
examination instructions/rubrics which contain assessment methods, duration, and number of questions
and distribution of scores. There is also a sample of the examination paper cover page. Assessor
should adhere to all requirements stipulated in this assessment plan in order to maintain standards
specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum

Assessment Plan NMT Level 6 Page 107

8.2. Enabling and Sub-Enabling Outcomes for NMT 06208
Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
4.7 Utilize knowledge and skills of medical nursing 4.7.1 Describe basic concepts of oncology in
in the provision of care to a patient with relation to nursing care
oncological conditions 4.7.2 Provide nursing care to a patient with
cancer of the lung according to
standards
4.7.3 Provide nursing care to a patient with
cancer of the oesophagus and stomach
according to standards
4.7.4 Provide nursing care to a patient with
leukaemia according to standards
4.7.5 Provide nursing care to a patient with
carcinoma of prostate gland according
to standards
4.7.6 Provide nursing care to a patient with
cancer of the cervix, breast and uterus
according to standards
4.7.7 Provide nursing care to a patient with
lymphoma according to standards
4.7.8 Provide nursing care to a patient with
brain tumour according to standards

8.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06208

Sub-enabling Outcomes and Related Task Tasks assessed
Competence to be under Continuous
Assessed Assessment and
Semester Exam
Wider attributes
Understanding
Knowledge

Skills

CA = 40% SE = 60%
Sub-enabling outcome
4.7.1 Describe basic concepts of oncology in
relation to nursing care
Related Tasks:
a) Define oncology  
b) Explain epidemiology of oncology  
c) Explain causes of cancer  
d) Explain pathophysiology of  
malignancy

Assessment Plan NMT Level 6 Page 108

 Sub-enabling Outcomes and Related Task Tasks assessed
Competence to be under Continuous
Assessed Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
e) Outline clinical features of malignancy  
f) Identify detection and preventive  
measure of cancer
g) Identify diagnostic measures of cancer  
h) Identify tumour staging and grading  
Sub-enabling outcome:
4.7.2 Provide nursing care to a patient with
cancer of the lung according to
standards
Related Tasks:
a) Define cancer of the lung  
b) Identify risk factors of cancer of the  
lung
c) Explain Pathophysiology of cancer of  
the lung
d) Explain classifications of cancer of the  
lung
e) Explain stages of cancer of the lung 
f) Identify signs and symptoms of  
cancer of the lung
g) Identify diagnostic measures of  
cancer of the lung
h) Assess for lung cancer  
i) Counsel the patient and family  
j) Give chemotherapy  
k) Prepare for radiotherapy.  
l) Monitor for complications  
m) Prepare for surgical intervention  
Sub-enabling outcome:
4.7.3 Provide nursing care to a patient with
cancer of the oesophagus and stomach
according to standards
Related Tasks:
a) Define cancer of the oesophagus and  

Assessment Plan NMT Level 6 Page 109

 Sub-enabling Outcomes and Related Task Tasks assessed
Competence to be under Continuous
Assessed Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
stomach
b) Identify risk factors of cancer of the  
oesophagus and stomach
c) Explain Pathophysiology of cancer of  
the oesophagus and stomach
d) Identify diagnostic measures of  
cancer of the oesophagus and
stomach
e) Assess for specific needs and  
problems
f) Give high calorie and protein diet in  
liquid or soft form
g) Position patient in semi fowlers  
position
h) Give chemotherapy  
i) Prepare for radiotherapy  
j) Monitor for complications  
k) Prepare for surgical intervention  
l) Refer the patient for further  
management
m) Plan for discharge and follow up  
Sub-enabling outcome:
4.7.4 Provide nursing care to a patient with
leukaemia according to standards
Related Tasks:
a) Define leukaemia  
b) Identify risk factors of leukaemia  
c) Explain pathophysiology of leukaemia  
d) Identify signs and symptoms of  
leukaemia
e) Identify diagnostic measures of  
leukaemia
f) Identify complications of leukaemia  
g) Assess specific needs and problems  

Assessment Plan NMT Level 6 Page 110

 Sub-enabling Outcomes and Related Task Tasks assessed
Competence to be under Continuous
Assessed Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
h) Counsel the patient and family  
i) Administer medicines  
j) Give chemotherapy  
k) Monitor for complications  
l) Refer the patient for further  
management
m) Plan for discharge and follow up  
Sub-enabling outcome:
4.7.5 Provide nursing care to a patient with
carcinoma of prostate gland according
to standards
Related Tasks:
a) Define carcinoma of prostate gland  
b) Identify risk factors of carcinoma of  
prostate gland
c) Identify signs and symptoms of  
carcinoma of prostate gland
d) Explain pathophysiology of carcinoma  
of prostate gland
e) Identify diagnostic measures of  
carcinoma of prostate gland
f) Asses for special needs and problem  
g) Give chemotherapy  
h) Counsel patient and family  
i) Refer the patient for further  
management
j) Plan for discharge and follow up  
Sub-enabling outcome:
4.7.6 Provide nursing care to a patient with
cancer of the cervix, breast and uterus
according to standards
Related Tasks:
a) Define cancer of the cervix, breast and  
uterus

Assessment Plan NMT Level 6 Page 111

 Sub-enabling Outcomes and Related Task Tasks assessed
Competence to be under Continuous
Assessed Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
b) Identify risk factors of cancer of the  
cervix, breast and uterus
c) Identify signs and symptoms of cancer  
of the cervix, breast and uterus
d) Explain pathophysiology of cancer of  
the cervix, breast and uterus
e) Identify diagnostic measures of cancer  
of the cervix, breast and uterus
f) Assess for special needs and  
problems
g) Give chemotherapy  
h) Prepare for radiotherapy  
i) Prepare for surgical intervention  
j) Counsel patient and family  
k) Teach patient and family on  
prevention
l) Refer the patient for further  
management
m) Plan for discharge and follow up  
Sub-enabling outcome:
4.7.7 Provide nursing care to a patient with
lymphoma according to standards

Related Tasks:
a) Define lymphoma  
b) Identify risk factors of lymphoma  
c) Identify types of lymphoma  
d) Explain pathophysiology of lymphoma  
e) Identify signs and symptoms of  
lymphoma
f) Identify diagnostic measures of  
lymphoma
g) Assess for special needs and  
problems

Assessment Plan NMT Level 6 Page 112

 Sub-enabling Outcomes and Related Task Tasks assessed
Competence to be under Continuous
Assessed Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
h) Give chemotherapy  
i) Prepare for radiotherapy  
j) Prepare for surgical intervention  
k) Counsel patient and family  
l) Refer the patient for further  
management
m) Plan for discharge and follow up  
Sub-enabling outcome:
4.7.8 Provide nursing care to a patient with
brain tumour according to standards
Related Tasks:
a) Define brain tumour  
b) Identify risk factors of brain tumour  
c) Identify types of brain tumour  
d) Explain pathophysiology of brain  
tumour
e) Identify signs and symptoms of brain  
tumour
f) Identify diagnostic measures of brain  
tumour
g) Identify complications of brain tumour  
h) Assess for special needs and  
problems
i) Administer medicines  
j) Perform neurological check  
k) Prepare for surgical intervention  
l) Counsel patient and family  
m) Refer the patient for further  
management
n) Plan for discharge and follow up  
67 29

Assessment Plan NMT Level 6 Page 113

8.4. Examinations Instructions/Rubric for NMT 06208
This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nursing and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment and Semester Examination.
Continuous assessment will be conducted throughout the semester and shall contribute 40% of the
module weight. Each component of both Continuous Assessment (CA) and Semester Examination (SE)
will be graded into 100%. All results will be uploaded into a system which converts the grades specific
appropriate weight of the assessment.

8.5. Continuous Assessment (CA)

The continuous assessment shall contribute 40% of the total module weight. There shall be five (5)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight
1. Written tests 10%
2. Assignments reports 05%
3. Practical Examination OSCE/OSPE 10%
4. Case presentation 10%
5. Practical procedure book 05%
TOTAL CA WEIGHT 40%

8.5.1. Duration of assessments

The duration of each written test shall be not more than 2½ hours, and that of practical examination
shall be not be more than one hour.
8.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written test which carry 100% each. The continuous assessment
written test shall have five section; A, B, C, D and E as follows
S/N Description Assessment Type Marks for Total Marks
each item
1. Section A 20 Multiple Choice Questions 01 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Practical test/ Oral tests

There shall be one Practical test OSCE/OSPE with total of 100%. Coverage and marks distribution for
the practical shall have: Introduction, preparation, performance and termination.
NB: Distribution of marks shall be done in accordance to the practical assessment forms/checklist.

Assessment Plan NMT Level 6 Page 114

c) Written Assignments
The student shall be required to submit at least two individual written assignments, one individual
assignment and one group assignment, each comprising total of 100%.
d) Case presentation
Students will be required to have portfolio with at least two (2) case studies each comprising one
hundred (100%) marks.
e) Practical procedure book
Students will be required to have a well signed practical procedure books according to the stipulated
competences. It will be graded into 100%.

8.6. Semester Examination (SE)

The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
c) Written examination which shall contribute 25% of the SE weight
d) Clinical examination which shall contribute 35% of the SE weight.

8.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.
8.6.2. Number of questions, marks distributions and sections
a) Written examination
S/N Description Assessment Type Mark(s) for each Total Marks
item
1. Section A 20 Multiple Choice Questions 01 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Clinical Examination
There shall be one Clinical Examination with total of 100%. Coverage and marks distribution for the
practical shall have: Introduction, preparation, performance, and termination.
NB: The scoring shall be done in accordance to the oral and practical assessment form/checklist.

Assessment Plan NMT Level 6 Page 115

Assessment Plan NMT Level 6 Page 116
 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,

GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06208 CARE OF PATIENTS WITH TUMOURS AND CANCER

END OF SEMESTER II EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 117

9.0. Assessment Plan for NMT 06209
Module Name: Care of Patients with Surgical Conditions

Qualification: NTA Level 6 - Ordinary Diploma In Nursing And Midwifery

9.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module NMT 06209: Care of Patients with Surgical
Conditions was under the close guidance by the National Council for Technical Education (NACTE) so
as to ensure that the plan meets the required qualification standards set by the regulatory authority.
Assessment plan is one of the tools that are required during the implementation of the competence
based education and training (CBET) curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application of knowledge and skills .The holder of the qualification will be
able to apply skills and knowledge in broader of activities some of which are non- routine and be able to
assume operational responsibilities.

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Ordinary Diploma in Nursing
and Midwifery (NTA Level 6) which contained in the Curriculum information for Ordinary Diploma
Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in use until
when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes and the
other is for specification of competences. The latter has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/ rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum

Assessment Plan NMT Level 6 Page 118

9.2. Enabling and Sub-Enabling Outcomes for NMT 06209
Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
5.1 Utilize knowledge and skills of surgical 5.1.1 Provide surgical nursing care to a patient
nursing in the provision of care to a patient with lung abscess according to standards
with conditions affecting respiratory system 5.1.2 Provide surgical nursing care to a patient
with chest injury according to standards
5.1.3 Provide nursing care to a patient with
pneumonectomy according to standards
5.1.4 Provide nursing care to a patient with
atelectasis and under water seal chest
drainage according to standards
5.1.5 Provide nursing care to a patient with
thoracic surgery according to standards
5.1.6 Provide nursing care to a patient with
lobectomy according to standards
5.2 Utilize knowledge and skills of surgical 5.2.1 Provide nursing care to a patient with
nursing in the provision of care to a patient traction and splints according to standards
with conditions affecting musculoskeletal 5.2.2 Provide nursing care to a patient with
system amputation according to standards
5.2.3 Provide nursing care to a patient with
external and internal fixation according to
standards
5.3 Utilize knowledge and skills of surgical 5.3.1 Provide surgical nursing care to a patient
nursing in the provision of care to a patient with intestinal obstruction according to
with conditions affecting digestive system standards
5.3.2 Provide nursing care to a patient with
hernia according to standards
5.3.3 Provide surgical nursing care to a patient
with peritonitis according to standards
5.3.4 Provide surgical nursing care to a patient
with ulcerative colitis according to
standards
5.3.5 Provide surgical nursing care to a patient
with haemorrhoids according to standards
5.3.6 Provide surgical nursing care to a patient
with anal abscess and fissure according to
standards
5.3.7 Provide nursing care to a patient
undergoing gastrectomy and vagotomy
according to standards
5.3.8 Provide nursing care to a patient
undergoing cholecystectomy and
choledoctomy according to standards
5.4 Apply knowledge and skills of surgical 5.4.1Provide nursing care to a patient

Assessment Plan NMT Level 6 Page 119

 Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
nursing in the provision of care to a patient undergoing nephrectomy according to
with conditions affecting genital urinary standards
system 5.4.2 Provide nursing care to a patient
undergoing nephrostomy according to
standards
5.4.3 Provide nursing care to a patient
undergoing cystectomy according to
standards
5.4.4 Provide nursing care to a patient
undergoing cystotomy according to
standards
5.4.5 Provide nursing care to a patient
undergoing kidney transplantation
according to standards
5.4.6 Provide nursing care to a patient
undergoing peritoneal dialysis and
haemodialysis according to standards
5.4.7 Perform male circumcision according to
standards
5.5. Utilize knowledge and skills of surgical 5.5.1. Provide nursing care to a patient
nursing in the provision of care to a patient undergoing craniotomy according to
with conditions affecting nervous and standards
endocrine system 5.5.2. Provide nursing care to a patient
undergoing craniostomy according to
standards
5.5.3. Provide nursing care to a patient
undergoing laminectomy according to
standards
5.5.4. Provide nursing care to a patient
undergoing thyroidectomy according to
standards
5.5.5. Provide nursing care to a patient with
head injury according to standards

9.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06209

Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Assessment Plan NMT Level 6 Page 120

 Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
5.1.1. Provide surgical nursing care to a
patient with lung abscess according
to standards
Related Tasks:
a) Define lung abscess  
b) Identify causes and predisposing factors  
of lung abscess
c) Identify classification of lung abscess  
d) Explain pathophysiology of lung abscess  
e) Identify signs and symptoms of lung  
abscess
f) Explain diagnostic measures of lung  
abscess
g) Explain complications of lung abscess  
h) Position patient in semi fowlers position  
i) Administer medicines  
j) Monitor input and output  
k) Give high protein and caloric diet  
l) Perform chest physiotherapy  
m) Perform postural drainage  
n) Prepare patient for surgical intervention  
o) Give pre and post-operative care  
Sub-enabling outcome
5.1.2. Provide surgical nursing care to a
patient with chest injury according to
standards
Related Tasks:
a) Define chest injury  
b) Identify causes of chest injury  
c) Identify signs and symptoms of chest  
injury
d) Explain diagnostic measures of chest  
injury
e) Explain complications of chest injury  
f) Clear air way  
g) Perform resuscitation  

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 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
h) Administer medicines  
i) Monitor complications  
j) Refer patient for further management  
Sub-enabling outcome
5.1.3. Provide nursing care to a patient with
pneumonectomy according to
standards
Related Tasks:
a) Define pneumonectomy  
b) Identify indications for pneumonectomy  
c) Describe post-operative complications of  
pneumonectomy
d) Prepare patient undergoing  
pneumonectomy
e) Give post-operative care to patient  
f) Perform cardiopulmonary exercise test  
g) Plan for discharge and follow up  
Sub-enabling outcome
5.1.4. Provide nursing care to a patient with
atelectasis and under water seal chest
drainage according to standards
Related Tasks:
a) Define atelectasis and under water seal  
chest drainage
b) Explain causes of atelectasis  
c) Describe pathophysiology of atelectasis  
d) Explain clinical manifestation of  
atelectasis
e) Explain indications for under water seal  
chest drainage
f) Monitor patient breathing  
g) Teach a client on lung exercises  
h) Position a client appropriately for easy  
breathing

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 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
i) Care for drainage tubes and bottles.  
j) Prevent infection  
k) Record chest drain in the observation  
chart
Sub-enabling outcome
5.1.5. Provide nursing care to a patient with
thoracic surgery according to
standards
Related Tasks:
a) Define thoracic surgery  
b) Identify indications for thoracic surgery  
c) Prepare patient undergoing thoracic  
surgery
d) Give post-operative care to patient  
e) Monitor for post-operative complication  
f) Administer medicines  
g) Perform chest exercise  
h) Monitor chest drainage system  
i) Plan for discharge  
Sub-enabling outcome
5.1.6. Provide nursing care to a patient with
lobectomy according to standards
Related Tasks:
a) Define lobectomy  
b) Identify indications for lobectomy  
c) Describe post-operative complication  
d) Prepare patient for lobectomy  
e) Perform post-operative care  
f) Perform ambulatory exercises  
g) Perform cardiopulmonary exercise test  
h) Plan for discharge  
Sub-enabling outcome
5.2.1. Provide nursing care to a patient with

Assessment Plan NMT Level 6 Page 123

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
traction and splints according to
standards
Related Tasks:
a) Define traction, splint  
b) Identify principles of effective traction  
c) Identify type of traction  
d) Assess for special needs and problems  
e) Assist patient in meeting self-care needs  
f) Monitor for infection  
Sub-enabling outcome
5.2.2. Provide nursing care to a patient with
amputation according to standards
Related Tasks:
a) Define amputation  
b) Identify level of amputation  
c) Outline indications for amputation  
d) Describe complications of amputation  
e) Assess for special needs and problems  
f) Give wound care  
g) Give supportive care  
h) Plan for discharge  
Sub-enabling outcome
5.2.3. Provide nursing care to a patient with
external and internal fixation according
to standards
Related Tasks:
a) Define internal and external fixation  
b) Describe methods of external fixation  
c) Explain indication for internal fixation  
d) Explain methods of internal fixation  
e) Assess for specific needs and problems  
f) Administer medicines  
g) Teach patient on the care of internal and  

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 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
external fixation
h) Take care of the fixator and wound  
i) Plan for the continuity of care on  
discharge
Sub-enabling outcome
5.3.1. Provide surgical nursing care to a
patient with intestinal obstruction
according to standards
Related Tasks:
a) Define intestinal obstruction  
b) Explain types of intestinal obstruction  
c) Explain causes of intestinal obstruction  
d) Describe pathophysiology of intestinal  
obstruction
e) Explain clinical manifestation of intestinal  
f) Assess for special needs and problems  
g) Give pre and post-operative care  
h) Teach patient on prevention of infection  
i) Plan for discharge  
Sub-enabling outcome
5.3.2. Provide nursing care to a patient with
hernia according to standards
Related Tasks:
a) Define hernia  
b) Explain types of hernia  
c) Identify causes of hernia  
d) Identify diagnostic criteria of hernia  
e) Explain clinical manifestations of hernia  
f) Describe pathophysiology of hernia  
g) Explain complications of hernia  
h) Assess for special needs and problems  
i) Give pre-operative care  
j) Give pre and post-operative care  

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 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
k) Give wound care  
l) Teach patient on prevention of  
infections
m) Plan for discharge  
Sub-enabling outcome
5.3.3. Provide surgical nursing care to a
patient with peritonitis according to
standards
Related Tasks:
a) Define peritonitis  
b) Identify causes of peritonitis  
c) Describe pathophysiology peritonitis  
d) Explain clinical manifestation of  
peritonitis
e) Identify diagnostic criteria of peritonitis  
f) Explain complications of peritonitis  
g) Assess for special needs and problems  
h) Give care to patient with peritonitis  
i) Monitor for complications  
Sub-enabling outcome
5.3.4. Provide surgical nursing care to a
patient with ulcerative colitis according
to standards
Related Tasks:
a) Define ulcerative colitis  
b) Explain causes of ulcerative colitis  
c) Describe pathophysiology ulcerative  
colitis
d) Explain clinical manifestation of  
ulcerative colitis
e) Identify diagnostic criteria of ulcerative  
colitis
f) Explain complications of ulcerative  
colitis g) Give pre-operative care

Assessment Plan NMT Level 6 Page 126

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
g) Give post-operative care to a patient  
with colectomy
Sub-enabling outcome
5.3.5. Provide surgical nursing care to a
patient with haemorrhoids according to
standards
Related Tasks:
a) Define haemorrhoids  
b) Identify causes of haemorrhoids  
c) Describe pathophysiology of  
haemorrhoids
d) Explain clinical manifestation of  
haemorrhoids
e) Identify diagnostic criteria of  
haemorrhoids
f) Explain complications of haemorrhoids  
g) Assess for special needs and problems  
h) Give pre and post-operative care  
i) Teach patient on prevention of infections  
Sub-enabling outcome
5.3.6. Provide surgical nursing care to a
patient with anal abscess and fissure
according to standards
Related Tasks:
a) Define anal fissure and anal abscess  
b) Explain causes of fissure and anal  
abscess
c) Describe pathophysiology fissure and  
anal abscess
d) Identify diagnostic criteria of fissure and  
anal abscess
e) Explain clinical manifestation of fissure  
and anal abscess
f) Explain complications of fissure and  

Assessment Plan NMT Level 6 Page 127

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
anal abscess
g) Assess for specific needs and problems  
h) Give pre and post-operative care  
i) Teach patient on prevention of  
infections
Sub-enabling outcome
5.3.7. Provide nursing care to a patient
undergoing gastrectom y and vagotomy
according to standards
Related Tasks:
a) Define gastrectomy and vagotomy  
b) State indications for gastrectomy and  
vagotomy
c) Explain complications of gastrectomy  
and vagotomy
d) Give pre and post-operative care  
e) Teach patient on prevention of infection  
Sub-enabling outcome
5.3.8 Provide nursing care to a patient
undergoing cholecystectomy and
choledoctomy according to standards
Related Tasks:
a) Define cholecystostomy and  
choledoctomy
b) Explain indications for cholecystostomy  
and choledoctomy
c) Explain complications of  
cholecystostomy and choledoctomy
d) Give pre and post-operative care to  
patient undergoing cholecystostomy and
choledoctomy
Sub-enabling outcome
5.4.1 Provide nursing care to a patient
undergoing nephrectomy according to

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 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
standards
Related Tasks:
a) Define nephrectomy  
b) Identify the indication for nephrectomy  
c) Explain complications of nephrectomy  
d) Give pre and postoperative care to  
patient undergoing nephrectomy
Sub-enabling outcome
5.4.2 Provide nursing care to a patient
undergoing nephrostomy according to
standards
Related Tasks:
a) Define nephrostomy  
b) Identify the indication for nephrostomy  
c) Explain complications of nephrostomy  
d) Give pre and post-operative care to  
patient undergoing nephrostomy
Sub-enabling outcome
5.4.3 Provide nursing care to a patient
undergoing cystectomy according to
standards
Related Tasks:
a) Define cystectomy  
b) Identify the indication for cystectomy  
c) Explain complications of cystectomy  
d) Give pre and post-operative care to  
patient undergoing cystectomy
Sub-enabling outcome
5.4.4 Provide nursing care to a patient
undergoing cystotomy according to
standards
Related Tasks:
a) Define cystotomy  
b) Identify the indication for cystotomy  

Assessment Plan NMT Level 6 Page 129

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
c) Explain complications for cystotomy  
d) Give pre and post-operative care to  
patient undergoing cystotomy
Sub-enabling outcome
5.4.5 Provide nursing care to a patient
undergoing kidney transplantation
according to standards
Related Tasks:
a) Define kidney transplantation  
b) Identify the indication for kidney  
transplantation
c) Explain complications of kidney  
transplantation
d) Give pre and post-operative care to  
patient undergoing kidney transplantation
Sub-enabling outcome
5.4.6 Provide nursing care to a patient
undergoing peritoneal dialysis and
haemodialysis according to standards
Related Tasks:
a) Define peritoneal dialysis and  
haemodialysis
b) Identify the indication for peritoneal  
dialysis and haemodialysis
c) Explain complications of peritoneal  
dialysis and haemodialysis
d) Give pre and post-operative care to  
patient undergoing peritoneal dialysis and
haemodialysis
Sub-enabling outcome:
5.4.7 Perform male circumcision according
to standards
Related Tasks:
a) Define circumcision  

Assessment Plan NMT Level 6 Page 130

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
b) Identify the indication for male  
circumcision
c) Explain complications of male  
circumcision
d) Prepare patient for male circumcision  
e) Conduct STIs and HIV testing  
f) Prepare equipment for male circumcision  
g) Circumcise a male client using sterile  
technique
h) Give post circumcision care to promote  
healing and prevent infections
Sub-enabling outcome
5.5.1 Provide nursing care to a patient
undergoing craniotomy according to
standards
Related Tasks:
a) Define craniotomy  
b) Explain indications for craniotomy  
c) Explain complications of craniotomy  
d) Perform preoperative assessment  
e) Give psychological support (consent)  
f) Monitor intracranial pressure  
g) Administer oxygen  
h) Give osmotic diuretics  
i) Administer medicines  
Sub-enabling outcome
5.5.2 Provide nursing care to a patient
undergoing craniostom y according to
standards
Related Tasks:
a) Define craniostomy  
b) Identify indication for craniostomy  
c) Explain complications of craniostomy  

Assessment Plan NMT Level 6 Page 131

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
d) Prepare patient for craniostomy  
e) Give post-operative care to a patient  
undergone craniostomy
Sub-enabling outcome
5.5.3 Provide nursing care to a patient
undergoing laminectomy according to
standards
Related Tasks:
a) Define laminectomy  
b) Explain indications of laminectomy  
c) Explain complications of laminectomy  
d) Administer medicine  
e) Apply moist heat and massage muscles  
f) Give pre-operative care  
g) Perform post-operative care  
h) Plan for discharge  
Sub-enabling outcome
5.5.4 Provide nursing care to a patient
undergoing thyroidectomy according to
standards
Related Tasks:
a) Define thyroidectomy  
b) Explain indications for thyroidectomy  
c) Explain complications of thyroidectomy  
d) Prepare patient for thyroidectomy  
e) Give post-operative care  
Sub-enabling outcome
5.5.5 Provide nursing care to a patient with
head injury according to standards
Related Tasks:
a) Define head injury  
b) Explain types/classifications of head  
injury

Assessment Plan NMT Level 6 Page 132

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
c) Explain causes of head injury  
d) Explain pathophysiology of head injury  
e) Identify signs and symptoms of head  
injury
f) Explain diagnostic measures of head  
injury
g) Explain complications of head injury  
h) Assess for immediate needs  
i) Administer medicines  
j) Monitor vital signs  
k) Assess level of consciousness  

l) Give care according to needs and  

problems
178 42

9.4. Examinations Instructions/Rubric for NMT 06209

This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nursing and Midwifery Council (TNMC) and NACTE.

The module shall consist of two assessments; Continuous Assessment and Semester Examination.
Continuous assessment will be conducted throughout the semester and shall contribute 40% of the
module weight. Each component of both Continuous Assessment (CA) and Semester Examination (SE)
will be graded into 100%. All results will be uploaded into a system which converts the grades specific
appropriate weight of the assessment

9.5. Continuous Assessment (CA)

The continuous assessment shall contribute 40% of the total module weight. There shall be five (5)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight
1. Written tests which shall contribute 10%
2. Assignments report which shall contribute 05%
3. Practical Examination OSCE/OSPE 10%

Assessment Plan NMT Level 6 Page 133

 4. Case presentation 10%
5. Practical procedure book 05%
TOTAL 40%

9.5.1. Duration of assessments

The duration of each written test shall be not more than 2½hours, and that of practical examination
shall be not be more than one hour.

9.5.2. Number of questions, marks distributions and sections

a) Written tests
There shall be NOT less than two written tests. The continuous written assessment tests shall have five
sections; A, B, C, D and E as follows

S/N Description Assessment Type Marks for Total Marks

each item
1. Section A 20 Multiple Choice 01 20
Questions with four (4)
options
. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Practical test Oral tests

There shall be one Practical test OSCE/OSPE with total of 100% which shall be converted to 10%.
Coverage and marks distribution for the practical shall have: Introduction, preparation, performance,
and termination which will be uploaded into system.

NB: Distribution of marks shall be done in accordance to the practical assessment forms/ checklist.

c) Written Assignments
The student shall be required to submit at least two individual written assignments each comprising
total of 100%.marks and will be uploaded into system
d) Case presentation
Students will be required to have portfolio with at least two (2) case studies each carries 100%marks
each.

e) Practical procedure book

Students will be required to have a well signed practical procedure books according to the stipulated
competences. It will be 100% marks.

9.6. Semester Examination (SE)

The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;

Assessment Plan NMT Level 6 Page 134

a) Written examination which shall contribute 25% of the SE weight
b) Clinical examination which shall contribute 35% of the SE weight.

9.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.
9.6.2. Number of questions, marks distributions and sections
a) Written tests
S/N Description Assessment Type Mark(s) for Total Marks
each item
1. Section A 20 Multiple Choice Questions with four 01 20
(4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Clinical Examination
There shall be one Practical test OSCE/OSPE with total of 100% which shall be converted to 35%.
Coverage and marks distribution for the practical shall have: Introduction, preparation, performance,
and termination.

NB: Distribution of marks shall be done in accordance to the practical assessment forms/ checklist.

Assessment Plan NMT Level 6 Page 135

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,

GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06209 CARE OF PATIENT WITH SURGICAL CONDITIONS

END OF SEMESTER II EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 136

10.0. Assessment Plan for NMT 06210
Module Name: Care of Patients with Reproductive Surgical Conditions

Qualification: NTA Level 6 - Ordinary Diploma In Nursing And Midwifery

10.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module named NMT 06210: Care of Patients with
Reproductive Surgical Conditions was under the close guidance by the National Council for
Technical Education (NACTE) so as to ensure that the plan meets the required qualification standards
set by the regulatory authority. Assessment plan is one of the tools that are required during the
implementation of the Competence Based Education and Training (CBET) Curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application of skills and knowledge. The holder of the qualification will be
able to apply skill and knowledge in a broader range of activities, some of which a non-routine and be
able to assume operational responsibilities.

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Basic Technician Certificate
in Nursing and Midwifery (NTA Level 4) which contained in the Curriculum information for Ordinary
Diploma Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in
use until when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes; the other is
for specification of competences. The later has sub-enabling outcomes with the related tasks which
shall be assessed against the competences achieved in relation to the domains. Furthermore, there are
examination instructions/rubrics which contain assessment methods, duration, and number of questions
and distribution of scores. There is also a sample of the examination paper cover page. Assessor
should adhere to all requirements stipulated in this assessment plan in order to maintain standards
specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum

Assessment Plan NMT Level 6 Page 137

10.2. Enabling and Sub-Enabling Outcomes for NMT 06210
Enabling Outcomes Sub-Enabling Outcomes
4.5. Utilize knowledge and skills of medical 4.5.4. Provide nursing care to a patient with
nursing in the provision of care to patients enlarged prostate gland according to
with conditions affecting the genital urinary standards
system 4.5.5. Provide nursing care to a patient with
hydrocele according to standards
5.4. Apply knowledge and skills of surgical 5.4.7. Perform male circumcision according to
nursing in the provision of care to a patient standards
with conditions affecting genital urinary
system
5.6. Utilize knowledge and skills of surgical 5.6.1 Provide nursing care to a patient
nursing in the provision of care to a patient undergoing myomectomy according to
with conditions affecting reproductive standards
system 5.6.2 Provide nursing care to a patient
undergoing hysterectomy according to
standards
5.6.3 Provide nursing care to a patient
undergoing oophorectomy according to
standards
5.6.4 Provide nursing care to a patient
undergoing mastectomy according to
standards
5.6.5 Provide nursing care to a patient
undergoing repair of the cervix, Vesico
Vaginal Fistula (VVF) and Recto Vaginal
Fistula (RVF) according to standards
5.6.6 Provide nursing care to a patient
undergoing hydrocelectomy according to
standards
5.6.7 Provide nursing care to a patient
undergoing prostatectomy according to
standards

10.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06210

Sub-enabling Outcomes and Related Task Competence to be Tasks assessed
Assessed under Continuous
Assessment and
Semester Exam

Assessment Plan NMT Level 6 Page 138

 Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
4.5.4 Provide nursing care to a patient with
enlarged prostate gland according to
standards
Related Tasks:
a) Define enlarged prostate gland  
b) Identify causes and risk factors of enlarged  
prostate gland
c) Explain pathophysiology of enlarged  
prostate gland
d) Identify signs and symptoms of enlarged  
prostate gland
e) Identify diagnostic measure of enlarged  
prostate gland
b) Assess for enlarged prostate gland  
c) Give adequate fluid  
d) Teach patient on the importance of  
medical check up
e) Administer medicines  
f) Prepare for surgical intervention  
g) Monitor vital signs  
Sub-enabling outcome
4.5.5 Provide nursing care to a patient with
hydrocele according to standards
Related Tasks:
a) Define hydrocele  
b) Identify classification of hydrocele  
c) Identify causes and risk factors of  
hydrocele
d) Identify signs and symptoms of hydrocele  
e) Identify diagnostic measure of hydrocele  
f) Assess for hydrocele  
g) Teach patient on the importance of  
medical check-up
h) Prepare the patient for surgical  
intervention
i) Monitor vital signs  
Sub-enabling outcome
5.4.7 Perform male circumcision according to

Assessment Plan NMT Level 6 Page 139

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed
Assessed under Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
standards
Related Tasks:
a) Define circumcision  
b) Identify the indication for male  
circumcision
c) Explain complications of male  
circumcision
d) Prepare patient for male circumcision  
e) Conduct STIs and HIV testing  
f) Prepare equipment for male circumcision  
g) Circumcise a male client using sterile  
technique
h) Give post circumcision care to promote  
healing and prevent infections
Sub-enabling outcome
5.6.1 Provide nursing care to a patient
undergoing myomectomy according to
standards
Related Tasks:
a) Define myomectomy  
b) Identify indications for myomectomy  
c) Explain complications of myomectomy  
d) Give pre and post-operative care  
Sub-enabling outcome
5.6.2 Provide nursing care to a patient
undergoing hysterectomy according to
standards
Related Tasks:
a) Define hysterectomy  
b) Identify indications for hysterectomy  
c) Explain complications of hysterectomy  
d) Give preoperative care  
e) Give post-operative care  
f) Perform ambulatory exercises  

Assessment Plan NMT Level 6 Page 140

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed
Assessed under Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
g) Plan for discharge  
Sub-enabling outcome
5.6.3 Provide nursing care to a patient
undergoing oophorectomy according to
standards
Related Tasks:
a) Define oophorectomy  
b) Identify indications for oophorectomy  
c) Explain complications of oophorectomy  
d) Prepare patient for oophorectomy  
e) Give post oophorectomy care  
Sub-enabling outcome
5.6.4 Provide nursing care to a patient
undergoing mastectomy according to
standards

Related Tasks:
a) Define mastectomy  
b) Identify indications for mastectomy  
c) Explain complications of mastectomy  
d) Prepare patient for mastectomy  
e) Monitor for postoperative sensation  
f) Counsel for positive body image  
g) Monitor for potential complications  
h) Plan for discharge  
Sub-enabling outcome
5.6.5 Provide nursing care to a patient
undergoing repair of the cervix, Vesico
Vaginal Fistula (VVF) and Recto
Vaginal Fistula (RVF) according to
standards
Related Tasks:
a) Define fistula, vesicle vagina fistula, rectal  
vaginal fistula and cervical tear

Assessment Plan NMT Level 6 Page 141

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed
Assessed under Continuous
Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
b) State risk factors for cervical tear, VVF  
and RVF
c) Explain complications of cervical tear,  
VVF and RVF
d) Give pre and post-operative care  
Sub-enabling outcome
5.6.6 Provide nursing care to a patient
undergoing hydrocelectomy according
to standards
Related Tasks:
a) Define hydrocelectomy  
b) List indications for hydrocelectomy  
c) Explain complications of hydrocelectomy  
d) Give pre and post-operative care  
Sub-enabling outcome
5.6.7 Provide nursing care to a patient
undergoing prostatectomy according to
standards
Related Tasks:
a) Define prostatectomy  
b) Explain indications for prostatectomy  
c) Explain complications of prostatectomy  
d) Give pre and post-operative care  
48 16

10.4. Examinations Instructions/Rubric for NMT 06210

This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nurses and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment and Semester Examination.
Continuous assessment will be conducted throughout the semester and shall contribute 40% of the
module weight. Each component of both Continuous Assessment (CA) and Semester Examination (SE)
will be graded into 100%. All results will be uploaded into a system which converts the grades specific
appropriate weight of the assessment.

Assessment Plan NMT Level 6 Page 142

10.5. Continuous Assessment (CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be five (5)
components of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight

1. Written tests 10%

2. Assignments reports (Ind, and group assignment) 05%
3. Practical Examination OSPE/OSCE 10%
4. Case presentation 10%
5. Practical procedure book 05%
TOTAL CA WEIGHT 40%

10.5.1. Duration of assessments

The duration of each written test shall be not more than 2½ hours, and that of practical examination
shall be not be more than one hour.
10.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written test which carry 100% each. The continuous assessment
written test shall have five section; A, B, C, D and E as follows
S/N Description Assessment Type Marks for each Total Marks
item
1. Section A 20 Multiple Choice 01 20
Questions with four (4)
options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Practical test/Oral tests

There shall be one Practical test OSCE/OSPE with total of 100%. Coverage and marks distribution for
the practical shall have: Introduction, preparation, performance and termination.
NB: Distribution of marks shall be done in accordance to the practical assessment forms/checklist.

c) Written Assignments
The student shall be required to submit at least two individual written assignments each comprising
total of 100%.
d) Case presentation
Students will be required to have portfolio with at least two (2) case studies each comprising 100%
marks.
e) Practical procedure book
Students will be required to have a well signed practical procedure books according to the stipulated
competences. It will be graded into 100%.

Assessment Plan NMT Level 6 Page 143

10.6. Semester Examination (SE)
The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
a) Written examination which shall contribute 25% of the SE weight
b) Clinical examination which shall contribute 35% of the SE weight.

10.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination
shall be not more than 60 minutes.

10.6.2. Number of questions, marks distributions and sections

a) Written examination
S/N Description Assessment Type Marks for each item Total Marks

1. Section A 20 Multiple Choice Questions 1 20

with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Clinical Examination
There shall be one Clinical Examination with total of 100%. Coverage and marks distribution for the
practical shall have: Introduction, preparation, performance, and termination.
NB: The scoring shall be done in accordance to the oral and practical assessment form/checklist.

Assessment Plan NMT Level 6 Page 144

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,
GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06210 CARE OF PATIENTS WITH REPRODUCTIVE SURGICAL CONDITIONS

END OF SEMESTER II EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 145

11.0. Assessment Plan for NMT 06211
Module Name: Mental Health Nursing

QUALIFICATION: NTA Level 6 – Ordinary Diploma in Nursing and Midwifery

11.1. Introduction:
This assessment plan has been prepared by Ministry of Health, Community Development, Gender,
Elderly and Children (MoHCDGEC) in collaboration with Amref Health Africa in Tanzania. The process
of developing the assessment plan for the module named ( NMT 06211) Mental Health Nursing was
under the close guidance by the National Council for Technical Education (NACTE) so as to ensure
that the plan meets the required qualification standards set by the regulatory authority. Assessment
plan is one of the tools that are required during the implementation of the competence based education
and training (CBET) curricula.

The plan is also meant to facilitate and harmonize the assessment of learning outcomes among nursing
students across the country. The learning outcomes stipulated within the National Technical Award
(NTA) Curriculum shall be the basis of the assessment of the student competences. The assessor shall
assess learning outcomes stipulated within the NTA Curriculum flexibly based on the student’s ability to
apply competences involving application .The holder of the qualification will be able to apply skills and
knowledge in a broader range of activities, some of which are non-routine and be able to assume
operational responsibilities

The assessment plan was developed in November 2019 to be implemented for the first time in the
academic year 2020/2021 after the review of CBET curriculum by MoHCDGEC and approved by the
National Council for Technical Education (NACTE). It was developed from Ordinary Diploma in Nursing
and Midwifery (NTA Level 6) which contained in the Curriculum information for Ordinary Diploma
Programme in Nursing and Midwifery (NTA Level 4-6) document of 2017. The plan will be in use until
when Curriculum is reviewed. This assessment plan has two components of the module to be
assessed: Continuous Assessment (CA) which carries 40% and Semester Examination (SE) which
carries 60% of the module weight. The module shall be assessed both theoretically and practically.
There are mainly two tables in this plan, one is for the enabling and sub-enabling outcomes and the
other is for specification of competences. The latter has sub-enabling outcomes with the related tasks
which shall be assessed against the competences achieved in relation to the domains. Furthermore,
there are examination instructions/ rubrics which contain assessment methods, duration, and number of
questions and distribution of scores. There is also a sample of the examination paper cover page.
Assessor should adhere to all requirements stipulated in this assessment plan in order to maintain
standards specified in the module.

This assessment plan contains sub-enabling outcomes with related tasks that shall be tested in both
CA and SE. A tick (√) which appears in either CA or SE column indicates the time when the task shall
be assessed in both. A task that has lower level competences shall be assessed during the continuous
Assessment (CA) while a task that has higher level competences shall be assessed during the
semester examination (SE) respectively. Assessors shall focus on those core areas of competences as
stipulated in the curriculum.

Assessment Plan NMT Level 6 Page 146

11.2. Enabling and Sub-Enabling Outcomes for NMT 06104
Sub-Enabling Outcomes (Ability to……)
Enabling Outcomes (Ability to……..)
6.1. Apply principles of mental health nursing in the 6.1.1. Describe concepts of personality development
provision of nursing care to a patient with in relation to mental health
mental illness 6.1.2. Describe psychobiological concepts in relation
to the practice of mental health nursing
6.1.3. Describe legal issues related to mental health
nursing in the provision of nursing care to
mentally ill patient
6.1.4. Describe cultural and spiritual issues in caring
a patient with mental illness

6.2. Utilize guidelines and standards of mental 6.2.1. Provide psychological therapies to a patient
health nursing in the provision of therapies to a with mental illness according to guidelines
patient with mental illness 6.2.2. Provide psychosocial therapies to patient with
mental disorders according to guidelines and
protocols
6.2.3. Provide physical therapies to patients with
mental disorders according to standards
6.2.4. Provide pharmacotherapy to patients with
mental disorders according to standards
6.3. Utilize guidelines and protocols of mental health 6.3.1. Provide care to patients with personality
nursing in the provision of nursing care to a disorders according to standards
client with mental disorder/illness 6.3.2. Provide nursing care to patients with
dissociative and somatoform disorders
according to standards
6.3.3. Provide nursing care to patients with mood
disorders according to standards
6.3.4. Provide nursing care to patients with psychotic
disorders according to standards
6.3.5. Provide care to patients with cognitive
disorders according to standards
6.3.6. Provide care to special group with mental
illness according to guidelines and standards
6.3.7. Provide rehabilitative and domiciliary care to a
patient with mental illness
6.3.8. Provide care to patients with psychiatric
emergencies according to standards and
guidelines

Assessment Plan NMT Level 6 Page 147

11.3. Enabling and Sub-enabling Outcomes to be assessed for NMT 06104
Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
6.1.1. Describe concepts of personality
development in relation to mental
health
Related Tasks:
a) Define personality development  
b) Explain structure of personality  
c) Describe stages of psychosexual  
development (Freud’s theory)
d) Describe stages of psychosocial  
development (Erickson theory)
e) Describe stages of cognitive  
development (Peaget theory)
Sub-enabling outcome
6.1.2. Describe psychobiological concepts in
relation to the practice of mental health
nursing
Related Tasks:
a) Define neurotransmitters and limbic  
system
b) Describe the structure of limbic system  
c) Explain the roles of neurotransmitters  
d) Describe association of neural  
transmitters with
e) development of mental illness
f) Describe physiological mechanism by  
which various psychotropic medication
exert their effect
Sub-enabling outcome
6.1.3. Describe legal issues related to mental
health nursing in the provision of
nursing care to mentally ill patient
Related Tasks:
a) Define law and legal  
b) Explain legal issues in relation to  
mental health
c) Describe parts of mental health act in  
Tanzania legal system

Assessment Plan NMT Level 6 Page 148

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
d) Describe the national health Policy and  
guidelines on mental health services
Sub-enabling outcome
6.1.4. Describe cultural and spiritual issues in
caring a patient with mental illness

Related Tasks:
a) Define culture and spiritual  
b) Explain culture and spiritual issues  
c) Explain cultural and spiritual factors  
influencing mental health and illness
d) Identify client’s spiritual and religious  
needs
Sub-enabling outcome
6.2.1. Provide psychological therapies to a
patient with mental illness according to
guidelines
Related Tasks:
a) Define psychological therapy  
b) Describe psychological therapies  
c) Give psychological therapies  
Sub-enabling outcome
6.2.2. Provide psychosocial therapies to
patient with mental disorders according
to guidelines and protocols
Related Tasks:
a) Define psychosocial therapies  
b) Describe the psychosocial therapies  
c) Assess patients for psychosocial  
therapy
d) Give psychosocial therapy  
Sub-enabling outcome
6.2.3. Provide physical therapies to patients
with mental disorders according to
standards
Related Tasks:
a) Define physical therapy  
b) Explain types of physical therapies  

Assessment Plan NMT Level 6 Page 149

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
c) Explain advantages and disadvantages  
of each physical therapy
d) State indications of physical therapy  
e) Explain process of administering  
physical therapy
f) Explain mode of action  
g) Explain complications of physical  
therapy
h) Prepare patient for Electroconvulsive  
Therapy (ECT)
i) Give care during ECT  
j) Give care after ECT  
k) Monitor for complications of ECT  
Sub-enabling outcome
6.2.4. Provide pharmacot herapy to patients
with mental disorders according to
standards

Related Tasks:
a) Define pharmacotherapy  
b) Describe pharmacotherapies  
a) Administer pharmacotherapies  
b) Monitor for side effects of pharmacotherapies  
Sub-enabling outcome
6.3.1. Provide care to patients with
personality disorders according to
standards

Related Tasks:
a) Define personality and personality  
disorder
b) Describe types of personality disorders  
c) Assess for personality disorders  
d) Give care to patient with personality  
disorder
e) Refer a patient for further management  

Assessment Plan NMT Level 6 Page 150

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
Sub-enabling outcome
6.3.2. Provide nursing care to patients with
dissociativ e and somatofor m
disorders according to standards

Related Tasks:
a) Define somatoform and dissociative  
disorders
b) Describe types of somatoform and  
dissociative disorders
c) Identify etiology of somatoform and  
dissociative disorder
d) Assess for somatoform and  
dissociative disorders
e) Give care to clients/patients with  
somatoform and dissociative disorders
f) Refer patients/ clients for further  
management
Sub-enabling outcome
6.3.3. Provide nursing care to patients with
mood disorders according to standards

Related Tasks:
a) Define mood and mood disorders  
b) Describe types of mood disorders  
c) Assess for mood disorder  
d) Give care to clients/patients with mood  
disorders
e) Refer patients/ clients for further  
management
Sub-enabling outcome
6.3.4. Provide nursing care to patients with
psychotic disorders according to
standards

Related Tasks:
a) Define psychotic disorder  
b) Describe types of psychotic disorders  
c) Assess for psychotic disorders  

Assessment Plan NMT Level 6 Page 151

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
d) Give care to patients/clients with  
psychotic disorders
e) Refer patients/ clients for further  
management
Sub-enabling outcome
6.3.5. Provide care to patients with cognitive
disorders according to standards

Related Tasks:
a) Define cognitive disorders  
b) Describe types of cognitive  
disorders
c) Assess for cognitive disorders  
d) Give care to patients with cognitive  
disorders
e) Refer patients for further  
management
Sub-enabling outcome
6.3.6 Provide care to special group with
mental illness according to guidelines and
standards
Related Tasks:
a) Define special group  
b) Identify special group with mental  
illness
c) Describe common mental conditions  
affecting children, adolescent and old people
d) Give care to children, adolescents  
and older people with mental disorders
e) Give psychosocial care to victim of  
abuse or neglect
Sub-enabling outcome
6.3.7 Provide rehabilitati ve and domiciliary
care to a patient with mental illness

Related Tasks:
a) Define community psychiatry,  
rehabilitation and domiciliary care

Assessment Plan NMT Level 6 Page 152

 Sub-enabling Outcomes and Related Task Competence to be Tasks assessed under
Assessed Continuous Assessment and
Semester Exam

Wider attributes
Understanding
Knowledge

Skills
CA = 40% SE = 60%
b) Explain concepts of community  
mental health (prevention of mental illness,
early detection and treatment, continuity of
care, group and family therapy, community
support and control)
c) Explain roles of a nurse in  
community mental health

d) Explain roles of the family members 

in caring for a mentally ill patient
e) Identify mentally ill patients in the  
community
f) Provide domiciliary care to a patient  
with mental illness (Counselling, education,
medicine administration and compliance,
follow-up, )
g) Rehabilitate a mentally ill patient  
h) Conduct outreach mental health  
services
Sub-enabling outcome
6.3.8 Provide care to patients with psychiatric
emergencie s according to standards and
guidelines
Related Tasks:
a) Define psychiatry emergency  
b) Describe common psychiatry emergencies  
c) Perform risk assessment 
d) Give immediate care to prevent harm to  
patient and others
e) Administer treatment  
f) Refer patients for further management  
Total number of tasks assessed 54 29

11.4. Examinations Instructions/Rubric for NMT 06104

This rubric describes number of papers in a module for both CA and SE, duration, number of questions,
marks distribution and sections. The Examination regulations shall be those agreed jointly by the
MoHCDGEC, Tanzania Nursing and Midwifery Council (TNMC) and NACTE.
The module shall consist of two assessments; Continuous Assessment and Semester Examination.
Continuous assessment will be conducted throughout the semester and shall contribute 40% of the

Assessment Plan NMT Level 6 Page 153

module weight and Semester Examination shall be conducted at the end of a module and contribute
60% of the module weight. Each component of both continuous assessment and semester examination
will be graded into 100%. All results will be uploaded into a system which converts the grades into
specific appropriate weight of the assessment.
11.5. Continuous Assessment (CA)
The continuous assessment shall contribute 40% of the total module weight. There shall be five (5) components
of continuous assessments, namely;
S/N Description of Continuous Assessment CA Weight

1. Written tests 10%

2. Assignments report 05%
3. Practical Examination OSCE/OSPE 10%
4 Case Presentation 10%
5. Practical procedure book 05%
TOTAL 40%

11.5.1. Duration of assessments

The duration of each written test shall be not more than 2½hours, and that of practical examination shall be not
be more than one hour.
11.5.2. Number of questions, marks distributions and sections
a) Written tests
There shall be NOT less than two written. The continuous written assessment tests shall have five sections; A, B,
C, D and E as follows:

S/N Description Assessment Type Marks for Total Marks

each item
1. Section A 20 Multiple Choice Questions 01 20
with four (4) options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Practical test Oral tests

There shall be one Practical test OSCE/OSPE with total of 100%. Coverage and marks distribution for the
practical shall have: Introduction, preparation, performance and termination.

NB: Distribution of marks shall be done in accordance to the practical assessment forms/ checklist.

c) Written Assignments
The student shall be required to submit at least one individual and one group written assignments each
comprising total of 100%.
d) Case presentation
Students will be required to have portfolio with at least two (2) case studies each comprising fifty marks (50)
marks.
e) Practical procedure book
Students will be required to have a well signed practical procedure books according to the stipulated
competences. It will be graded into 100%.

Assessment Plan NMT Level 6 Page 154

11.6. Semester Examination (SE)
The semester examination shall contribute 60% of the total weight of the module. There shall be two (2)
components of Semester examination;
a) Written examination which shall contribute 25% of the SE weight
b) Clinical examination which shall contribute 35% of the SE weight.

11.6.1. Duration of assessments

The duration of each written examination shall be 2½ hours while the duration for clinical examination shall be
not more than 60 minutes.
11.6.2. Number of questions, marks distributions and sections
a) Written examination

S/N Description Assessment Type Mark(s) for Total Marks

each item
1. Section A 20 Multiple Choice Questions with four (4) 01 20
options
2. Section B 10 True/False Questions 00½ 05
3. Section C 10 Matching Item Questions 00½ 05
4. Section D 10 Short answer Questions 01 10
5. Section E Three (3) Essay Questions 20 60
TOTAL 100

b) Clinical Examination
There shall be one Clinical Examination with total of 100%. Coverage and marks distribution for the practical
shall have: Introduction, preparation, performance, and termination.

NB: The scoring shall be done in accordance to the oral and practical assessment form/checklist.

Assessment Plan NMT Level 6 Page 155

 A Sample of Examination Paper

THE UNITED REPUBLIC OF TANZANIA

MINISTRY OF HEALTH, COMMUNITY DEVELOPMENT,

GENDER, ELDERLY AND CHILDREN

( ……name of the institution…..)

ORDINARY DIPLOMA (NTA LEVEL 6) IN NURSING AND MIDWIFERY

NMT: 06211 MENTAL HEALTH NURSING

END OF SEMESTER II EXAMINATION

CANDIDATE NUMBER…………………..
TIME: 2½ HOURS DATE:
Instructions
(a) This examination consists of sections A, B, C, D and E. Which must be answered by all
Candidates
Section “A” -Multiple Choice - Twenty (20) questions – 20 marks
Section “B” -True or False - Ten (10) questions – 5 marks
Section “C” -Matching Type - Ten (10) questions – 5 marks
Section “D” -Filling in the blanks- Ten (10) questions – 10 marks
Section “E” -Essay type - Three (3) questions – 60 marks
Total 100 marks
(b) You are required to questions in each section.
(c) Section A, B, C, and D answers must be written in CAPITAL letter
(d) Each section must be answered on separate sheets of paper provided. Both sides of the paper
may be used.
(e) Write your examination number on every page of your answer sheets and on every page on
your examination paper.
(f) Unauthorized materials are NOT allowed in the examination room.

This paper consist………….number of pages

Assessment Plan NMT Level 6 Page 156

Assessment Plan NMT Level 6 Page 157