UNMEB Exam Syllabus for Diploma in Mental Health Nursing

UNMEB Examination Syllabus for Diploma in Mental Health Nursing 2023-2024

UNMEB Exam Syllabus for Diploma in Mental Health Nursing – Details:

This syllabus sets out in broad terms the subjects to be studied during preparation for Registration in the General part of the Register maintained by the Uganda Nurses and Midwives Examinations Board UNMEB.

The main aim of UNMEB Exam Syllabus for Diploma in Mental Health Nursing is to prepare nurses to function as efficient members of the health team, beginning with the competencies for first level positions in all kinds of health care settings.

Exam Syllabus for Diploma in Mental Health Nursing UNMEB

The UNMEB Exam Syllabus for Diploma in Mental Health Nursing course outline has been designed to enable eligible candidates to address the health needs of the country, community, and individuals. They can also pursue advanced study and specialization in nursing while contributing to the health-based industry with patience, responsibility, and dedication.

According to the syllabus, candidates will start their examinations as decided by the UNMEB authorities, with the briefing of candidates across the country. As you can see, UNMEB UNMEB Exam Syllabus for Diploma in Mental Health Nursing is essential to all final students of the Uganda Nurses and Midwives Examinations Board. Check Out Uganda Nurses and Midwives Examinations Board Examination Timetable.

How To Check UNMEB Exam Syllabus for Diploma in Mental Health Nursing 2023-2024

You can visit and Access the Uganda Nurses and Midwives Examinations Board Exam Syllabus for Diploma in Mental Health Nursing using a computer or mobile via the following link:

COURSE CONTENT FOR DIPLOMA IN MENTAL HEALTH NURSING (DMHN)

UGANDA NURSES AND MIDWIVES EXAMINATION BOARD

UNMEB Exam Syllabus for Diploma in Mental Health Nursing

1YEAR ONE SEMESTER I

DMHND 01 ANATOMY AND PHYSIOLOGY (I): DMHND 02 FOUNDATIONS OF NURSING(I) DMHND 03 BASIC COMPUTER APPLICATIONS DMHND 04 FIRST AID

DMHND 05 MICROBIOLOGY

DMHND 06 SOCIOLOGY DMHND 07 PSYCHOLOGY I

DMHND 08 PRINCIPLES OF PSYCHIATRIC NURSING (I)

2YEAR ONE SEMESTER II

DMHND 01 ANATOMY AND PHYSIOLOGY (II) DMHND 02: FOUNDATIONS OF NURSING (II)

DMHND 08: PRINCIPLES OF PSYCHIATRIC NURSING (II) DMHND 012: GUIDANCE AND COUNSELING

DMHND: 07 PSYCHOLOGY II

3YEAR TWO SEMESTER I – UNMEB Exam Syllabus for Diploma in Mental Health Nursing

DMHND 08: PRINCIPLES OF PSYCHIATRIC NURSING (III) DMHND 09: MEDICAL-SURGICAL NURSING I

DMHND 010: PHARMACOLOGY I DMHND 011: PEADIATRIC NURSING (I) YEAR TWO SEMESTER II

DMHND 09: MEDICAL NURSING II DMHND 10: PSYCHO-PHARMACOLOGY II DMHND 11: PEADIATRIC NURSING(II) DMHND 018: CHILD PSYCHIATRY

4YEAR THREE SEMESTER I – UNMEB Exam Syllabus for Diploma in Mental Health Nursing

DMHND 013: OCCUPATIONAL THERAPY AND REHABILITATION IN MENTAL HEALTH DMHND 14: BASIC TRAINING METHODS

DMHND 015: PRIMARY HEALTH CARE (PHC) DMHND 016: HEALTH SERVICE MANAGEMENT (I) DMHND 017 APPLIED RESEARCH

5YEAR THREE SEMESTER II

DMHND 016 HEALTH SERVICE MANAGEMENT II DMHND 017 APPLIED RESEARCH II (REPORT WRITING) DMHND 019 PALLIATIVE CARE NURSING

DMHND 020: INTRODUCTION TO OCCUPATIONAL HEALTH AND SAFETY

DMHND 021: ENTREPRENEURSHIP

DMHND 022: COMMUNITY MENTAL HEALTH NURSING

6YEAR ONE SEMESTER I – UNMEB Exam Syllabus for Diploma in Mental Health Nursing

01 ANATOMY AND PHYSIOLOGY (I)

Topic 1: Introduction to Anatomy and Physiology

Definition of terms used in anatomy and physiology
Human body organization (cell, tissue structure and function)
Chemistry of life
Blood and its composition

Topic 2: Structures and functions of various body systems

Cardio-vascular system and detailed diagrammatic description
Lymphatic system and detailed diagrammatic description
Digestive system and detailed diagrammatic description
Skeletal system and detailed diagrammatic description
Muscular system and detailed diagrammatic description

FOUNDATIONS OF NURSING(I)

Introduction to Nursing

Definitions
Nurses’ rights
History of Nursing
Theories of Nursing
Nursing in health care delivery system
Legal aspects in Nursing
Carrier pathway

2.2 Ethics and Etiquette

Ethical principles
Professional code of conduct
Code of conduct for all medical workers
Values of the nurses
Medical legal issues

BASIC COMPUTER APPLICATIONS – UNMEB Exam Syllabus for Diploma in Mental Health Nursing

Introduction

History of computer
Advantages of using computer
Components of computer

3.2 Microsoft computer packages

Introduction to computer environment
Using Microsoft word
Using Microsoft excel
Using power point

3.3 Introduction to internet

Surfing/searching for all information on the net
Using the email

3.4 Maintenance of computer and its components

Maintenance of computer components
Computer protection from internet hazards

FIRST AID

Introduction to first aid

Definition
Principles and rules of First Aid
Equipment used in First Aid

4.2 First Aid Emergencies

Shock
Cardio-Pulmonary resuscitation
Fractures and dislocation
Sprains
Asphyxia
Drowning
Poisoning
Snake bite and insect stings
Burns and Scalds
Haemorrhage
Bleeding
Unconsciousness
Wounds

MICROBIOLOGY – UNMEB Exam Syllabus for Diploma in Mental Health Nursing

Concepts of microbiology
Classification and types of microorganisms
Characteristics and mode of spread of disease causing microorganisms and parasites
Pathological effects of microorganisms and parasites
Simple laboratory tests /diagnostic procedures
Introduction to immunity
Immunity and immune system
Antibodies and antigens
Vaccination and immunization
Cold chain
Prevention and control of infections

SOCIOLOGY

Introduction to sociology

Basic concepts
Relevancy of sociology to Nursing

6.2 Socialization Process

Socialization
Urbanization and Globalization
Group dynamics
Deviance and Social Control

6.3 Sociology and Health

Health/Illness/Sickness as a social identity
Illness and sick role behavior
Family as the basic health unit
Culture and health behavior
Gender, domestic violence and metal health

6.4 Conflict Resolution

Concept of conflict
Conflict profile
Conflict cause and management

6.5 Attitudes and Beliefs

Definition of concepts
Models functions of attitude
Factors for attitude formation
Attitude change

PSYCHOLOGY I – Exam Syllabus for Diploma in Mental Health Nursing

Introduction to Psychology

Definition and history of Psychology
Types of Psychology

7.2 Brain, Body and Awareness

Body and behavior
Sensation and Perception
Motivation and emotion
State of consciousness

7.3 Human Development

Infancy and childhood
Adolescence
Adulthood and Aging
Gender differences

7.4 Cognitive Processes

Principles of learning
Intelligence
Memory and forgetting

PRINCIPLES OF PSYCHIATRIC NURSING (I) – Exam Syllabus for Diploma in Mental Health Nursing

Introduction to Mental Health

History of Mental Health Nursing
Mental Health Nursing Services in Uganda
Duties and roles of a mental health Nurse
Therapeutic environment/mileu

Admission/ Assessment of a patient with mental health problem
Professional therapeutic Nurse-Patient/ client relationship
Nursing process & it’s Application in the management of patient with mental health problems
Legal aspects of mental health nursing

8.2 Psychiatric Interventions and Psychiatric Emergencies

Suicide
Delirium tremens
Epileptic furor
Aggression and violent behavior
Acute panic states
Acute drug induced extra pyramidal syndrome
Drug intoxication
Catatonic and depressive stupor

YEAR ONE SEMESTER II – Exam Syllabus for Diploma in Mental Health Nursing

DMHND 01 ANATOMY AND PHYSIOLOGY (II)

Structures and functions of various body systems

The respiratory systemand the detailed diagrammatic description
The urinary Systemand the detailed diagrammatic description
The endocrine systemand the detailed diagrammatic description
The nervous systemand the detailed diagrammatic description
Organs of special Sensesand the detailed diagrammatic description
The reproductive systemand the detailed diagrammatic description
The lymphatic system and the detailed diagrammatic description

FOUNDATIONS OF NURSING (II)

2.5 ADVANCED NURSING CARE

Passing a nasal gastric tube
Stomach lavege
Nasal gastric aspiration
Flatus tube
Rectal washout
Care of colostomy
Intravenous infusion
Catheterization
Bladder irrigation
Chest aspiration
Care of underwater seal drainage

Care of tracheostomy
Nursing paraplegic patients
Paracentesis abdomins
Ear syringing
Administration of oxygen
Preparation of patients for X-ray and other investigations
Lumbar puncture
Wound dressing
Preparation of traction
Preparation for biopsy
Palliative care

PRINCIPLES OF PSYCHIATRIC NURSING (II) – Exam Syllabus for Diploma in Mental Health Nursing

Introduction to Mental Health
Schizophrenia
Affective Disorders
Organic Mental Disorders
Neurotic Disorders
Epilepsy
Psychoactive substance use
Pregnancy and Puerperium related mental health problems
HIV Psychosis/ AIDS Dementia
Psychosexual Disorders
Forensic Psychiatry
Eating Disorders
Geriatric Psychiatry
Liaison Psychiatry
Personality Disorder

GUIDANCE AND COUNSELING

Introduction to Guidance and Counseling

Concepts of Guidance and Counseling
Theories and Principles of Guidance and Counseling
Qualities of a good counselor
Importance of counseling in psychiatric nursing

12.2 Counselling Process

Different models/ stages of counseling
Attitude and skills of counseling
Self – awareness

Don’ts in counseling

12.3 Specific Common Counseling Conditions

HIV/AIDS pre and post counseling
Substance abuse
Depressed patient’s/ anxiety states
Bereavement and other types of loss
Crisis intervention
PTSD

PSYCHOLOGY II

Personality, and Theories of personality
Assessment of personality and personality abilities
Frustration, conflict, stress and substance abuse
Mental Defense mechanisms and their application
Motivation and theories of motivation

YEAR TWO SEMESTER I

PRINCIPLES OF PSYCHIATRIC NURSING (III)

Specialized Areas of Nursing Care

Escape tendency
Food refusal
Insomnia
Parole
Planning patient’s day

Psychotherapies

Behavior therapy
Cognitive behavior therapy
Supportive psychotherapy
Group therapy and family therapy

MEDICAL-SURGICAL NURSING I

Definition of terms
Causes of medical/ surgical conditions
General approach to management of medical-surgical conditions
General investigations carried out to rule out medical surgical conditions

Diseases of the cardiovascular system

Pericarditis
Endocarditis
Myocarditis
Myocardial infarction
Congestive cardiac failure
Rheumatic heart disease
Anemias
Hemorrhage

Diseases of the Renal System

Pyelonephrits
Glomerulo-nephritis
Renal failure
Cystitis
Nephrotic syndrome
Urethritis
Trauma to the kidney, bladder and urethra
Prostatic hypertrophy
Urethral strictures

Diseases of the respiratory system

Diseases of the Upper Respiratory System
Diseases of the Lower Respiratory system

Diseases of the Digestive System

Oral Pharyngeal conditions
Stomatitis
Gingivitis
Oesophagitis
Peptic Ulcer disease
Liver conditions
- Hepatitis
- Liver cirrhosis
- Jaundice
Gastritis
Cholecystitis
Appendicitis
Intestinal obstruction

Diseases of the nervous system

Meningitis
Encephalitis
Cerebral Vascular Accident
Head Injury

Epilepsy
Headaches
Tumours

Diseases of the endocrine system

Diabetes
Goitre
Thyrotoxicosis and Myoxedema
Cretinism and Gigantism

PHARMACOLOGY I

Introduction to Pharmacology

Concept of pharmacology
Pharmacy and Drug Act
Classification of drugs
Pharmacokinetics and pharmacodynamics
Rules governing administration of drugs

10.2 General Pharmacology

Antimalarial Medicine
Analgesics
Antibiotics
Antihistamines
Anticoagulants
Anti-diabetics
Anti-Tuberculosis drugs
Anti-fungals
Anthelmintic
Antivirals
Antineoplastics
Diuretics
Antihypertensive
Haematemics

PEADIATRIC NURSING (I)

Introduction to Paediatric Nursing and Concepts of Paediatric nursing

Growth and development

Factors affecting growth and development
Growth monitoring and promotion
Developmental mile stones

Growth monitoring

Taking children’s weight
Plot weight on growth promotion chart
Assessment of neonates and children

Childhood Illness and Conditions

Neonatal conditions
Childhood conditions
Home accidents
Drug administration in children
Health Education and Promotion
Immunization
Immunization and management of cold chain
Nutrition
Hygiene

YEAR TWO SEMESTER II

MEDICAL NURSING II

Skin disorders or disease

Karposis sarcoma
Allergic condition of the kin
Wounds burns
Inflammations

Specific surgical conditions

Anthrax
Gangrene tetanus
Fractures
Spinal injuries
Osteomyelitis
Congenital abnormalities
Osteoarthritis
Bone and joint tumors

Conditions of the ear, nose and throat

Otitis media
Rhinitis
Foreign body
Adenitis

Ano-rectal conditions

Hemorrhoids
Anal fistula and fissure
Rectal prolapsed

STDs and HIV/AIDS infections

HID/AIDS infection
Vaginits
Gonorrhea
Trichomonas
Syphilis
Candidiasis
Canchroid

· Tropical and communicable diseases

Parasitic infections
Intestinal worms
Malaria
Trypanasomiasis
Zoonoses of medical importance
Rabies
Brucellosis
Viral infections of medical importance Chicken pox

Measles Mumps SARS

Hemorrhagic Fevers (Viral) Ebola

Yellow fever Lasar fever Marburg

Gastrointestinal infections Diarrhea

Typhoid Cholera Dysentery

Gynecological Conditions

Uterine tumors
Pelvic Inflammatory Diseases (P.I.Ds)
Vesicle-vaginal fistula
Rectal- vaginal fistula
Cancer of the cervix
Fibriods
Vulvitis
Conditions of the breast Cancer of the breast Mastitis
Ovarian cyst

PSYCHO-PHARMACOLOGY II

Antipsychotics
Antidepressants
Anticonvulsants/ Antiepileptic
Anxiolytics
Mood stabilizers
Anti-parkinsonian drugs

PEADIATRIC NURSING(II)

Bleeding
Congenital toxoplasmosis
Syphilis
Perinatal asphyxia
Neonatal seizures
Normal sexual development
Home accidents
Manage children living with HIV /AIDS
- Clinical manifestation of HIV / AIDS in children
- Opportunistic infections in children
- Treatment of HIV/AIDS in children (ARV therapy)
- Prevention and control of HIV/AIDS

CHILD PSYCHIATRY

Mental retardation
Attention deficit hyperactivity disorder
Conduct
Hyperkinesis
Separation anxiety
Social phobia
Asperger’s syndrome
Trauma responses in children (PTSD and Depression)
Suicide and self-harm

YEAR THREE SEMESTER I

OCCUPATIONAL THERAPY AND REHABILITATION IN MENTAL HEALTH

13.1 Introduction

Definition of terms

Occupational therapy Rehabilitation Work/productivity Leisure/ play

Self-care/ self-maintenance Activities of daily living (ADL)

Concepts and theories in occupational therapy Institutionalization

Ethical legal issues in occupational therapy Forensic psychiatry and occupational therapy Socio-cultural issues in occupational therapy

Approaches to treatment in mental health occupational therapy

13.2 Occupational Therapy Process

Assessment
Analysis
Planning
Implementation and Evaluation

13.3 Activities in Mental Health Occupational Therapy

Physical activities
Social activities
Personal activities
Work and constructive activities

13.4 Rehabilitation

Principles
Resources and support
Personnel

13.5 Specific areas for occupational therapy in mental health

Schizophrenia
Anxiety Disorders
Substance- related disorders
Personality disorders
Mood disorders
Epilepsy
Rehabilitation for HIV/AIDS
Child and adolescent psychiatry
Acute psychosis

BASIC TRAINING METHODS – Exam Syllabus for Diploma in Mental Health Nursing

Introduction to principles of training and learning

Concepts; teaching, learning and training
Principles of Teaching and learning
Training or facilitation methods
Advantages and limitations of different training methods

14.2 Preparation and Presentation

Planning a training session
Preparation
Session facilitation
Pre and post training evaluation
Report writing

14.3 Designing a training program

Prepare a training programme
Conduct a training programme
Monitor and evaluation training programme
Report writing

DMHND 015: PRIMARY HEALTH CARE (PHC)

Introduction to PHC

Meaning of PHC
Historical background of PHC
Concepts, principles and pillars
Components of PHC

15.2 Integration of mental health into existing PHC services

Minimum health care package
Process of integration of mental health into PHC services
Resources for delivering health services

15.3 Community Health Services

Introduction to delivery of community mental health services
Define what constitutes a community
Structure (administrative) of a community
Values, norms, beliefs, taboos, and attitude
Social services
Stake holders and resources within the community
Community diagnosis Community entry process Community entry Community survey Ethical consideration

Identification and prioritization of needs and resources and interventions Develop action plan

Implementation, monitoring and evaluation of health services in the community Mobilization and sensitization

Check list and indicators for monitoring

Report writing on community health activities

HEALTH SERVICE MANAGEMENT (I)

Introduction to Management

Concepts
Theories and Principles
Functions of effective leadership and management

Roles, responsibilities and functions of an effective leader/ manager
Qualities of a good manager
Management theories and styles
Human resource management
- Recruitment and Staff recruitment process
- Remuneration and appraisal
- Performance Appraisal
Financial management
Management of equipment and supplies
Transport
Management of Infrastructure
Leadership
- Leadership theories
- Team process
- Styles of leadership
Conflict and conflict resolution
Negotiation Skills
Prepare a management report
Carryout inventory

APPLIED RESEARCH

Introduction

Concept of research
Functions of research
Types or methods of research
Research designs

17.2 Basic Statistics

Frequencies
Mean
Mode
Median
Data presentation methods

17.3 Proposal Writing

Introduction
Literature review
Methodology
References
Budgeting
Work plan

17.4 Data Collection Procedures

Types of research tools
Formulation of research tools
Methods of data collection

YEAR THREE SEMESTER II

HEALTH SERVICE MANAGEMENT II

Organizational and structure of a health unit
Planning health services
- Concept of planning
- Planning cycle
- Work plan for health facility
Management of resources at the psychiatric unit
- Equipment and supplies
- Human resource
- Time
- Finances
- Space
Management of HMIS
Maintenance of healthy unit
Implementation, monitoring and evaluation of a health facility
Management of equipment and supplies
- Inventory and stock taking
- Ordering/ requisition procedures
- Procurement of equipment and supplies
- Issuing of equipment and supplies
Integrated disease response and surveillance
Key government policies

APPLIED RESEARCH II (REPORT WRITING)

Introduction
Literature review
Methodology
Results
Discussion
Recommendations
Dissemination of results

PALLIATIVE CARE NURSING

Palliative Care concepts

Principles of palliative care
Importance of palliative care
Roles of palliative care in Uganda
Attributes of palliative care
Preparation of family to make important

The hospice concept

Hospice movement
Philosophy of hospice
Goals of
Holistic care approach

Pain and pain management

Pain assessment
Pain management
Psychosocial support to terminally ill patients
Administer analgesics
Control pain using non-pharmacological methods

Palliative care emergencies

Severe uncontrolled
Spinal cord
Superior vena cava obstruction (SVCO).

Symptoms of terminally ill patients

GIT (Nausea and vomiting, Diarrhea, Anorexia, Constipation, Hiccups
Respiratory system (Dyspnea / air hunger)
Nervous system (Delirium, Depression, Nightmares, Insomnia)
Integumentary system (Non- healing wound, Pruritus)

Common conditions in palliative care

Spiritual needs
Bereavement

Ethics at the end of life

Hastened death
Assisted death
Advanced directives

INTRODUCTION TO OCCUPATIONAL HEALTH AND SAFETY

Basic concepts in occupational health and safety
Identification of occupational health hazards in a work place
Types and classification of occupational health hazards
Prevention and control of occupational health hazards
Roles of a nurse in prevention and control of occupational health hazards
Legal issues in occupational health hazards g. Workers’ Compensation Act

ENTREPRENEURSHIP

Concept of entrepreneurship

Small business in the economy
Entrepreneurship, the entrepreneur and the owner manager
Innovation and the market place

Creating entrepreneurial small business

Business planning
Successful, strategies for small business
Start-ups and franchises (Permits/license)
Buying an existing business
Forming and protecting a business

Managing people and resources

Managing people and resources
Marketing
Money matters for small business
Business exists and realizing value
Development of a business plan and budget
Establishing a business premise
Raising funds for small business

COMMUNITY MENTAL HEALTH NURSING

Introduction to Community Health Nursing
Roles of Mental Health Nurse
Mental Health Home Care
Community Mental Health Outreach Services
Promotion of Mental Health and Prevention of Mental Illness
Disasters and disaster management
- Types of disasters (Natural disaster and Man made
- Disaster
- Roles played by each stakeholder as far as preparedness, response and recovery and mitigation are
- The stages of disaster
- Requirements for disaster
- Disaster prevention

EXAMINATION GUIDELINES, MALPRACTICE AND DISCIPLINARY SANCTIONS

1 The Board reserves the right to alter or cancel examinations. The Board may change the date, time or condition of the administration of the examination or cancel the administration of the examination to protect the safety of candidates and or THE INTEGRITY OF THE BOARD. Such alterations or cancellation may also occur if the examination is hindered by any cause that could not be reasonably prevented by the Board , including natural disasters such as fire , flood, earthquake, storm, outbreak of disease, or by acts of military insecurity: political or government authority. If any such event occurs, candidates shall be notified as soon as possible.

This is in accordance to Regulations 20 of the Business, Technical, Vocational Education and Training (Establishment of the Nurses and Midwives Examinations Board (UNMEB)) Regulations, 2009.

2 For purposes of these rules, “Examination malpractice” shall mean any act, default or practice which is in breach of these rules or which compromises, attempts to compromise or may compromise the process of assessment, the integrity of the Board examinations and the validity of the certificates awarded.

3 In order to maintain its high standards, the Board shall not hesitate to take disciplinary action against any person, candidate or centre who may indulge in examination malpractice. Examination malpractice shall include the following:

(a) Smuggling or bringing foreign material into the examination room. Smuggling occurs when a candidate without permission takes into the examination room written information which is relevant or irrelevant to the examination
questions with intention to cheat in the examination. Smuggling includes but may not be limited to taking into the examination hall text books, note books, charts, written notes on pieces of paper and on palms, thighs, desks,
clip boards, handkerchiefs, shirts etc.

5. The Board further reserves the rights to withhold release of results of the examination of any candidate or centre suspected of having been involved in examination malpractice pending completion of investigation and the final disposal of any consequent disciplinary or other proceedings.

6. In hearing cases of examination malpractice, the Board shall observe rules of natural justice and fairness. Before any sanction is communicated, the Board shall determine whether or not the alleged malpractice actually occurred. Evidence from all parties concerned like the Principal, overall Monitor, Coordinator, Invigilator and Examiners shall be gathered and an investigation report submitted to the Board by the person employed by the Board at the concerned Examination Centre. During the investigations all concerned parties shall be given the opportunity to be heard and shall be informed of the outcome of the investigations.

7. The Board may at its discretion apply any of the following sanctions and penalties against a candidate guilty of examination malpractice or breach of these rules depending on the gravity of the offence committed:

(a) A written warning regarding future examination sittings;
(b) Deduction of Marks;
(c) Disqualification from the Examination concerned;
(d) Disqualification from the whole of the examination series;
(e) Prohibition from entering one or more examinations of the Board for a set period of time
(f) Disqualify the candidate from taking the examination and cancel entire results.
(g) Police and/or other relevant authorities may be informed for further action and subsequent prosecution in Courts of Law.

8. For the following cases of malpractice, the Board shall execute the following
sanctions:

(a) External Assistance: Where any other person is found assisting a candidate, or in possession of examination material, that person shall be arrested and handed over to police for prosecution. A report shall be made to the
Executive Secretary UNMEB for action. The entire results of the candidate assisted shall be cancelled and such a candidate may not be allowed to sit for the other examinations.

(b) Smuggling: Any candidate found with smuggled materials inside the examination room shall be required to write and sign a statement admitting that the materials were found with him/her. Such a candidate shall have his/her entire results cancelled.

(c) Leakage: Any person found to have had prior knowledge of the examination papers or found buying or selling questions or what is purported to be questions for the examination, shall be arrested and taken to police for
prosecution.

9. The Board may at its discretion apply any of the following sanctions and penalties against an examination centre where evidence of malpractice is found:

(a) Formal reprimand recorded
(b) The cohort of candidates concerned in the centre may be disqualified and/or all involved candidates recorded as failed;
(c) Centre registration may be withdrawn, suspended or cancelled;
(d) Ban on involvement with the administration of examination for a set period;
(e) Punishment to the Head of centre;
(f) Police and/or other relevant authorities may be informed for further action and subsequent prosecution in courts of law.

10. The Board may in addition to the above sanctions, decide to:

(a) Make a public declaration of the names of schools and/or candidates involved in malpractice
(b)withdrawal accreditation of an examination centre where malpractice or an irregularity has occurred
(c) Report the Head of such a centre and the invigilators to the relevant organs of the ministries for appropriate action.

11. In all extreme cases, the Board shall seek the Minister’s approval before decisions are communicated.

Regulations 9(3) and 21(2) of the Business, Technical, Vocational, Education and Training (Establishment of the Nurses and Midwives Examinations Board (UNMEB)) Regulations, 2009, provide that the Board may, with the prior approval of the Minister, delay, nullify, or withhold the examination results for a reasonable cause and the Board may also suspend or withdrawal an examination centre that fails to maintain the requirements, regulations and ethical standards of an accredited examination centre respectively.

12. In addition to the above and in accordance with Regulation 21(1), any person who-

(a) knowingly or negligently reveals the contents of any examination material to unauthorised persons, whether a candidate or not;
(b) with intent to fail or pass a candidate, alters the work, data, or information or scores of a candidate;
(c) wilfully and maliciously damages examination material;
(d) with intent to impersonate, presents or attempts to present or herself in the place of an enrolled candidate;
(e) with intent to gain employment or admission, presents a forged certificate or diploma purported to have been issued by the Board;
(f) sells, buys, borrows, lends or steals certificates or diplomas issued by the Board with intent to impersonate;
(g) withholds any information which is prejudicial or likely to be prejudicial to the proper functioning of the Board;
Commits an offence and is liable, on conviction, to a fine not exceeding twenty currency points or imprisonment not exceeding one year or both.