QUESTIONNAIRE

Name: Course: BSN

Age: Year level:

Direction: Please put one check () on the corresponding boxes of each number below the

desired number on how often you encounter the listed problems;

1 – Never 4 – Often

2 – Seldom 5 – Always

3 – Sometimes

Part I.

Problems encountered 1 2 3 4 5
1. Patient/clients exhibit violence or violent 18 2 0 0 0
acts
2. Unwanted expectation of the Clinical 2 3 5 5 5
Instructor(s)
3. Unpreparedness in handling hospital 0 3 7 6 4
equipment
4. Contrast between theories learned and 0 2 5 7 6
the work required in the clinical area
5. Fear of trying different techniques in 0 2 2 3 13
nursing procedures
6. Fear of being reprimanded by superior 0 0 4 4 12
7. Feeling of insecurity regarding heavy 0 2 3 5 10
work assignments
8. Absence of an instructor in the ward 0 3 9 2 6
9. Being short staffed 0 2 10 3 5
10. Long shifts 0 2 4 9 5
11. Discrimination 4 3 7 6
12. Job environmental hazards 0 3 5 4 8
13. Inadequate knowledge 0 0 8 5 7
14. Deficient practical skills 7 7 4 1 1
15. Insufficiently developed communication 9 9 2 0 0
skills
16. Stress 0 0 1 3 16
17. Ethical problems 4 13 2 1 0
Part II.

Coping mechanism used 1 2 3 4 5

1. Avoid unnecessary stress 0 0 0 14 6

(It is not possible to avoid all stressful situations,
but one needs to look at the number of stressors
in life that can be eliminated.)
2. Alter the situation 0 0 1 2 17
(This may involve changing communication
patterns or the manner in which daily life is
operated. Express feelings instead of bottling
them up inside)
3. Accept the things you cannot change 0 0 0 1 19
(One cannot prevent or change stressors, such as
death of a patient or loved one. This is to accept
things as they are. While acceptance may be
difficult, in the long run, it is easier than trying
to change that which cannot be changed)
4. Adapt to the stressor 0 0 0 0 20
(Regain a sense of control by changing
expectations and attitudes if stressor cannot be
changed)
5. Take care of personal needs 2 3 15
(Make healthy lifestyle choices. Take time for
rest and relaxation. Nurturing ones' self is not a
luxury, but a necessity)

Note: The answers that were given by the participant will be held in secrecy, and will be kept for

the sake of privacy and autonomy. Thus betrayal with the agreements shall be labeled illegal and

therefore punished by the due process of the law.