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This questionnaire is administered in determining the skills of Level 4 nursing students and their preparedness in Nursing Licensure Examination.

We certify the confidentiality of the date been gathered.

Instruction: Read the question carefully. Simply put check to the box on each question that corresponds to your answer. Numeri cal Rating 5 4 3 2 1 Quantitative Strongly Agree Agree Moderate Agree Disagree Strongly disagree Description Strongly favorable to the concept Somewhat favorable to the concept Undecided Somewhat unfavorable to the concept Strongly unfavorable to the concept

COGNITIVE SKILLS 1. I can recall our previous lessons and apply it in hospital setting. 2. I apply the importance of giving nursing care to a patient. 3. I can explain the rationale in every nursing procedure that gives to the client. 4. I can make inferences and find evidence to support generalization. 5. I can identify the strategies of nursing process which promote well being to our patient. PSYCHOMOTOR SKILLS 1. I can easily established rapport to our client by using therapeutic communication 2. I I follow instruction given by my professors. 3. I observe principles of teaching provide by the lecturer and apply it in hospital setting. 4. I demonstrate skills in reviewing procedures to assist my clients need. 5. Im showing confidence and proficiency in my actions to all procedure giving to our client.

AFFECTIVE SKILLS 1. I listen to others with respect. 2. I show desire to learn new process. 3. I I can show self reliance when working independently in group activities. 4. I accept suggestions and criticism graciously, and shows effort to overcome shortcomings. 5. I actively participate in class discussions.

INTELLECTUAL PREPAREDNESS 1. I have time table for my review schedule. 2. I gather necessary textbooks needed on my review programs. 3. I try to Master the basic concept. 4. I make use of available resources. 5. I try to answer common board exam questions. EMOTIONAL PREPAREDNESS 1. I Im optimistic that I can pass the Nursing Licensure Examination. 2. I show responsible control of emotions and behavior. 3. I trust myself that I can pass the exam. 4. I have the drive to pass the Nursing Licensure Examination. 5. Im tactful and prudent in handling situations. PHYSICAL PREPAREDNESS 1. I prepare or choose a special place that is conducive for studying. 2. I exercised before reviewing. 3. Im eating foods that rich in carbohydrates as part of my preparation for the exam. 4. I have enough sleep before reviewing.

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5 4 5 4 3 2 1 3 2 1

5. I know when to relax myself and when to study.

EVALUATED: 6/1/11 mark colindres

Date and Name

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