ClarificationquestionJudgmentalCommentsValidatingquestionClosedquestionLeadingQuestionAn exampleof aReflectivequestionPatient and nurseestablish goals,location,frequency, lengthof contact, andduration of therelationshipOrientationPhaseTerminationPhaseThe patientwill activelyparticipate intherelationshipTheconclusion ofthe initialagreement isacknowledged“You’ve been onyour presentmedication for 6months. Have youexperienced anyside effects?”“At home you’vebeen taking ababy aspirin a day.Have you takenany in the last 24hours?”The patient willattend acounselingsession dealingwith smoking“Whatbroughtyou to thehospital?”Sequencingquestion“You aren’tgoing tosmoke thatcigarette, areyou?”Anexample ofa DirectingquestionGivingAdvice“I’m not surewhat youmean. Couldyou tell meagain?”“You aren’tacting verygrown up.”The patientwill call thenurse bynameClichés“You’re chestpain beganafter youstarted runningon thetreadmill?”“You soundworried. I thinkyou should talkto your doctoror your rabbi.”Open-endedquestionWorkingPhase“You’veexpressedconcerns aboutyour mother’smemoryproblems…”“Have youever beenpregnant?”“Yourdoctorknowsbest.”Patient willexpressfeelings andconcerns tothe nurse“What’s thematter, catgot yourtongue?”ClarificationquestionJudgmentalCommentsValidatingquestionClosedquestionLeadingQuestionAn exampleof aReflectivequestionPatient and nurseestablish goals,location,frequency, lengthof contact, andduration of therelationshipOrientationPhaseTerminationPhaseThe patientwill activelyparticipate intherelationshipTheconclusion ofthe initialagreement isacknowledged“You’ve been onyour presentmedication for 6months. Have youexperienced anyside effects?”“At home you’vebeen taking ababy aspirin a day.Have you takenany in the last 24hours?”The patient willattend acounselingsession dealingwith smoking“Whatbroughtyou to thehospital?”Sequencingquestion“You aren’tgoing tosmoke thatcigarette, areyou?”Anexample ofa DirectingquestionGivingAdvice“I’m not surewhat youmean. Couldyou tell meagain?”“You aren’tacting verygrown up.”The patientwill call thenurse bynameClichés“You’re chestpain beganafter youstarted runningon thetreadmill?”“You soundworried. I thinkyou should talkto your doctoror your rabbi.”Open-endedquestionWorkingPhase“You’veexpressedconcerns aboutyour mother’smemoryproblems…”“Have youever beenpregnant?”“Yourdoctorknowsbest.”Patient willexpressfeelings andconcerns tothe nurse“What’s thematter, catgot yourtongue?”

COMMUNICATION TECHNIQUES AND PHASES OF THE HELPING RELATIONSHIP - Call List

(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.


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  1. Clarification question
  2. Judgmental Comments
  3. Validating question
  4. Closed question
  5. Leading Question
  6. An example of a Reflective question
  7. Patient and nurse establish goals, location, frequency, length of contact, and duration of the relationship
  8. Orientation Phase
  9. Termination Phase
  10. The patient will actively participate in the relationship
  11. The conclusion of the initial agreement is acknowledged
  12. “You’ve been on your present medication for 6 months. Have you experienced any side effects?”
  13. “At home you’ve been taking a baby aspirin a day. Have you taken any in the last 24 hours?”
  14. The patient will attend a counseling session dealing with smoking
  15. “What brought you to the hospital?”
  16. Sequencing question
  17. “You aren’t going to smoke that cigarette, are you?”
  18. An example of a Directing question
  19. Giving Advice
  20. “I’m not sure what you mean. Could you tell me again?”
  21. “You aren’t acting very grown up.”
  22. The patient will call the nurse by name
  23. Clichés
  24. “You’re chest pain began after you started running on the treadmill?”
  25. “You sound worried. I think you should talk to your doctor or your rabbi.”
  26. Open-ended question
  27. Working Phase
  28. “You’ve expressed concerns about your mother’s memory problems…”
  29. “Have you ever been pregnant?”
  30. “Your doctor knows best.”
  31. Patient will express feelings and concerns to the nurse
  32. “What’s the matter, cat got your tongue?”