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

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