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

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