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

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