The nurse coach's environmental health approach emphasizes which of the following regarding client goals?

• A. Internal and external environmental resources of self and client regarding contribution to client goal achievement
• B. External resources only
• C. Internal resources only
• D. Ignoring resources

Answer: (A)

This approach integrates both internal and external resources that influence whether clients reach their goals. Internal resources include motivation, self-efficacy, skills, health literacy, and coping strategies. External resources encompass supports in the environment—family, community services, access to care, and social determinants that enable goal attainment. A nurse coach using this perspective actively identifies and mobilizes these resources to support progress toward the client’s goals, recognizing that success comes from how the person and their environment work together. Choosing only external or only internal resources, or ignoring resources, would miss important drivers of change.