What does ANA Standard 1 specify for nurse coaching?

• A. Assessment: The registered nurse collects comprehensive data pertinent to the healthcare consumer's health and/or the situation.
• B. Diagnosis: The registered nurse analyzes assessment data to determine diagnoses.
• C. Education: The registered nurse provides patient education.
• D. Environmental Health: The nurse ensures environmental health factors.

Answer: (B)

ANA Standard 1 centers on gathering information. In nurse coaching, this means the nurse collects comprehensive data about the consumer’s health status, concerns, goals, and the situation—including medical history, current symptoms, medications, risks, and the social and home context. This thorough assessment creates the baseline you need to tailor coaching, set priorities, and track progress over time.

Diagnosing—analyzing the data to determine nursing diagnoses—belongs to the next step after assessment and is used to guide planning and interventions. Education and environmental health factors are important, but they fit into subsequent phases of the process rather than defining the initial standard.