Which statement best describes the nurse coach's role in outcomes identification?

• A. The nurse coach prescribes the exact interventions needed to achieve change.
• B. The nurse coach assists the client to identify goals that will lead to the desired change.
• C. The nurse coach focuses solely on documenting goals in the chart.
• D. The nurse coach determines the final outcomes without client input.

Answer: (B)

Outcomes identification in nurse coaching is a collaborative, client-centered process that involves helping the client articulate and commit to measurable goals. The nurse coach supports the client in naming what change they want to achieve and in framing those changes in concrete, realistic terms that can be tracked over time. This approach empowers the client and provides a clear direction for the plan and progress evaluation. The coach does not prescribe exact interventions; instead, they explore options with the client, fostering self-efficacy and tailoring goals to the client’s values and readiness. While documenting goals is part of the process, the emphasis is on active client involvement and agreement on what will count as successful change. The final outcomes should reflect the client’s input, not be determined without it.