Which statement best reflects how goals evolve during outcomes identification?

• A. New goals will emerge as the client transforms over time and do not require any revision of outcomes.
• B. Goals are fixed and do not change once set.
• C. The emergence of new goals will require revision of expected outcomes.
• D. Outcomes should be set to be unchangeable once the plan is established.

Answer: (C)

Goals shift as the client changes, and that change prompts updating the plan. When a client makes progress or reveals new priorities, new goals often arise that weren’t anticipated at the outset. Because those goals reflect the patient’s current motivation, barriers, and health status, the expected outcomes must be revised to stay realistic and meaningful. This keeps the plan aligned with what matters most to the client and with what is achievable now. For example, progress toward a basic activity goal might reveal a stronger desire to tackle a related, higher-level goal, or new barriers may surface that require different outcomes. Fixed or unchangeable outcomes don’t fit the coaching process, since ongoing assessment and client voice drive adjustments.