Which action best supports adherence by aligning goals with the client’s preferences?

• A. Include the client in the planning process.
• B. Set realistic goals that are acceptable to the client.
• C. Offer teaching that supports the desired plan outcome.
• D. All of the above

Answer: (D)

Adherence improves when care is collaborative and tailored to what matters to the client. Involving the client in planning gives them ownership and a plan that fits their daily life, making it more likely they’ll follow through. Setting realistic goals that the client finds acceptable makes the plan feel doable, reducing overwhelm and resistance. Providing teaching that supports the desired outcome helps the client understand why each step matters, how to carry it out, and what to do if challenges arise, which boosts confidence and motivation. When you combine all three—collaborative planning, feasible goals, and supportive teaching—the approach is aligned with the client’s preferences and capabilities, making adherence most likely.