Assumptions are often made in clinical settings goal setting without input from clients. Perception of nurse and of client influence the interaction process. Goals, needs and values of nurse and client influence the interaction process. Individuals have a right in knowledge about themselves. Individuals have a right to participate to decisions that influence their life, their health, and community services they utilise. Health professionals have a responsibility to share information that helps individuals make informed decisions about their health care. By collaborating and communication = they identify specific goals, problems, and concerns. Nurse must: understand values and how values differ, respect for others" values, develop philosophy/pragmatic views of mutual goal setting - effective, learning when and how to work within a mutual goal setting context. Decisions people make = based on their values (which are shaped by culture) Some classes have advantages over others that helps make it easier for them to go through life, transitions, and death.