CASE STUDY A Client Was Diagnosed with a Human Need for Wholesome

CASE STUDY
A client was diagnosed with a human need for wholesome facial image due to the client's dissatisfaction with her malaligned maxillary anterior teeth as evidenced by the client verbalizing,"I try not to show my teeth when smiling." The dental hygienist,in collaboration with the client,set the following goal: The client will seek an orthodontic consultation by 7/12.
-According to the dental hygiene process of care,all of the following are reasons why a client may fail to achieve a desired outcome of care except which one?

A) Care plan has not been updated.
B) Intervention strategies do not address the care plan goals.
C) Goals fail to address the client's unmet human need.
D) Goals are realistic and achievable by the client.