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Nursing Diagnoses: Issues and Controversies 9 Summary________________________________________________________________ Nursing diagnosis has sparked much debate. Too often, those opposed to nursing diagnosis practice in isolation as primary providers and see no need for diagnoses in their nurse–client relationships. If they engage in therapeutic interventions, they are engaged in treating phenomena. They see no need for diagnoses, yet they must analyze responses, which directs them to future interventions.

Include children in discussions of family decisions. • Report respect for privacy of each member. Stolte describes wellness nursing diagnoses as “a conclusion from assessment data which focuses on patterns of wellness, healthy responses, or client strengths” (1996, p. 9). Interventions focus on attainment of health behaviors or achievement of developmental tasks. Since 1973, many nurses have expressed concern that the NANDA list primarily represents alteration or dysfunction with too little emphasis on wellness (Popkess-Vawter, 1984).

7 Carp’s Cues NANDA does not address possible nursing diagnoses because they are not a classification issue; they are an option for clinical nurses. With a possible nursing diagnosis, the nurse has some, but insufficient, data to support a confirmed diagnosis. Possible nursing diagnoses are two-part statements consisting of: • The possible nursing diagnosis • The “related to” data that lead the nurse to suspect the diagnosis An example is Possible Disturbed Self-Concept related to recent loss of role responsibilities secondary to worsening of multiple sclerosis.