"The signs and symptoms in a nursing diagnosis describe:
a)projected changes in an individual's health status, clinical conditions, or behavior.
b)an individual's response to health pattern deficits in the child, family, or community.
c)a cluster of cues and/or defining characteristics that are derived from patient assessment and indicate actual health problems.
d)physiologic, situational, and maturational factors that cause the problem or influence its development."