The North American Nursing Diagnosis Association (NANDA) defines nursing as. “a clinical judgement about individual, family, or community responses to actual or potential health problems/ life processes” (encyclopedia). The initial purpose of nursing diagnoses was to aid in communication between nurses, organize research, and educate new nurses. (encyclopedia). The use of these diagnoses causes the nurse to think critically and holistically at the patient. During the diagnosis process the nurse must determine the appropriate plan of care for the patient based on signs and symptoms. The list created by NANDA was first created in the 1990’s and is still used today in order have a centralized list for all nurses and practitioners. 2. Grand theories are “concepts that derive from a conceptual model and propose a testable proposition that tests the major premise of the model” (Allgood, 2018). Grand theories are abstract theories that are