Final answer:
A nursing diagnosis should be based on a cluster of several significant cues of data, option 1, as it provides a holistic view and a more accurate diagnosis than relying on a single cue or objective data.
Step-by-step explanation:
The most reliable basis on which a nurse can choose a nursing diagnosis is option 1: A cluster of several significant cues of data that suggest a particular health problem. This approach is preferred because it relies on the identification of a pattern of signs and symptoms that are collectively indicative of a specific health issue. Unlike a single cue or an isolated piece of objective data, which may not capture the complexity of a patient's condition, a cluster of related cues provides a more holistic understanding.
Similarly, while nursing diagnoses within the same NANDA-approved domain might be related, they do not offer the granular detail required for a specific nursing diagnosis. Therefore, the broader the evidence considered, consisting of multiple related cues, the more likely it is that the nursing diagnosis will be accurate and tailored to the patient's needs.