After consulting with the health department director, a public health nurse collaborates with a housing advocate service and legal counsel on behalf of clients who live in substandard housing under fear of eviction. The nurse is applying the _______ component of the nursing process to a _______ level of practice.

• A. Evaluation + systems.
• B. Assessment + community.
• C. Implementation + systems.
• D. Diagnosis + community.

Answer: (C)

Implementation is about putting the plan into action and coordinating interventions. In public health nursing, doing this at the systems level means changing policies, processes, or environments that affect a population. Here, the nurse isn’t just gathering data or diagnosing a single person; she’s working with housing advocates and legal counsel to address substandard housing and eviction fears for a group of clients. That requires executing actions across agencies to implement solutions—such as housing policy changes, legal protections, and coordinated community services—aimed at the broader housing system. So, the answer is implementation at the systems level.