A nurse saw there was a need for a hospice facility in a rural ...

[khang]

A nurse saw there was a need for a hospice facility in a rural area, because so many of the residents were quite elderly and death was common.
 
  Which of the following best explains why the community would not immediately see the wisdom of the nurse's suggestion?
  a.
  Change is always difficult; the nurse just needs to keep reinforcing the need for such a facility.
  b.
  The nurse did not tell residents how much their taxes would need to go up to support such a facility.
  c.
  Residents were fearful of confronting death in such an open way.
  d.
  Rural residents prefer to use their informal social support networks when help is needed.

Question 2

Which of the following differences is found in parish nursing in a rural area as opposed to parish nursing in an urban area?
 
  a. Rural parish nurses are less likely to be involved in case management or care coordination than their urban counterparts.
  b. Rural residents are more grateful for the nurse's assistance because there are so few health resources in rural areas.
  c. Rural residents are typically less committed to traditional values or a strong religious faith.
  d. Rural residents may discuss health concerns with the nurse wherever they meet, whether in church or the local market.

[parshano]

Answer to Question 1

ANS: D
Limited availability and accessibility of formal health care resources in rural areas combined with self-reliance and self-help traits of rural residents have resulted in the development of strong rural community informal care and social support networks. Rural residents are more apt to entrust care to established informal networks than to new formal care systems. It is unlikely that creation of such a facility would impact their taxes. The nurse needs to partner with the community to implement the change process while building upon the community's strengths, beliefs, and values systems.

Answer to Question 2

ANS: D
In urban settings, contact with parishioners was primarily at the church, whereas contacts in rural settings were most often in the home, on the phone, or in other community-based settings.