A nurse saw there was a need for a hospice facility in a rural area, b

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.

ESSAYBID ANSWER

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.