Amy,
I think your doubt is related to the message distribution style (or patterns) and the exchange types available for RabbitMQ. So, I'll try to cover them all with a short explanation and you can decide which will fit best for your scenario (RabbitMQ tutorials explained in another way).
Work Queue
Using the default exchange and a binding key you can post messages directly yo a queue. Once a message arrives for a queue, the consumers "compete" to grab the message, it means a message is not delivered to more than one consumer. If there are multiple consumers listening to a single queue, the messages will be delivered in a round-robin fashion.
Use this approach when you have work to do and you want to scale across multiple servers/processes easily.
Publish/Subscribe
In this model, one single sent message may reach many consumers listening on their queues. For this scenario, where you must unselectively dispatch messages to all consumers, you can use a fanout exchange. These exchanges are "dumb" and acts just like their names imply: like a fan. One thing enters and is replicated without any intelligence to all queues that are bound to the exchange. You could as well use direct exchanges, but only if you need to do any filtering or routing on the messages.
Use this scenario when you have something like an event and you may need multiple servers, processes and consumers to handle that event, each one doing a task of different nature to handle the event. If you do not need any filter/routing, use fanout exchange for this scenario.
Routing / Topic
A particular case of the Publish/Subscribe model, where you can have queues "listen" on the exchange using filters, that may have pattern matching (topics) or not (just route).
If you need pattern matching, use topic exchange type. If you don't, use direct. When a queue "listens" to an exchange, a binding is used. In this binding, you may specify a binding key.
To deliver the message to the correct queues, the exchange examines the message's routing key. If it matches the binding key, the message is forwarded to that queue. The match strategy depends on wether you are using topic or direct exchange, as said before.
TL;DR:
For your scenario, if each process do something different with the User change event, use a single exchange with fanout type. Each class of handler declares the same queue name bound to that exchange. This relates to the Publish/Subscribe model above. You can distribute work to among consumers of the same class listening on the same queue name, even if they don't reside on the same process.
However, if all the consumers that are interested in the event perform the same task when handling, use the work queue model.
Hope this helps,