Carol Holland is a 51-year-old mother of three. She is a nurse educator and works full time at a community college. Her

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Carol Holland is a 51-year-old mother of three. She is a nurse
educator and works full time at a community college. Her son Paul
recently moved back to live with her to attend college full time.
Along with Paul, Mrs. Holland lives with her husband Tom and their
other son Mike. Her oldest and only daughter Angela lives in an
apartment nearby. The Hollands receive a call in the wee hours of
the morning. One of Mike’s friends tells them that Mike has been in
a terrible accident, and they need to come to the hospital
immediately. Arriving at the trauma unit at 3:00 a.m., the Hollands
and their son Paul enter the satellite unit. Mike is intubated and
requires mechanical ventilation. Mrs. Holland scans Mike’s
motionless body for signs of independent life, but he is
motionless. His face is so swollen that he is nearly unrecognizable
to her. What appears to be a blue cable cord holds together a
laceration that encompasses most of his head. His left arm is
swollen three times its size, and is blue and seeping from
lacerations. As Paul collapses in a nearby chair and begins
weeping, the nurse quietly gathers vital information from Mrs.
Holland. She directs Mike’s family to the lounge where they will
wait during a procedure to insert a ventricular shunt. The
neurosurgeon is unsure Mike will survive the night.
Question 1
What type of crisis is this family experiencing?
Question 2
Given the information presented thus far, which nursing
diagnoses might be applicable?
Question 3
What are some possible psychosocial interventions for the
patient and the family?
Question 4
What basic needs might this family require throughout the
night?