This document contains information about a case study involving an 89-year-old patient named Mr. Richards who suffered an acute stroke and was admitted to the intensive care unit. His family situation is complicated, with five children and 10 grandchildren seeking updates on his condition. The document outlines a communication plan for how to respond to requests for information from Mr. Richards, his son Jason, daughter Melissa, parish nurse Patty, and grandson Kirk. It also includes links to articles on topics like moral courage, moral disagreement, resilience, and creating a healthy work environment.

1. WGU Professional Presence and Influence – D024 Papers
WGU Professional Presence and Influence – D024 PapersWGU Professional Presence and
Influence – D024 PapersPermalink: https:// /wgu-professional…ence-d024-
papers/ ?ReadingsAmerican Nurse. (2012, May 11). Doing the right thing: Pathways to
moral courage. https://www.americannursetoday.com/doing-the-right-thing-pathways-to-
moral-courage/American Nurse. (2019, July 17). Understanding moral disagreement.
https://www.myamericannurse.com/understanding-moral-disagreement/Edmonson, C.
(2015). Strengthening moral courage among nurse leaders. The Online Journal of Issues in
Nursing, 20(2).Sherman, R. (2018, September 17). Building your resiliency. American
Nurse. https://www.myamericannurse.com/building-your-resiliency/Wocial, L. (2018). In
search of a moral community The Online Journal of Issues in Nursing, 23(1). WGU
Professional Presence and Influence – D024 Paperslinical Practice Experience Progress
CheckReview your CPE Record to ensure you are on track for completing all of the CPE
activities. Refer to the MSN core sample e-portfolio to see how the deliverables are
organized.Refer to the CPE Record in the assessment for details on deliverables.UNIT
3 INTENTIONAL INTROSPECTION: A MINDFUL APPROACH TO SELF-EXAMINATIONList 10
innovative skills needed by an advanced professional nurse to engage successfully in self-
care, life management, and mindfulness.DFA: Reflecting on a Stressful SituationLearning
ObjectivesDevelop regular opportunities to integrate mindfulness within daily routines in
school, career and lifeIn this DFA, you will reflect on a professional experience that left you
stressed or overwhelmed, and then explore mindfulness techniques that may have served
you well then or in similar situations in the future.ReflectionTake a few minutes to reflect
on a particularly stressful situation in your professional practice environment involving a
patient, peer, or practice issue. Describe the situation in as much detail as possible, with a
focus on how you were perceiving and experiencing the situation: your thoughts, feelings,
and physical reactions. Then choose specific mindfulness techniques that you could use to
buffer the stress of the situation.What techniques would you choose? How would you
implement them in the workplace? What would be the outcomes you might achieve after
using them? How might the techniques that you choose help to change your thoughts,
feelings, and physical reactions in ways that could reduce stress and lessen reactivity?UNIT
4 EXPRESSING EMPATHY WHEN COMMUNICATING DIGITALLYRespond: A Communication
PlanInstructions:In this activity you will provide a communication plan in response to a
patient and family scenario. How would you communicate caring and respond to the
patient, family, and the interdisciplinary team taking care of this patient and

2. family?Communication Plan Case StudyMr. Richards is an 89-year-old man who has come
into the intensive care unit after suffering an acute stroke with resulting aphasia. His son
Jason came to visit him for the first time in five years from Montana and noticed his
mumbled, garbled speech, drooping eye, and lip. Mr. Richards is the proud father of five
children, all of whom are married, and a grandfather of 10. Some of these grandchildren are
old enough to have spouses of their own. Unfortunately, Mr. Richards’s wife died last year,
and his care was transferred to his eldest daughter, Melissa, for the past six months.The
relationship between Melissa and her siblings is complicated, and all of them have insisted
on obtaining a security code for themselves to access information about Mr. Richards’s
condition. Melissa, not wanting to start an argument, has given it to her brothers and sisters,
who, in turn, gave it to a few grandchildren. Melissa tells you that her father has not spoken
to two of the siblings since the death of his wife due to “issues in settling her will and last
wishes.” Melissa reports to the nurses that Jason is feeling guilty that he has not been more
involved in the past five years. Jason refused to attend his mother’s funeral last year but
produced a list of items he wanted sent to him from her belongings. Melissa also warns you
her dad was well respected and attended a local church, whose parishioners have been
pressuring her for information. One parish nurse in particular, Patty, has been known to call
and visit the hospital during past hospitalizations of Mr. and Mrs. Richards, seeking
information about their condition.Every day on the unit, the nurse assigned to Mr. Richards
receives at least eight phone calls about his status from a variety of relatives and friends.
Although the nurse tries to be concise, often the conversations with family can take up to 30
minutes, as the nurse has to explain several times and in detail medical issues the patient is
having. After a few days of this, the care team brings the family together for a care
conference and explains the difficulties in handling so many calls when their father’s care is
so critical. WGU Professional Presence and Influence – D024 PapersAs an end result of the
meeting, it was decided that all information will flow through Melissa, and visitation will be
restricted to only Melissa, although this does not make everyone happy. The plan is agreed
to, however, and now the nurses will field one update call per shift to Melissa and continue
to care for and communicate with Mr. Richards.What is your communication plan for today
when you take on the patient and family in this case?How do you respond and communicate
with the following?Mr. RichardsJason when he calls at 0930Melissa when she visits at
1100Patty when she visits the unit on “patient rounds”Jason’s son Kirk who requests to visit
at 1300Interdisciplinary team membersClinical Practice Experience Progress CheckReview
your CPE Record to ensure you are on track for completing the Phase 2 CPE activities. Refer
to the MSN core sample e-portfolio to see how the deliverables are organized.Refer to the
CPE Record in the assessment for details on deliverables.DFA: Identify Social and Emotional
Intelligence SkillsLearning ObjectivesEmploy effective communication skills in a variety of
digital contexts and formats.Demonstrate basic social and emotional intelligence skills,
including self- awareness, self- management, social awareness, and relationship
management.ReflectionIn this unit, you learned the importance of applying social and
emotional intelligence skills to promote collegiality and civility in the workplace. In this
activity, you will write a reflective journal entry to identify your own social and emotional
intelligence skills as they relate to resolving conflict in the workplace.Examine the social

3. and emotional skills necessary for building relationships that are founded on caring and
trust. Review the power skills for SEL and identify those that will enhance your
relationships with colleagues and staff. In your response, discuss three significant attributes
or skills and how their embodiment can inspire others. Use current evidence-based
resources, included in the module, to your answer. What SEI skills that have been
described in the readings are familiar to you? Which do you possess, or would you like to
possess? How can you strengthen your SEI for better self-awareness? Describe how your
own SEI can improve your work as a nurse leader, your teamwork in the workplace, and
your patient care skills.UNIT 5 FACTORS THAT IMPACT THE CULTURE OF HEALTHCARE
SETTINGSCreating a Joyful, Healthy Work EnvironmentAmaya, M., Melnyk, B. M., & Neale, S.
(n.d.). Environmental wellness. American Nurse.
https://www.americannursetoday.com/environmental-wellnessGelinas, L.
(n.d.). Enhancing innovation skills to inspire future thinking. American Nurse.
https://www.myamericannurse.com/teamwork-unexpected-tool-innovation/Gelinas, L.
(n.d.). Listening as a caring competency. American Nurse.
https://www.myamericannurse.com/listening-caring-competency/Johnson & Johnson
Services, Inc. (2018, October 8). Encouraging nurses to pursue innovative thinking.
https://nursing.jnj.com/nursing-news-events/nurses-leading-innovation/encouraging-
nurses-to-pursue-innovative-thinkingRHCCentral. (2018, December 4). Workplace violence
testimony [Video], YouTube. https://youtu.be/IyPmmrMOsHEThe Joint Commission.
(2016). Sentinel Event Alert 40: Behaviors that undermine a culture of safety.
https://www.jointcommission.org/resources/patient-safety-topics/sentinel-
event/sentinel-event-alert-newsletters/sentinel-event-alert-issue-40-behaviors-that-
undermine-a-culture-of-safety/Instructions:Reflect on your use of silence, eye contact, and
surface language. Do you feel that your intrapersonal communication accurately portrays
your intended social presence? WGU Professional Presence and Influence – D024
PapersSubmit and Compare, displayed belowLearning CheckOutline how internal narrative
can impact difficult situations. In your response, prepare three strategies for effectively
articulating your narrative to others during challenging situations. Use the evidence-based
resources included in this module to your answer.Submit and Compare, displayed
belowNextquestionAmerican Nurses Association. (2015, July 22). Incivility, bullying, and
workplace violence [Position Statement]. https://www.nursingworld.org/practice-
policy/nursing-excellence/official-position-statements/id/incivility-bullying-and-
workplace-violence/Kennison, M. (2019, February 22). Overcoming workplace
interpersonal conflict [Conference session]. Sigma’s Creating Healthy Work Environments
conference in New Orleans, Louisiana, USA.
https://nursingcentered.sigmanursing.org/features/more-features/overcoming-
workplace-interpersonal-conflictPACERS Civility Toolkit. (2015, August 7). Incivility and
bullying in healthcare “Overview” video 1 of 3 [Video]. YouTube.
https://youtu.be/4DOQ593cHfEPACERS Civility Toolkit. (2015, August 7). Incivility and
bullying in healthcare “Approach to respectful conversations” video 2 of 3 [Video].
YouTube. https://youtu.be/WbP3O_UC1LEPACERS Civility Toolkit. (2015, August
7). Incivility and bullying in healthcare “Practice vignettes” video 3 of 3 [Video].

4. YouTube. https://youtu.be/t8XddfSddzInstructions:Reflect on your ability to inspire and
reinforce confidence in others. What inspirational characteristics do you embody and how
do you plan to build upon your own sense of professionalism for improved empathic
engagements?Explore Your UnderstandingDiscuss the importance of being able to inspire
and reinforce confidence in others as an advanced professional nurse. Integrate three
techniques for inspiring and reinforcing confidence in others in your response. Use the
evidence-based resources, included in the module resources, to your answer.Using the
content from the learning resources in this module, describe how you might have conducted
a more thorough assessment of the change process and the responses and resistance that
occurred when you complete the Reflection on the Change Process reflection. Once you
have described how a more thorough assessment could have been conducted, discuss how
you might use the strategies identified in the module to the individual or group in
responding to the change in positive, productive ways. What strategy or strategies do you
consider to be the most potentially helpful, and why? your answer with content from the
learning resources in the module.DFA: Mind Map for Creating a Healthy, Joyful
WorkplaceLearning ObjectivesRecommend solutions and strategies for managing and
adapting to change.In this interactive DFA, you will apply your knowledge of mind mapping
and force field analyses to create your own mind map.Mind mapping is an easy way to
brainstorm thoughts and ideas without worrying about order and structure. Once you have
collected these random thoughts and ideas, it is possible to develop a mind map, which is a
diagram for representing the main idea and related concepts and ideas. Visualize a tree
where the trunk is the main idea, branches are major concepts or themes, and related ideas
are the twigs.Mind maps are simple to create, and there are several programs that are
designed specifically for mind mapping. In the following scenario, the mind map can be
created using Shapes in Microsoft Word.Engage Your BrainIn this activity, you will produce
a mind map of factors that influence an organization’s ability to create a healthy, joyful
workplace. Research the factors that impact change at the individual, departmental,
organizational, or systems levels. Individual-level and departmental-level factors include
employee or team readiness for change. Organizational factors may include the structure of
the organization (e.g., departments, leaders, managers, etc.). Systems-level factors may
include technologies for ing the change. When creating your mind map, assign at least
three factors to each of these categories.Use the free program MindMup to create your mind
map. Use the information from your mind map to create a force field analysis, which is a
table of forces that will drive or impede the change to a healthy, joyful workplace. Describe
the mind map and force field analysis you created in the box below. Then click the “Submit
and Compare” button to compare your response. WGU Professional Presence and Influence
– D024 Papers