ATI LEADERSHIP PROCTORED FOCUS LEVEL II
REVISION HANDBOOK 2026 QUALITY
IMPROVEMENT PATIENT SAFETY AND ETHICS
◉ breach of confidentiality (ch. 3).
Answer: -nurses who disclose client information to an unauthorized
person can be liable for invasion of privacy, defamation, or slander
-*HIPAA rights of pts*
>>client is able to obtain a copy of their medical record and to
submit requests to amend erroneous or incomplete information
>>a requirement for health care and insurance providers to provide
written information about how medical information is used and how
it is shared with other entities
-->permission must be obtained before information is shared
>>the pt has the right to privacy and confidentiality
◉ *components of privacy rule*.
Answer: -only healthcare team members directly responsible for the
client's care are allowed access to the patients records.
>>nurses may not share information with other clients or staff not
involved in the patient care
,-clients have a right to read and obtain a copy fo their medical
record, and agency policy should be followed when the client
requests to read or have a copy of the record
-no part of the client record can be copied except for authorized
exchange of documents between health care institutions
>>transfer from a hospital to an extended care facility
>>exchange of documents between a general practitioner and a
specialist during a consult
-client records must be kept in a secure area to prevent
inappropriate access to information
-client information may not be disclosed to unauthorized
individuals, including family members who request it and
individuals who call on the phone
>>many hospitals use a code system in which information is only
disclosed to individuals who can provide the code
>>nurses should ask any individual inquiring about a client's health
status for the code and disclose information only when that code is
-communication should only take place in a private setting where it
can not be overheard by unauthorized people
>>change of shift reports are to be done at the bedside as long as the
patient does not have a roommate and no unsolicited visitors are
present
>>*DO NOT* use:
-->walking rounds or taped rounds
,◉ referral for home oxygen therapy (ch. 2).
Answer: -begin discharge planning upon the client's admission
-evaluate the client/family competencies in relation to home care
prior to discharge
-involve the client and family in care planning
-discharge referrals are based on client needs in relation to actual
and potential problems and can be facilitated with the assistance of
social services, especially if there is a need for:
>>specialized equipment:
-->cane, walker, wheelchair, grab bars in bathroom
>>specialized therapies
◉ care of a client following a transfer (ch. 2).
Answer:
◉ strategies for cost containment (ch. 4).
Answer:
◉ priority nursing action for discharge (ch. 2).
Answer:
◉ pacemaker education (ch. 4).
, Answer:
◉ principles of surgical asepsis
>>Fundamentals (ch. 10).
Answer:
◉ time management (p. 7).
Answer: *WASTERS*:
-documenting at end of shift
-making repeated trips to the supply room for equipment
-providing care as opportunity arises regardless of other
responsibilities
-missing equipment when preparing to perform a procedure
-being reluctant to delegate or underdelegate
-not asking for help when needed or truing to procide all client care
independently
◉ time savers (p. 7).
Answer: -documenting throughout shift
-group activities
-estimate time needed and plan accordingly
-plan non-essential tasks
REVISION HANDBOOK 2026 QUALITY
IMPROVEMENT PATIENT SAFETY AND ETHICS
◉ breach of confidentiality (ch. 3).
Answer: -nurses who disclose client information to an unauthorized
person can be liable for invasion of privacy, defamation, or slander
-*HIPAA rights of pts*
>>client is able to obtain a copy of their medical record and to
submit requests to amend erroneous or incomplete information
>>a requirement for health care and insurance providers to provide
written information about how medical information is used and how
it is shared with other entities
-->permission must be obtained before information is shared
>>the pt has the right to privacy and confidentiality
◉ *components of privacy rule*.
Answer: -only healthcare team members directly responsible for the
client's care are allowed access to the patients records.
>>nurses may not share information with other clients or staff not
involved in the patient care
,-clients have a right to read and obtain a copy fo their medical
record, and agency policy should be followed when the client
requests to read or have a copy of the record
-no part of the client record can be copied except for authorized
exchange of documents between health care institutions
>>transfer from a hospital to an extended care facility
>>exchange of documents between a general practitioner and a
specialist during a consult
-client records must be kept in a secure area to prevent
inappropriate access to information
-client information may not be disclosed to unauthorized
individuals, including family members who request it and
individuals who call on the phone
>>many hospitals use a code system in which information is only
disclosed to individuals who can provide the code
>>nurses should ask any individual inquiring about a client's health
status for the code and disclose information only when that code is
-communication should only take place in a private setting where it
can not be overheard by unauthorized people
>>change of shift reports are to be done at the bedside as long as the
patient does not have a roommate and no unsolicited visitors are
present
>>*DO NOT* use:
-->walking rounds or taped rounds
,◉ referral for home oxygen therapy (ch. 2).
Answer: -begin discharge planning upon the client's admission
-evaluate the client/family competencies in relation to home care
prior to discharge
-involve the client and family in care planning
-discharge referrals are based on client needs in relation to actual
and potential problems and can be facilitated with the assistance of
social services, especially if there is a need for:
>>specialized equipment:
-->cane, walker, wheelchair, grab bars in bathroom
>>specialized therapies
◉ care of a client following a transfer (ch. 2).
Answer:
◉ strategies for cost containment (ch. 4).
Answer:
◉ priority nursing action for discharge (ch. 2).
Answer:
◉ pacemaker education (ch. 4).
, Answer:
◉ principles of surgical asepsis
>>Fundamentals (ch. 10).
Answer:
◉ time management (p. 7).
Answer: *WASTERS*:
-documenting at end of shift
-making repeated trips to the supply room for equipment
-providing care as opportunity arises regardless of other
responsibilities
-missing equipment when preparing to perform a procedure
-being reluctant to delegate or underdelegate
-not asking for help when needed or truing to procide all client care
independently
◉ time savers (p. 7).
Answer: -documenting throughout shift
-group activities
-estimate time needed and plan accordingly
-plan non-essential tasks
