Michigan Nursing Home Administrator (NHA) Practice Exam

A nursing home may not transfer or discharge a patient for which of the following reasons?

1. Medical treatment needs

2. Nonpayment under certain conditions

3. Personal decisions made by family

4. The patient's welfare

The correct answer is: Personal decisions made by family

A nursing home is prohibited from transferring or discharging a patient based solely on personal decisions made by family members, as this does not align with the patient's needs or rights. Decisions regarding the care and placement of patients should primarily consider the patient's medical status, wellbeing, and preferences rather than the wishes of family members alone. In the case of other reasons such as medical treatment needs, if a nursing facility cannot meet the specific care requirements of a resident, a transfer may be warranted to ensure the patient receives appropriate care. Nonpayment can also lead to a discharge; however, this is subject to certain regulations and protections designed to prevent inappropriate discharges due to financial issues. The welfare of the patient, while often a guiding principle, can lead to a transfer or discharge if a situation arises where remaining in the facility could be detrimental to their health or safety. Thus, the refusal to transfer or discharge a patient based on family personal decisions underscores the importance of prioritizing patient autonomy and rights.