Michigan Nursing Home Administrator (NHA) Practice Exam

During the midnight shift, what is the minimum staff-to-patient ratio?

1. 1:10

2. 1:12

3. 1:15

4. 1:20

The correct answer is: 1:15

The minimum staff-to-patient ratio during the midnight shift is a critical consideration for ensuring the safety and well-being of residents in a nursing home. The correct answer indicates that for every staff member, there should be no more than 15 patients under their care during this late shift. This ratio is designed to guarantee that each resident receives adequate attention and supervision, particularly at night when fewer staff members may be present, and some residents might require more assistance due to various factors, such as nighttime restlessness or medical needs. A ratio of 1:15 ensures that staff can effectively respond to emergencies, attend to personal care needs, and provide supervision, thereby maintaining high standards of care. Regulatory guidelines often dictate staffing ratios to ensure that facilities can maintain a safe and supportive environment for all residents. The chosen ratio reflects an understanding of overnight care demands and the ability of nursing home staff to manage their responsibilities effectively.