Michigan Nursing Home Administrator (NHA) Practice Exam

For what purposes can a nursing home involuntarily transfer or discharge a patient?

1. Only for medical reasons

2. For medical reasons and patient welfare

3. For financial reasons only

4. For any administrative reason

The correct answer is: For medical reasons and patient welfare

A nursing home can involuntarily transfer or discharge a patient primarily for medical reasons and patient welfare. This choice is rooted in regulations that aim to safeguard the well-being of residents. For instance, if a resident's medical needs exceed the facility's capabilities or if their health condition improves to the point where they no longer require nursing home care, these situations could warrant a transfer or discharge. Additionally, patient welfare considerations can include scenarios where a resident poses a danger to themselves or others, or where their behavior significantly disrupts the care environment. Thus, the decision to transfer or discharge is not taken lightly and must be justifiable based on the health and safety needs of the affected individual and the broader resident population. Other reasons such as financial constraints or administrative convenience are typically not valid grounds for involuntary discharge, emphasizing the importance placed on ethical care and respect for residents’ rights. Through this understanding, it is clear that the motives for transfer or discharge are aligned with both the medical needs of the residents and their overall welfare, ensuring that patient care remains the top priority.