Michigan Nursing Home Administrator (NHA) Practice Exam

Under what circumstances can medication be released with a patient upon discharge?

1. On request of the family

2. On the written order of the physician

3. At the discretion of the nurse

4. Only if the patient indicates need

The correct answer is: On the written order of the physician

The release of medication upon a patient’s discharge is governed by regulations and standards of practice that prioritize patient safety and proper medical oversight. When a physician provides a written order for a patient’s discharge medications, it ensures that the medications being given to the patient are appropriate for their condition upon leaving the facility. This order is a key component of the continuity of care, allowing for a planned transition from the nursing home to the next level of care or home. While family requests can be important in the discharge process, they do not substitute for the medical judgment of the healthcare provider. Similarly, allowing a nurse to make a decision on their discretion regarding medication release could lead to inconsistencies and potential risks for the patient. The patient's own indication of need is also insufficient without the authorization of a physician’s order, as it may not reflect a complete understanding of the patient's medical status post-discharge. Thus, the written order from a physician is vital in confirming that the patient’s medication regimen is safe and appropriate for continuing their care after leaving the nursing home. This practice helps ensure a smooth transition while minimizing the risk of medication errors.