Michigan Nursing Home Administrator (NHA) Practice Exam

What is the staffing ratio for the day shift in a nursing facility?

1. 1:8

2. 1:10

3. 1:12

4. 1:15

The correct answer is: 1:8

The staffing ratio for the day shift in a nursing facility refers to the number of patients assigned to each nursing staff member during peak hours, which often encompass more intensive care and interaction needs. A ratio of 1:8 indicates that one staff member is responsible for eight residents. This ratio is considered to be optimal for ensuring adequate attention, care, and support for each resident during the day when they are more active and involved in various activities. Choosing this ratio is aligned with best practices in nursing home care, aimed at promoting improved outcomes in resident health, safety, and overall well-being. Under higher ratios, such as 1:10 or more, it becomes increasingly difficult for nursing staff to provide the necessary level of care, which can lead to diminished monitoring of residents, increased risk for medication errors, and less effective responses to residents’ needs. Thus, the 1:8 ratio supports a balance between quality of care and staff workload, ensuring that residents receive personalized attention, vital for their daily activities and health management.