Michigan Nursing Home Administrator (NHA) Practice Exam

When can a nursing home employee disclose information regarding a prohibited act?

1. After obtaining permission from the resident

2. Only if it's to law enforcement

3. Immediately to the administrator or nursing director

4. After consulting with their supervisor

The correct answer is: Immediately to the administrator or nursing director

The correct understanding of the scenario is centered around the obligation of nursing home employees to report prohibited acts immediately to the appropriate authority within the facility, such as the administrator or nursing director. This approach is crucial because it ensures that any potential violations can be addressed swiftly, safeguarding the well-being of residents and maintaining compliance with regulatory requirements. By reporting immediately to the administrator or nursing director, employees facilitate a prompt investigation into the reported act, allowing for appropriate interventions or corrective actions to be initiated. This is especially important in nursing home settings, where the timely protection of vulnerable residents is paramount. In contrast, relying on other courses of action such as waiting for permission from the resident could delay necessary action. Sharing information only with law enforcement may not be appropriate unless instructed by the facility's policy or if there is a legal obligation to do so. Similarly, while consulting with a supervisor can be prudent in some instances, it may not meet the urgency required for reporting prohibited acts, particularly when immediate action is necessary to protect residents. Therefore, reporting directly to the administrator or nursing director aligns with established protocols designed to ensure both compliance and safety in nursing home operations.