Michigan Nursing Home Administrator (NHA) Practice Exam

Where must a handrail be installed for an exterior step or ramp?

1. One side only

2. Both sides

3. No requirement

4. Only if the step is higher than 3 feet

The correct answer is: Both sides

A handrail must be installed on both sides of an exterior step or ramp to enhance safety and accessibility. This is particularly important for individuals who may have difficulty maintaining balance or require support while navigating stairs or ramps. Having handrails on both sides provides options for users to hold on, thereby reducing the risk of falls and increasing overall confidence while moving up and down the stairs or ramp. In residential care settings, where a diverse population with varying degrees of mobility may be present, complying with accessibility standards is crucial. Installing handrails on both sides aligns with best practices and regulatory requirements that aim to create an inclusive and safe environment for all residents and visitors. Other options may not ensure the same level of support: having a handrail on one side only could leave some users without adequate support, and not having a requirement or limiting the need for handrails based on the height of steps does not prioritize safety in the same way. Therefore, the requirement for handrails on both sides is the most effective way to mitigate risks associated with exterior steps or ramps.