Michigan Nursing Home Administrator (NHA) Practice Exam

Which of the following is a valid reason for involuntary transfer or discharge?

1. Medical reasons

2. Patient complaints

3. Legal issues

4. Staff issues

The correct answer is: Medical reasons

Involuntary transfer or discharge from a nursing home can occur for several valid reasons, and medical reasons specifically justify such actions. When a resident's medical condition changes in a way that the facility can no longer meet their health care needs, this provides a legitimate basis for transferring or discharging them. For instance, this situation may arise if a patient requires a level of care that exceeds what the nursing home can provide or if a resident needs to be relocated to a specialized facility for treatment. Medical necessity takes precedence in these scenarios as it ensures that residents receive appropriate care aligned with their health conditions. It is crucial to act in the best interest of the resident's health, which makes medical reasons a valid factor in decisions regarding involuntary transfer or discharge. Other options, while they may involve complications in care or operations, do not inherently justify involuntary transfer or discharge. Complaints, legal issues, or staff-related matters may require attention and resolution but do not directly relate to the care of the patient and do not constitute valid reasons for involuntary actions against the wishes of the resident.