Practice Quiz

Occupational Therapy Assistant

Category - Implementing Interventions

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Arthur is an 82-year-old man with a diagnosis of left cerebrovascular accident with right hemiplegia. How do you teach him to put on a button-down shirt by himself?
  1. Slide the right sleeve over the right arm using the left hand; pull the shirt around the back of the neck, slide the left arm in, and button using either one hand or a button hook.
  2. Slide the right arm into the right sleeve using the shoulder muscles to push the arm in, pull the shirt around the back of the neck, slide the left arm in, and button using either one hand or a button hook.
  3. Slide the left arm in the left sleeve, pull the shirt around the back of the neck, slide the right sleeve over the right arm using the left hand, and button using either one hand or a button hook.
  4. Button the shirt first using one hand, slide the shirt over the head, and slide the arms in the sleeves.
Explanation
Answer: A. You show Arthur how to put on a button-down shirt by sliding the right sleeve over the right arm using the left hand, then pull the shirt around the back of the neck, slide the left arm in, and button the shirt using either one hand or a button hook. A person with hemiplegia always dresses the affected side first. If the affected side has no movement, the person must use the functional arm and hand to position the affected limb and slide the clothing over it.
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