NBCOT Occupational Therapy Certification Practice Exam

The best method for an individual with hemiparesis to button a shirt is to get the shirt all the way on, then line up the buttons and holes, and begin buttoning from the bottom. This approach allows for easier access to the lower buttons, which can be advantageous for individuals with limited movement or strength on one side of their body. Starting from the bottom allows the person to leverage their stronger hand more effectively while reducing the difficulty of maneuvering the upper buttons, which may be harder to reach due to limited mobility in the affected arm.

This strategy also helps to ensure that the shirt falls into place as the buttons are done, maintaining alignment throughout the process. Additionally, working from the bottom can often be more comfortable, as it allows the individual to secure the shirt progressively while managing the fit and avoiding unnecessary strain.

Using a buttonhook with a built-up handle could also be a practical tool for those with significant dexterity challenges, but it may not provide as much control over the process of buttoning the shirt as starting from the bottom with the shirt already on. Buttoning all the buttons before putting the shirt on is typically not feasible, and aligning the buttons and holes to begin buttoning from the top could complicate the task, particularly