Certified Nursing Assistant (CNA) Prometric Practice Exam

What is the correct technique for removing an undershirt from a resident with paralysis of one arm?

1. Remove both sleeves simultaneously

2. Remove the sleeve from the unaffected side first

3. Pull the shirt over the head

4. Cut the undershirt to remove it quickly

The correct answer is: Remove the sleeve from the unaffected side first

Removing the sleeve from the unaffected side first is the appropriate technique for assisting a resident with paralysis of one arm. This method is important because it allows for a smoother and more comfortable removal process, taking into account the individual’s limited mobility. By starting with the unaffected side, the caregiver can provide support and stability, making it easier to manage the garment without causing discomfort or injury to the resident. If both sleeves were to be removed simultaneously, it could create an awkward situation, potentially leading to strain or discomfort for the resident, particularly if the affected side has no motor control. Pulling the shirt over the head might be difficult for someone with paralysis and could also result in discomfort. Cutting the undershirt to remove it quickly, while it may seem practical in certain situations, is not the preferred approach as it could be distressing and is often unnecessary; gentle and careful handling is always the priority in care.