How would a therapist safely assess the functional limitations of a patient with acute rheumatoid arthritis in their hands?

Assessing the functional limitations of a patient with acute rheumatoid arthritis in their hands involves understanding the intricate daily tasks that the patient may struggle with due to pain, stiffness, and decreased range of motion associated with their condition. Asking about the ability to button clothing and handwrite directly assesses fine motor skills and dexterity, which are often significantly impacted in patients with rheumatoid arthritis.

Buttoning clothing requires precision and the ability to manipulate small objects, while handwriting tests the overall functionality of the hand as it combines grip strength, fine motor control, and endurance. These tasks not only reflect the physical limitations of the patient's hands but also contribute to their ability to perform essential activities of daily living, thus providing insights into their overall functional independence.

In contrast, while asking about the ability to grip objects, open bottles, and lift weights may provide some information regarding grip strength and general hand function, they do not address the finer aspects of hand function that are crucial for daily living in patients experiencing the symptoms of rheumatoid arthritis. The focus in option C on detailed activities that demand specific hand skills makes it the most appropriate choice for a comprehensive assessment of the patient's functional limitations.