What would not be helpful for Mr. Melnyk, who has limited use of his hands and refuses assistance with dressing?

The choice of a shirt with small buttons would not be helpful for Mr. Melnyk, who has limited use of his hands and refuses assistance with dressing. Small buttons require precise dexterity and fine motor skills to manipulate, which can be particularly challenging for someone with limited hand function. This type of clothing can lead to frustration and difficulty in dressing independently.

In contrast, pants with an elastic waistband, slip-on shoes, and a slipover sweatshirt offer practical solutions that accommodate his needs. The elastic waistband allows for easy pulling on and off without requiring fine motor skills, slip-on shoes remove the need for tying laces or using buckles, and a slipover sweatshirt can be easily donned by sliding it over the head without the need for buttons. These options support his desire for independence while being more manageable given his limitations.