To ensure patient understanding of discharge instructions, it is recommended to:

• A. Provide only written instructions
• B. Use plain language and teach-back method; confirm comprehension
• C. Rely on verbal instructions alone
• D. Assume understanding if patient nods

Answer: (B)

Understanding discharge instructions is most effective when information is delivered in plain language and then verified through teach-back. Plain language makes instructions clear and actionable, reducing confusion and helping the patient know exactly what to do at home. Teach-back adds a crucial check: after explaining, you ask the patient to restate the instructions or demonstrate how they’ll carry them out. This reveals any gaps in understanding and allows you to correct them immediately, so medications are taken correctly, wound care is performed properly, and follow-up steps are followed.

Relying only on written material can leave room for misinterpretation, especially for patients with limited health literacy. Verbal instructions alone can be forgotten or misunderstood. Simply nodding doesn’t reliably indicate true understanding, and assuming comprehension can lead to unsafe home care.

By combining plain language with teach-back to confirm comprehension, you help ensure the patient truly knows how to manage care after discharge and reduce the risk of complications or readmission.