Which strategy improves discharge instructions for a patient with low literacy?

• A. Assume patient understands even without confirmation
• B. Provide no written materials
• C. Use plain language and teach-back
• D. Use complex medical terms

Answer: (C)

Plain language paired with teach-back ensures patients with low literacy truly understand discharge instructions. Using plain language means communicating with everyday words, short sentences, and little or no medical jargon, so the patient can grasp what to do, when to do it, and why it’s important. Teach-back then checks understanding by having the patient restate the instructions in their own words or demonstrate how they will follow them. This confirms comprehension, reveals gaps, and allows immediate clarification, which improves adherence, safety, and reduces the chance of errors after leaving the healthcare setting.

Restating the other options: assuming understanding, not giving written materials, or using complex terms all hinder comprehension and increase risk after discharge.