護理師教導病人關於出院藥物。哪種方式最能確保病人理解？
A nurse is teaching a client about discharge medication. Which approach is most effective for ensuring understanding?
- AAssume the client understands since they didn't ask questions假設病人已理解，因為他們沒有提出問題
- BProvide a detailed written manual and tell them to read it提供詳細的書面手冊並告知他們閱讀
- CGive a 30-minute lecture on medication side effects進行 30 分鐘關於藥物副作用的講授
- DUse the 'teach-back' method to ask the client to repeat the instructions✓ 正解使用「回教」法，請病人重複指示內容
「回教法」（Teach-back method）是證實病人理解教學內容的最有效方式，要求病人以自己的語言解釋關鍵資訊。這能幫助護理師確認病人是否吸收，而非僅是聽聽而已。單純給予手冊或長篇大論皆無法確保吸收率，且假設「沒問題就是懂了」是極大風險。
The teach-back method is the most effective way to confirm that the patient understands teaching content; it asks the patient to explain key information in his or her own words. This helps the nurse verify whether the patient has actually absorbed the information rather than merely listened. Simply handing out a pamphlet or delivering a lengthy lecture cannot guarantee understanding, and assuming that 'no questions means comprehension' is a major risk.
美國醫院極力推廣 Health Literacy (健康識能) 的教學技巧，台灣護理師則需在高病人負擔下靈活調整衛教方式。