Step 1: First we have to write polynomials in descending order.
$$ \begin{aligned} P(x) &= 3x-4 \\ Q(x) &= -4x^2+3x+5 \\ \end{aligned} $$Step 2: Write second polynomial below the first one. Making sure like terms are lined up.
$$ \begin{array}{lrrr} & & 3x & -4 \\ \color{blue}{ + } & -4x^2 & 3x & 5 \\ \hline \end{array} $$Step 3: Combine like terms (add each column):
$$ \begin{array}{lrrr} & & 3x & -4 \\ \color{blue}{ + } & -4x^2 & 3x & 5 \\ \hline & -4x^2 & 6x & 1 \end{array} $$