A nurse is caring for a client whose partner recently died from an opioid overdose. The client tells the nurse, "Now, I volunteer for the local chapter of Narcotics Anonymous." The nurse should identify that the client is demonstrating which of the following defense mechanisms?

Choice A reason: Offering a warm blanket is an act of comfort and beneficence, but it does not demonstrate veracity. Veracity refers to truthfulness and honesty in communication. Providing physical comfort is important, but it does not involve conveying truthful information to the client.

Choice B reason: Reinforcing the provider’s explanation of the potential risks of treatment demonstrates veracity because the nurse is ensuring that the client receives accurate, truthful, and clear information. Veracity requires honesty and transparency in communication, and by reinforcing the provider’s explanation, the nurse helps the client understand the risks and make an informed decision. This is the correct answer.

Choice C reason: Avoiding giving information to family members over the phone demonstrates confidentiality, not veracity. While confidentiality is an ethical principle, it is distinct from veracity, which focuses on truthfulness in communication with the client.

Choice D reason: Asking the client their preferred site for IV insertion demonstrates respect for autonomy and patient-centered care, but it does not involve truth-telling. This action supports client choice but is not an example of veracity.

Choice A reason: Irrigating the tube with 10 mL of cool water every 6 hr is incorrect. Tubes are flushed with warm water, typically before and after feedings or medication administration, not routinely every 6 hours with cool water. Cool water can cause discomfort and is not recommended.

Choice B reason: Elevating the head of the bed to only 15° is insufficient to prevent aspiration. The recommended elevation is at least 30° to 45° during feedings to reduce the risk of reflux and aspiration pneumonia.

Choice C reason: Replacing the feeding bag every 72 hours is unsafe. Feeding bags should be replaced every 24 hours to prevent bacterial contamination and infection. Extending use to 72 hours increases infection risk.

Choice D reason: Checking gastric residual every 4 hours is the correct answer because it ensures the client is tolerating the feeding and prevents complications such as aspiration or delayed gastric emptying. Monitoring residuals helps guide feeding adjustments and promotes safety.