Which are examples of primary and secondary gains that clients ...

[BRWH]

Which are examples of primary and secondary gains that clients diagnosed with SSD: predominately pain, may experience?
 
  1. Primary: chooses to seek a new doctor; Secondary: euphoric feeling from new medications
  2. Primary: euphoric feeling from new medications; Secondary: chooses to seek a new doctor
  3. Primary: receives get-well cards; Secondary: pain prevents attending stressful family reunion
  4. Primary: pain prevents attending stressful family reunion; Secondary: receives get-well cards

Question 2

Which would be considered an appropriate outcome when planning care for an inpatient client diagnosed with SSD?
 
  1. The client will admit to fabricating physical symptoms to gain benefits by day three.
  2. The client will list three potential adaptive coping strategies to deal with stress by day two.
  3. The client will comply with medical treatments for physical symptoms by day three.
  4. The client will openly discuss physical symptoms with staff by day four.

[heyhey123]

Answer to Question 1

4
Rationale: The nurse should identify that primary gains are those that allow the client to avoid an unpleasant activity (stressful family reunion) and that secondary gains are those in which the client receives emotional support or attention (get-well cards).

Answer to Question 2

2
Rationale: The nurse should determine that an appropriate outcome for a client diagnosed with SSD would be for the client to list three potential adaptive coping strategies to deal with stress by day two. Because the symptoms of SSD are associated with psychosocial distress, increased coping skills may help the client reduce symptoms.