Author Question: A client has been admitted to a hospital with inability to move his right arm. He has a diagnosis of ... (Read 123 times)

jon_i · **on:** Jul 19, 2018

A client has been admitted to a hospital with inability to move his right arm. He has a diagnosis of conversion reaction. Which of the following consequences of this condition would be an example of primary gain?

A) Relief from anxiety
B) Medical leave from his high-stress job
C) Attention from his wife and children
D) Avoidance of jury duty

Question 2

The nurse is providing care for a psychiatricmental health client who has a diagnosis of anxiety. Which of the nurse's following statements is likely the most therapeutic intervention?

A) Anxiety is a feeling that is experienced by everyone at some point and it can never be completely removed from one's life.
B) With the development of more life skills and a demonstration of continued success in life, your anxiety will shrink and eventually disappear.
C) Every time you feel anxious, try to focus on how much easier your life would be if you didn't experience anxiety so often.
D) If you address the causes of your anxiety head-on, you will find that you can recover from it without medications or therapy.

hugthug12 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Primary gain is the immediate gain by the client to remove himself or herself from an overwhelming situation. In this case, relief from anxiety would be an example of primary gain. The other three answers reflect secondary gain, or mechanisms to remove the client from stress and provide an opportunity to meet dependency needs.

Answer to Question 2

Ans: A
It is therapeutic to foster in clients the understanding that the experience of anxiety is natural and inevitable. It would be inaccurate to promise recovery with increased success in life and self-discipline. Clients with anxiety are likely to be well aware of how much easier their lives would be without recurring anxiety.