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
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.
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