A client at the crisis clinic has had four prior admissions for suicidal gestures
This time the client relates having gone into the bathroom and making superficial cuts on her wrists when her boyfriend told her he was going to break off the relationship. She showed the boyfriend her bleeding wrists, and he responded by bringing her to the clinic. To the nurse it is apparent that the client is being rewarded for being in crisis. This situation is called:
1. Primary reward
2. Secondary gain
3. A crisis trigger
4. Circumstantiality
ANS: 2
Secondary gain refers to having a competing goal that rewards the client for being in crisis. This serves as a barrier to effective crisis intervention. Options 1 and 3 are not terms used in crisis in-tervention theory. Option 4 is a type of speech that includes many extraneous details often used by anxious individuals.
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