Of course it all depends on the situation and I don't think I ever ended up in one, that was really uncomfortable. When I give someone any kind of my art... and that only happens on very rare occasions, it is to someone, who would most likely also buy the piece. I always try to find a way to make sure, I know its welcome.
The few "art gifts" I have received are from such high profile artists, that these pieces are real treasures to me.
That sounds entirely appropriate. And how wonderful to receive something from high profile artists! That's when you feel honoured.
Very honored indeed.