NCLEX Practice Test

Which client statement best indicates that the client being treated for depression and suicidal ideation is not currently at risk for suicide?

1. "I lost my imipramine prescription. Could I have a refill?"

2. "I plan to attend my granddaughter's graduation next month."

3. "I seem to have a lot more energy since I started therapy."

4. "I will sign a 'no-suicide' contract at today's appointment."

The correct answer is: "I lost my imipramine prescription. Could I have a refill?"

The statement that best indicates the client is currently not at risk for suicide is that they plan to attend their granddaughter's graduation next month. This reveals a future orientation and a potential motivation to continue living, as planning for significant life events is often associated with improved mood and a sense of purpose. When clients express interest in upcoming events or relationships, it can signify hope and an investment in their future, both of which are important when assessing suicide risk. While other statements may show various aspects of the client's state, they do not convey the same level of engagement with future possibilities. For instance, asking for a prescription refill may simply indicate a need for medication without providing insight into the client's overall mental state. Notably, expressing increased energy or the willingness to sign a "no-suicide" contract might suggest some positive changes, but these do not explicitly reflect a commitment to life or personal connection to future experiences, as the graduation statement does.