Registered Practical Nurse (RPN) Practice Test

What is the most likely medication prescribed for a client after an unsuccessful suicide attempt?

1. Sertraline (Zoloft)

2. Citalopram (Celexa)

3. Fluoxetine (Prozac)

4. Venlafaxine (Effexor)

The correct answer is: Fluoxetine (Prozac)

The most appropriate medication for a client following an unsuccessful suicide attempt is often one with a well-established profile for safety and efficacy in treating depression while also having a lower risk of lethality in overdose situations. Fluoxetine (Prozac) is a selective serotonin reuptake inhibitor (SSRI) that has been extensively studied and utilized in treating major depressive disorder and anxiety disorders. Fluoxetine is favored in such contexts because it has a relatively better safety profile compared to some other antidepressants. Its long half-life allows for more stable levels in the body, which can help minimize withdrawal effects or sudden mood changes. Furthermore, Prozac tends to be better tolerated, which can encourage adherence to treatment, especially important after a crisis. Including the option of its extensive use in pediatric and adolescent populations adds to its relevance in psychiatric care after crises. Effective management of depressive symptoms can significantly reduce the risk of future suicide attempts, making the selection of an appropriate medication critical. In contrast, while other medications listed might also be used, they could carry higher risks or lesser evidence in specific scenarios involving recent suicide attempts. For example, some antidepressants may have more significant side effects or potentially higher risks when it comes to overdose, which necessitates careful consideration in a post-su