# The nurse inspects a psychiatric room for a client at high risk for suicide. Click the environmental ligature hazard.

> source: MyMerci (mymerci.kr)  
> url: https://mymerci.kr/pages/nclex_q.php?qn_id=499737&lang=en  
> language: en  
> subject: Therapeutic Environment  
> category: PSI

## Question

The nurse inspects a psychiatric room for a client at high risk for suicide. Click the environmental ligature hazard.

![](https://mymerci.kr/data/nclex/hotspot/v4/v4_psych_ligature.png)

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## Explanation

The looped window-blind cord can be used as a ligature attachment. High-risk environments should remove or mitigate accessible cords and anchor points.

## In-depth explanation

Quick answer
The looped window-blind cord can be used as a ligature attachment. High-risk environments should remove or mitigate accessible cords and anchor points.

Why this is correct
A looped blind cord can serve as a ligature point in a high-risk psychiatric environment. Environmental safety focuses on accessible cords and anchor points that a client could use for self-harm.

Easy analogy or mental picture
Scan the room as a reach-and-loop map: look for anything long enough to form a loop and anything strong enough to act as an anchor.

Memory hook
The looped blind cord is the accessible ligature hazard.

NCLEX decision rule
For a client at high suicide risk, remove or mitigate accessible ligature hazards according to the approved environmental-risk process.

Why the other choices are wrong
Built-in furnishings and rounded fixtures may be designed to reduce risk; the visible looped cord is the specific accessible hazard in this room.References

- [1]The Joint Commission: Suicide risk reduction resources

## Clinical scenario

Clinical situation
The nurse inspects a psychiatric room for a client at high risk for suicide.

What the nurse should notice
The looped window-blind cord can be used as a ligature attachment. High-risk environments should remove or mitigate accessible cords and anchor points.

Transfer to practice
For a client at high suicide risk, remove or mitigate accessible ligature hazards according to the approved environmental-risk process.

## Key concepts

- **Ligature hazard** — An accessible feature that could be used for hanging or strangulation.
- **Environmental risk assessment** — A structured review of surroundings for patient-safety hazards.

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