一位有自殺傾向的病人。哪項環境安全措施是必要的？
A client is at risk for suicide. Which environmental safety measure is essential?
- ARemove all sharp objects, strings, and cords✓ 正解移除所有尖銳物品、繩索和線纜
- BLimit the number of staff members entering the room限制進入房間的醫護人員數量
- CAssign a private room to ensure quietness指派單人房以確保安靜
- DKeep the room door locked at all times隨時將房門上鎖
針對有自殺傾向的病人，環境安全（Environmental Safety）是預防自傷的首要護理介入。核心原則是移除所有潛在的致命物品，以創造一個低風險的療癒環境。護理師必須主動檢查病房內任何可能被用於自傷的物品，如銳利器具、塑膠袋、繩索或過長的電線，這些皆屬於「自殺防範措施」（Suicide Precautions）的標準規範。臨床上，安全優先於病人的舒適度或隱私。
For patients with suicidal ideation, environmental safety is the foremost nursing intervention to prevent self-harm. The core principle is to remove all potentially lethal items in order to create a low-risk therapeutic environment. The nurse must actively check the room for any object that could be used for self-harm, such as sharp instruments, plastic bags, ropes, or excessively long electrical cords; these are all standard components of Suicide Precautions. Clinically, safety takes precedence over patient comfort or privacy.
在美國臨床實務中，對於自殺風險病人的病房環境有嚴格的『Ligature-free』（無懸掛點）規範，病房內的固定物（如門把、蓮蓬頭）都經過防自殺設計，與台灣部分病房的硬體防護標準略有不同。