I hope I didn't confuse you with the clue above, because on the second thought: Nurse Ratched may have had the ratchet wrench in her bag (maybe not of this particular design) - just in case it would have been necessary to tighten the nuts of the shock therapy ring used on Randle McMurphy.
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Here it is how it works:
So: first come, first served - please post the next one.
I think I will pass and will be more than happy to see someone else answering and posting the new one.
If, by any chance, it will not be solved within next 20h, I will state the name and post something.