It is through this opportunity that the novelist reveals the extent to which Nurse Ratchet actually dominates the rest of the staff as much as she dominates the daily lives of the patients. In some ways, she represents the hypocrisy of mental institutions, especially in that day and age. Specifically, the outward appearance of the institution and of all of its employees (including the nurses) is perfectly clean and sanitary and (as represented by the white uniforms), innocence. Nurse Ratched, in particular, is polite and proper to a fault and obviously masking the true dark nature of her character. In reality, Ratchet is cold-hearted person who deliberately enforces arbitrary decisions and rules even though she has the authority to make relatively meaningless and harmless adjustments that would improve the daily life and circumstances of her patients.

Initially, McMurphy takes everything that happens somewhat lightly and he is a constant source...
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