In the book, One Flew Over the Cuckoos Nest, Nurse Ratched extends the tension of appearance vs. reality. Nurse Ratched is the director of the institution with many mentally unstable people ordered there. Nurse Ratched represents the appearance of a very calm and collective, condescending women but little do people know what she's actually like. She has practically two egos. She is very condescending towards the patients, but on the inside she's like a demon and doesn't care about her patients at all. When Nurse Ratched recognizes fear she puts it to use when she says, "You boys be good boys and cooperate with the staff policy which is engineered for your cure," (18). She acts as if they're little boys when they're not, and this progresses throughout the book in which her phoniness shows. "A successful dismissal... brings joy to the Big Nurses heart... but just that certain one might come in who's free enough to foul things up right," (41). As the book goes on, Nurse Ratcheds true colors bloom and show that she is fake and McMurphy is the only one who knows her alter ego.
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