The main focus of this novel is the total dominance of one mental institute by one woman, the Big Nurse, an ex-army nurse who is controlling and likes to run things according to her ways. As the novel move on, the turning point for all the patients in the ward appear, R.P McMurphy, a redheaded gambler, former con man who likes to take challenges and this time, challenges the powers of the Big Nurse. One can see in this novel, the effect McMurphy has on the whole ward, how he changes the minds of the patients and also the difference between the whole environment with his presence and without.
            
             At the beginning of the novel, Nurse Ratched seemed to have absolute power over everyone. Mainly because every patient in the ward is afraid of breaking a rule and that they are afraid of the consequences. Nurse Ratched. For example, everyone obeys the nurse and they are being told to behave themselves discreetly by the nurse. This is significant because the nurse can control them and obtain a peaceful environment in the institute. As well, she is able to make the patients listen to her and follow her rules. For example, every patient in the ward is afraid to look at Nurse Ratched, because when they look at the nurse¡s eyes, her eyes can make them feel really guilty ¡§¡K genius for insinuation¡Kit seems I have been accused of a multitude of things¡K¡(P.60). Also make them feel like they've done something wrong when they haven¡t even said a word. This shows everyone is afraid to raise his own opinions in front of the nurse. Moreover, there are workers in the ward such as the black boys, whom have more power than others because they are like the nurse's special troop out to control the situation when the nurse is not around. If the nurse orders the black boys to do a task, they have to do it no matter of their own will. The other patients see them as being more privileges, however the black boys are under the same pressure and hu...