Plot Overview and Setting
Set in an Oregon psychiatric hospital, the story is narrated by Chief Bromden, a long-term patient who pretends to be deaf and mute. The status quo of the ward, ruled strictly by the authoritative Nurse Ratched, is disrupted by the arrival of Randle McMurphy. McMurphy is a boisterous gambler who feigns insanity to avoid prison work. His presence initiates a power struggle that challenges the dehumanizing routines of the ward, forcing the other patients to reconsider their own identities and the nature of their confinement.