One flew over the cuckoos nest
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This establishes the nurse as totally in control of herself and the ward. Although she has lost a small battle she is winning the war. There is a sense of fatalism in the chapter now.
"Her face is still calm, as though she had a cast made and painted to just the look she wants. Confident, patient, and unruffled. No more little jerk, just that terrible cold face, a calm smile stamped out of red plastic; a clean, smooth forehead, not a line in it to show weakness or worry..."