A black-coated supervisory nurse, Nurse Ratched (Louise Fletcher) (known as Big Nurse in the novel) arrives at the locked, security ward of a state mental hospital [on location in Salem, Oregon at the Oregon State Hospital/Asylum], where patient inmates, nurses, and orderlies attend o early morning medications.Sirens were heard approaching from a distance.After a period of recovery, Lecter wrote a letter to Graham (read in voice-over): "I hope you""re not too ugly.(A game show, a black and white Bogart film, an exercise show, and a monster film with a fire-breathing dragon follow in quick succession.Inside the placid chateau, with beautifully decorated and furnished walls of marble, carpets, Louis XIV chairs, and paintings, a suave and neatly-uniformed (with medals and buttons) Broulard hands off his hat to his aide without looking.[The beginning of the film""s action is set just before he turn of the century.]In the memorable opening, the screen is filled with an immense close-up of the face of sly, funny, witty, smart-ass, egotistical, and handsome Butch Cassidy [(Paul Newman) not identified as Butch until later in the film].