With a good understanding of the material learned and an awareness of how the use of humor affected their learning experience, new nurses can then assume a role comparable to that of their teachers. The nurse can then search for materials that may relate to their specific health care environment, be responsible for creating their own comfortable environment, and remember to greet each patient with a caring, ready-to-laugh attitude. The nurse can understand the need to relieve anxiety in a patient prone to anxiety attacks before surgery, through a thorough assessment of the patient's understanding and concerns regarding the procedure. If you do not have a prior understanding of the patient's anxiety, initially simply create an atmosphere of humor to build rapport, relieve anxiety, release frustration, avoid painful feelings, or humor to facilitate learning. If achieved, the physiological benefits of improved breathing and decreased muscle tension, among other effects, are found to have beneficial postoperative outcomes. This is important because high postoperative anxiety, increased postoperative pain, increased pain medication requirements, and prolonged hospital stay are all correlated with preoperative anxiety (Davis-Evans,