A. A client who had pain without relief is more likely to have increased anxiety and a heightened pain response due to negative past experiences. B. Chronic pain often leads to increased sensitivity and emotional distress over time, not necessarily decreased anxiety. C. A client who experienced pain with adequate relief in the past is more likely to have positive expectations about pain management and feel less anxious, which can reduce the overall pain experience. D. Multiple pain experiences do not guarantee decreased anxiety; if those experiences were negative or poorly managed, the client might actually have increased anxiety and sensitivity to pain.