Patient a Has Terminal Cancer, and Patient B Has a Bladder

Patient A has terminal cancer, and Patient B has a bladder infection. They are sharing a hospital room. Neither patient is a member of the majority culture of the area. Patient A is quiet and rarely acknowledges pain. Patient B cries and moans loudly much of the day. What understanding will help the nurse provide culturally sensitive care for both patients?

A) The better educated the person, the less likely the person is to openly express pain.
B) A mentally unstable person is more likely to be noisy about pain sensations.
C) People respond to the sensation of pain in culturally determined ways.
D) People who distrust health care workers tend to be silent about their pain.