Which patient has best achieved the desired outcome of therapy to improve self-concept?

Which patient has best achieved the desired outcome of therapy to improve self-concept?
 
  a. A patient who states, My abilities are still a long way from comparing favorably with my self-ideal..
  b. A patient who states, I felt pushed to do what the nurse wanted. I wasn't always ready to move forward when the nurse was..
  c. A patient who states, I understand myself better, but I haven't worked out what alternative behaviors will serve me best..
  d. A patient who states, I understand that no one else can make me happy. I'm using my strengths and making my wishes become realities..