How Is a Decline in Political Efficacy Likely to Matter

How is a decline in political efficacy likely to matter for the health of the American democracy?

A) It is likely to lead to an increase in political participation and a renewed interest in political life.
B) It is likely to lead to a decline in political participation and a withdrawal from political life.
C) It is likely to lead to less dishonesty by elected representatives.
D) It is likely to lower the total national debt.
E) It is likely to lead to a stronger belief in the values of liberty and equality.