Which Patient Has Best Achieved the Desired Outcome of Therapy

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."