Leandra is a single mother to twin 7-year-old daughters, the sole caregiver to her elderly, disabled parents, and a full-time physician assistant at a drop-in center for the homeless. Leandra is exhausted and overwhelmed but she keeps pushing herself. Leandra acknowledges that she has a lot on her plate and wonders whether she could learn to better use her time. In terms of the Client Change Scale, where is Leandra? a. acceptanceb. denialc. partial examinationd. transcendence