Sarah is 56 feet below the water's surface
Here, we are interested in getting Sarah's final depth
We proceed as follows;
We need to understand that a depth below the water stands as a negative value. When she ascends, we have a positive value change. When she descends, we have a negative value change
Hence we have;
-37 initially
-11 (descend)
+7 (ascend)
+5 (more ascending)
-20 (final descending)
We add up all these values arithmetically to arrive at the final depth
Mathematically, we have this as;
As we can see, we have a negative value which indicates a depth below water