Final answer:
Stimulation or escalation can result from internal factors (like pain, worry), external elements (such as noise, temperature), and communication challenges. So, (A) a, b, c is the correct option.
Step-by-step explanation:
Factors contributing to a person becoming stimulated or escalated encompass various aspects. Internally driven factors such as pain, medication, illness, chemical dependency, worry, depression, and feelings of insecurity can significantly impact an individual's state of arousal. Externally, environmental factors like room size, temperature, noise, light, smells, and weather play a crucial role in influencing one's stimulation level.
Additionally, an inability to communicate effectively can also contribute to escalated states, particularly when the person struggles to convey their needs or feelings, leading to heightened frustration or anxiety. Therefore, all three categories—internal, external, and communicative factors—can collectively influence and contribute to an individual becoming stimulated or escalated.