Final answer:
The repetition of 'how he' underscores Trujillo's systematic actions directed towards concealing his heritage and enforcing his rule.
Step-by-step explanation:
The repetition of the phrase "how he" in the sentence from paragraph 1 emphasizes a pattern of behavior exhibited by Trujillo. Rather than showing him as a productive leader, the phrase suggests a methodical approach to hiding his background and manipulating his image. This repetition does not develop an image of survival or busy leadership but rather a deliberate and continuous effort to reshape his identity and impact his rule over the Dominican Republic. Among the provided options, (b) Trujillo committed many atrocities, and this repeated phrase shows a consequential progression between ideas best fits the impact of the repeated phrase because it highlights the extent of Trujillo's actions to maintain his power and hatred.
The impact of the repetition of the phrase "how he" in the sentence is d. Trujillo was narrowly focused on his evil tasks, so the repetition develops his singular purpose in life.