The main idea is basically it is informing you that animals are simply in the hospital to help patients.
Something isn't in the right order, because the paragraph isn't well organized I don't know where the answer choices are supposed to be located.
If it is the question that you are referencing to then I would say the answer would be hopeful. The garden Is not dead and she is not as alone as she thinks. You must look into the message of the story for this.
That author believes that the situation is without hope, so he was no reason to continue one.