The correct answer is: [A]: "implied metaphor" .
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Refer to: "....lay on her little island" . The "little island" is the implied metaphor.
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The correct answer is - Sara suddenly became very ill; therefore, she went to see her doctor.
A semicolon is used to separate two sentences, two separate but also connected thoughts. It should come naturally as a pause within a sentence, which is why the first three options are incorrect as they break up the sentence in grammatically incorrect locations.
Answer: The last one does," Her JOYFULNESS delights me".
Explanation: A suffix comes at the end of a word, while a prefix comes at the beginning of a word. Therefore NESS is the suffix.