Write a question about the following article.

What exactly had happened ? I wanted to sit down and think about it all , but everything kept swimming around in my head . I heard muffled church bells ring out five o'clock .

Question:
Why may the narrator be struggling with hearing noises ?
OPTIONS: (a). The narrator is in the right state of mind . (b). It sounds like the narrator is concussed . (c). The narrator is perfectly fine . (d). The narrator is calm and alert .