Nirmala would like to make sure she is ready to say no when offered drugs. Which action should she take first?

develop strategies
plan
determine outcomes
refuse

Nirmala should first develop strategies for how she will respond when offered drugs. This may involve practicing saying no, identifying triggers that may make it difficult to refuse, and seeking support from friends or family members. Once she has developed a plan, she can then confidently refuse any offers of drugs that come her way.