Which behavior, in a patient with a chronic physical illness, alerts the nurse to possible mental health concerns?

A. The patient uses meditation to cope with chronic illness This is a positive coping mechanism and indicates emotional self-regulation and adaptive behavior, not a red flag. B. The patient does not have any close friends Social isolation can be a sign of depression, anxiety, or other mental health concerns. Lack of social support is a major risk factor for poor mental health outcomes. C. The patient prays for healing from illness Spiritual coping is common and generally not concerning unless it includes delusional thinking or neglect of medical care. D. The patient reads self-help books to gain insight into his problems This is an adaptive, insight-seeking behavior and shows motivation to manage emotional or psychological challenges.