Which Assessment Finding Most Clearly Indicates That a Patient May

Which assessment finding most clearly indicates that a patient may be experiencing a mental illness?

A) The patient reports occasional sleeplessness and anxiety.
B) The patient reports a consistently sad, discouraged, and hopeless mood.
C) The patient is able to describe the difference between "as if" and "for real."
D) The patient perceives difficulty making a decision about whether to change jobs.