Patients who display very bizarre behavior but who are still functional in society are most likely to have which of the following types of personality disorder?

Choice A reason: Lack of interest is a negative symptom of schizophrenia, characterized by a diminished ability to initiate and sustain planned activities.

Choice B reason: Hyperactivity is not typically considered a negative symptom of schizophrenia.

Choice C reason: Delusions are considered positive symptoms, not negative symptoms of schizophrenia.

Choice D reason: Neglect of personal hygiene is a negative symptom, reflecting a decrease in the ability to manage personal self-care.

Choice E reason: Irrational actions are more aligned with positive symptoms due to their active nature.

Choice A reason: Fecal impaction typically presents with the inability to pass stool and may not be associated with the absence of bowel sounds.

Choice B reason: Incisional infection is usually indicated by localized redness, warmth, and possible discharge, not necessarily by the absence of bowel sounds or flatus.

Choice C reason: Health care-associated Clostridium difficile often presents with diarrhea, not the absence of bowel sounds or flatus.

Choice D reason: Paralytic ileus is characterized by impaired intestinal motility and transit, absence of the passage of flatus, diminished bowel sounds, abdominal distension, and intestinal dilatation, fitting the symptoms described.