Due to Acute Stomach Discomfort, a 38-Year-Old Man Is Transported

Due to acute stomach discomfort, a 38-year-old man is transported by ambulance to the emergency room and has an emergency appendectomy. After a successful procedure and recuperation, the patient wonders if the appendectomy was truly necessary. He questions the surgeon's explanation that the procedure was possibly lifesaving, accuses the hospital furiously of taking advantage of his outstanding medical insurance, and threatens to sue the hospital. He requests immediate discharge and adds, "I've earned everything I have on my own, and this hospital isn't getting any of it." When asked whether he had any family or friends with whom the team may communicate, he says, "I haven't talked to my family in 20 years, and I wouldn't call anyone my friend.  Even if I did, that's none of your business."  Which of the following is the most likely explanation of this patient's behavior?

A) Antisocial personality disorder
B) Brief psychotic disorder
C) Delusional disorder, persecutory type
D) Narcissistic personality disorder
E) Paranoid personality disorder
F) Schizoid personality disorder
G) Schizotypal personality disorder

Correct Answer:

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