The nurse is planning care for a client admitted to the psychiatric unit with a diagnosis of paranoid schizophrenia. Which nursing diagnosis should receive the highest priority ？（）

A．Risk for self- or other-directed violence.

B．Imbalanced nutrition.

C．Ineffective coping.

D．Impaired verbal communication.

下列疾病中，病变常累及手远端指间关节的是

A．类风湿关节炎
B．系统性红斑狼疮
C．银屑病关节炎
D．硬皮病
E．痛风