某男，58岁。患高血压已近10年，头晕胀痛，耳鸣、梦多寐差、腰膝酸软，舌红苔少，脉弦细数。临床诊断最有可能是（）

A.肝火上炎证

B.肝肾阴虚证

C.肝阳上亢证

D.肝阴虚证

E.肾阴虚证

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.