user: Problem: OPTIONS:
- not enough information
- constipation is not too much an issue in their lives
- Constipation can complicate their days even further
- they can probably get good treatment if they cooperate
Q: Constipation is not a glamorous topic, but it’s certainly important, especially in older adults. As anyone who has experienced occasional — or even chronic — constipation can tell you, it can really put a damper on quality of life and well-being. Constipation can also cause more substantial problems, such as: * Severe abdominal pain, which can lead to emergency room visits * Hemorrhoids, which can bleed or be painful * Increased irritability, agitation, or even aggression, in people with Alzheimer’s disease or other forms of dementia * Stress and/or pain that can contribute to delirium (a state of new or worse confusion that often happens when older adults are hospitalized) * Fecal incontinence, which can be caused or worsened by having a hard lump of stool lodged in the lower bowel * Avoidance of needed pain medication, due to fear of constipation Fortunately, it’s usually possible to help older adults effectively manage and prevent constipation. This helps maintain well-being and quality of life, and can also improve difficult behaviors related to dementia. The trouble is that constipation is often either overlooked or sub-optimally managed by busy healthcare providers who aren’t trained in geriatrics. They are often focused on more “serious” health issues. Also, since many laxatives are available over-the-counter, some providers may assume that people will treat themselves if necessary. Personally, I don’t like this hands-off approach to constipation. Although several useful laxatives are indeed available over-the-counter (OTC), I’ve found that the average person doesn’t know enough to correctly choose among them. Also, although in geriatrics we often do end up recommending or prescribing laxatives, it’s vital to start by figuring out what is likely to be causing — or worsening — an older person’s constipation. For instance, many medications can make constipation worse, so we usually make an attempt to identify and perhaps deprescribe those. In short, if you’re an older adult, or if you’re helping an older... According to the above context, answer the following question. What is probably true about those with dementia and constipated?
Answer: Constipation can complicate their days even further
Problem: OPTIONS:
- not enough information
- For the U.S.-North Korea summit
- To facilitate a broader agreement with the US to end its nuclear weapons program.
- As a demonstration.
Q: SEOUL — North Korea shut down its Punggye-ri nuclear test site on Thursday to demonstrate its commitment to denuclearization in advance of the planned U.S.-North Korea summit. The development came hours before President Donald Trump called off the highly anticipated meeting. The South Korean government welcomed the North's unilateral nuclear concession to help facilitate a broader agreement with the United States to completely end its nuclear weapons program in exchange for ending punishing sanctions and security guarantees. "We are hoping that this action will become the opportunity for complete denuclearization in the future," South Korea Foreign Ministry spokesman Noh Kyu-duk said. However, while the closure of the nuclear test complex is a significant symbolic gesture, analysts are skeptical it will seriously inhibit the Kim Jong Un government's ability to carry out further nuclear tests in the future. "That renders the test site unusable, but not forever and it's not like North Korea has a shortage of mountains or people to make new tunnels," said Jeffrey Lewis, the director of the East Asia Nonproliferation Program at the Middlebury Institute of International Studies in California, during an interview with Vice News. North Korea conducted all six of its nuclear tests at the Punggye-ri underground site that includes at least two extensive tunnel systems, according the 38 North website that monitors the North's nuclear activities. Each nuclear test conducted at the site was progressively more powerful, with the first bomb detonated in 2006 producing an estimated 1-2 kiloton yield, much less powerful than the 16-kiloton bomb the United States used on Hiroshima during World War II, and the last test in 2017 producing close to a 250-kiloton yield. There were reports that the last nuclear test in September of 2017 triggered a tunnel collapse rendering the site unusable, but analysts say there were still two other tunnels that could be used for future tests. Earlier this year North Korean leader Kim Jong Un... According to the above context, answer the following question. Why did North Korea shut down its Punggye-ri test site?
Answer: To facilitate a broader agreement with the US to end its nuclear weapons program.
Problem: OPTIONS:
- Feeling important and productive
- not enough information
- Success in your field
- Self-neglect
Q: The frenetic lifestyle that many people live today is very harmful. Rushing here and there, being constantly on call, balancing multiple layers of responsibility may give you a sense of accomplishment – even make you feel important, but it takes a huge toll on every aspect of life. When you constantly push yourself to take on more and more challenges, it is easy to lose sight of why you wanted to be successful in the first place. For many, the reason was to be able to spend less time working and enjoy life more.  A frenetic, high-pressure lifestyle creates exactly the opposite. There is a very dark side to constantly pushing yourself to produce more and more. Unfortunately, it creeps up on you and becomes a serious case of self-negligence. When you are busy and driven every minute of every day and well into the evening, it is easy to neglect important things in life that keep you healthy, happy, and create quality of life.  A continual stream of urgent tasks that must be completed will overshadow the not-so-urgent, but important activities that make life worth living. It is not just physical well-being that is neglected – mental and emotional well-being also suffer when there is no time for self-care. When your daily schedule is crammed to overflowing one of the first areas of neglect is your diet. Eating regular, nutritious meals become a thing of the past. You are not only too busy to sleep or even take a deep breath now and then, there is no time to prepare decent meals Convenience foods, frozen dinners, take out and fast foods become the norm. It is a steady diet of additive filled, sugar and fat-filled dishes, loaded with empty calories that provide minimal nutrition and damage the body. It is impossible to sustain any level of good health on such a diet. According to the above context, answer the following question. What bad effect does being busy bring?
Answer:

assistant: Self-neglect