Renegade Republicans who are trying to force a vote on immigration reform in the House of Representatives survived an attempt by leaders of their party to block their efforts. The renegades, a group of moderate Republicans, are five signatures short of the 25 needed to bypass leadership and force floor votes on several immigration proposals through a rare procedural tactic known as a discharge petition. Speaker Paul Ryan, a Wisconsin Republican, has described the discharge petition as "futile" because it lacks any guarantee that a bill would become law in the face of a threatened presidential veto. But it was House conservatives who defeated the $867 million farm bill Friday when their own move to get an immigration bill to the House floor failed. The House Freedom Caucus a conservative voting bloc in the U.S. House had offered to vote for the farm bill in exchange for a promise that one immigration bill would be brought up for a vote. The hope was that the offer would be enough to keep some Republican House members from signing the discharge petition. The immigration bill, known as the Goodlatte Bill, is a conservative approach to immigration that would provide legal status to undocumented young people brought to the U.S. as children in the Deferred Action for Childhood Arrivals program, but only in addition to changes in the U.S. legal immigration system. The Goodlatte Bill is opposed by many moderate Republicans. For them, the deal offered an opportunity to negotiate on legislation that might win the support of President Donald Trump and resolve the status of DACA recipients. The deal fell through, and the farm bill failed to pass by a 193-213 vote Friday. "It's not a fatal blow it's just a reorganize," House Freedom Caucus Chairman Mark Meadows told reporters shortly after the vote, "At this point, we really need to deal with immigration in an effective way." Meadows said House Majority Leader Kevin McCarthy negotiated in good faith on the immigration issue, but would not elaborate on why a deal was elusive. According to the above context, choose the correct option to answer the following question. Question: Who tried to get the immigration bill to the House floor? Options: A. not enough information B. Independents C. Conservatives D. Democrats
C

"It's about to come on. Hurry." "I'm coming." Nurse Judy delivered Martha's tray just in time. It was a frozen dinner, but Judy always transferred it to a fancy plate and prepared a small salad and a bowl of applesauce to go alongside it. "Looks great, Judy. Now sit down and let's eat." Nurse Judy sat down in the recliner next to Martha's bed. The meal she made for herself was similar to Martha's. "Didn't we just see this one a few days ago?" "I don't remember. But you know it doesn't matter. I love Jessica Fletcher." It was the only good thing about her failing memory. She could watch reruns of Murder She Wrote over and over again. They were all new to her. The doorbell rang. "Whoever it is, just get rid of them. It couldn't be friends or family. They know better than to interrupt my show." Nurse Judy walked down the hallway to the front door. It was a nurse. "May I help you?" "The agency sent me." "No, there must be some mistake. I've been caring for Mrs. Mason for a couple of months now." "Oh, great. Why do they keep doing this to me? Mind if I come in and use the phone?" "Don't you have a cell phone?" "Yeah, but it's dead. I forgot to charge it last night." "I hate when I do that. Sure, come on in. What's your name?" "Carnie." "Good to meet you, Carnie. I'm Judy. You can use the house phone." Judy led her to the phone. Carnie picked up the receiver and began to dial. But as Judy turned to walk away, Carnie slammed the phone across the back of her head. Nurse Judy collapsed to the floor, unconscious. Martha's blaring TV masked the noise. According to the above context, choose the correct option to answer the following question. Question: How long did it take to prepare Marthas meal? Options: A. 4 hours B. 15 minutes C. not enough information D. 2 hours
B

(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, choose the correct option to answer the following question. Question: Who may likely suffer from fecal incontinence? Options: A. Older people with constipation B. People with dementia C. not enough information D. Healthcare providers
(A).
A