input with options: 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... Question: What is probably true about abdominal pain? === The answer to the above question is
OPTIONS:
- It could be a sign of constipation.
- It could be a sign of hemorrhoids.
- not enough information
- It could be a sign of dementia.
output: It could be a sign of constipation.

Q: Hmmm that's a hard one. At first I was going to say giving them daily chores, but the "reward" part of that has actually not been realized yet (what with all the eye rolling and such). So I will have to go with family dinners at the table. Sometimes, "dinner" is fast food, sometimes it is a meal I slaved over for hours - that part doesn't seem to matter. Whether we are talking about our day, learning manners, having serious discussions, or laughing until we spit our drinks - it is where grow. There have been horrible nights at the table, where we shared bad news. There have been fabulous nights where we celebrated successes and talked about exciting things to come. There have been nights where the kids can see that Mom and Dad are "at odds" and nights where they see us push that aside and joke with each other for the sake of saving the evening. When they were little, we did "About Your Day" - one funny thing, one sad thing, one new thing you learned. Now, they are all teenagers, and the conversations just seem to flow, with never enough time to fit it all in before someone has to rush off to work, to study, or to get ready for bed because we are eating "after practice". My twins will be Seniors next year, and I know that our table will look a little different from now on. But when I look at that worn oak (outdated) table, that needs refinishing in the worst way - I am grateful for the evenings there, where my kiddos learned to be a family. Don't be misled, we are not the Cleavers. We have "Fun Friday" where Mom does not get to badger them about their table manners (ugh - they revel in this), Sometimes we eat in the living room while we watch a movie, sometimes we eat in shifts because of our schedules. However, the majority of meals have been together ~ I feel like this is a gift we gave them. Question: Why is the narrator grateful? === The answer to the above question is

OPTIONS:
- Her kids will be Seniors in the following year.
- For being able to put aside her anger with her husband.
- Her kids learned to be a family from past conversations at the dinner table.
- not enough information

A: Her kids learned to be a family from past conversations at the dinner table.

Oh, yes, I accidentally insulted a bully. It was awesome. This was about a month ago. It was the last day I worked. Memorial Day at the city rec center is SLOW, especially when it's beautiful outside, but for some reason, we had two front desk attendants: me, and "bully #1". Bully #1 clearly had a major distaste for me. She hated my tattoos, the way I would get into a heated debate one day with a police officer patron, then have a fantastic conversation with him days later about legalizing marijuana. She hated that I was liked, but still could give fuck-all about what others thought of me. Bully #2 was our financial director, who got stuck as the manager on duty that day. I honestly never had a clue she didn't like me. She was intense and sarcastic with everyone. I liked her style. On this day, I really got the feeling they were trash talking me pretty hard, the way they kept disappearing, talking over me, laughing like mean girls. I blew it off, because I was down an internet rabbit hole, trying to wrap my brain around some concepts. I was looking at a word, and while I like to think I know exact definitions, sometimes I ask people their take on it. Many psychological terms have some subjective meaning. I spun around in my chair, locked eyes with #2, and asked her: "What do you know about Machiavellianism?" I swear to God, all I wanted was her take on it (she's a smart cookie), and all hell broke loose. I now realize that she thought I was passive-aggressively accusing her of said word. They got really nasty (behind my back, of course). They retreated to the back for awhile, and left me by myself. Cue loud, mean girl laughter. When #1 resumed her post next to me at the front desk, I calmly told her, "I'm cashing out, and leaving. I'm uncomfortable." And I did. It was noon. We were closing at 1. I figured those bitches could handle it on their own. Question: Why didn't Bully #2 like the author? === The answer to the above question is

OPTIONS:
- not enough information
- They had differing stances on marijuana legalization
- They had too many tattoos
- They were too political

Answer:
not enough information