*Question*
KEY WEST, with its scattering of 19th-century wooden homes, is one of the few places in Florida where an 80-year-old building isn't far and away the most ancient manmade structure in town. Even so, the La Concha Hotel, built in 1925, is certainly the largest historical building on the island that's still being used for its original purpose. At all of seven stories, it would scarcely qualify as a boutique hotel in a big city, but for this island it served as a skyscraper. The three of them walked into the marble-floored lobby, instantly chilled by the hotel's powerful air-conditioning (one of many post-1920s updates in the building, along with the computer reservation system and the Starbucks franchise). Winston peered around the crowded room, focusing in particular on a tall, gaunt man wearing a black suit and top hat and carrying a gnarled wooden cane. The dark stranger was ushering a gaggle of camera-wielding tourists out the side door and into the hotel's driveway. "Ghost Tour," Paul explained to Winston. "They walk around town, and the guide tells tales. It's fun." "It does sound interesting," said Winston, chuckling. "We've been trying to get a piece of that," said Chloe, "But the owners are pretty stubborn. It would be a nice compliment to Paul's fake seance racket." "You perform fake seances?" Winston asked Paul. "Not unless I have to, no. But I... what's the word... oversee a couple who do. Sometimes I step in and lend a hand if one of them is sick." In fact, Paul had written the original scripts and come up with the gags and tricks the performers used to put on their little show. Once he'd perfected it, he'd recruited two actors to do the nightly ritual and handle all the details. It provided a small but steady revenue stream for the Crew, and their hidden cameras sometimes picked up other useful information as well. What is probably a characteristic of Paul and Chloe? A. They like tourists. B. not enough information C. They are moral. D. They are dishonest.
**Answer**
D

*Question*
Back in middle school, at least I think it was, I had art class. I didn't particularly love it but it was interesting enough at the least to hold my attention. We got to class and the teacher pulled up a list of instructions on the projector. She had each of us follow the instructions and she gave us 20 minutes to complete all of them. It may even have been a bit of a race too, to see who finished it first. This becomes a lot more evident in a second. I can't recall the exact details of the instructions, except that clearly it had to do with art such as having to draw a bunch of things. Anyways, we all went one by one down the instructions getting increasing nervous as to try to be the first one to finish. The class goes quiet while we work. Then I get to the last instruction which reads something along the lines of: "Step 15: Skip steps 114 and put your pencil down." You gotta be freaking kidding me. We're all so confused and mad at ourselves for not reading the whole of the instructions first. She turned this into a lesson for how we need to learn to read all the instructions first and then start, which was pretty clever. She got us! I remember this vividly to this day. But I look back now on this "prank" and I realize that she was kind ofwrong. Sure if the instructions are short like 15 steps it might be good to glance through before you start. But what about a whole load of instructions? Who the hell is going to read through the instructions for how to build their Death Star LEGO set before even starting to build it. Just a waste of time really. Note: I have never built a Death Star LEGO set. Who pulled off the prank? A. not enough information B. The student. C. The janitor. D. The teacher.
**Answer**
D

*Question*
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... What is probably true about those with dementia and constipated? A. not enough information B. constipation is not too much an issue in their lives C. Constipation can complicate their days even further D. they can probably get good treatment if they cooperate
**Answer**
C