Given the stream of consciousness rationale, provide a reasonable question and answer. Rationale: Every conversation took great effort because the couple was finding it hard to express their feelings and thoughts with each other. Inability to communicate effectively causes confusion and misunderstandings.
 The question and answer:
The couple explained they were having trouble communicating, it seemed every conversation took great what?
Options:
- thinking
- effort
- laugh
- force
- medium
The answer is effort