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Well generally, I'd probably trust little old ladies to not do anything.
In situations like that, you do have to be cautious all the time to some extent, but it's really up to your better judgement. If you've got the time on your hands, you might as well try to be helpful. But if they act/look weird/shady, sometimes being nice just might not be worth it.
But then again, the person in the other situation can very well be thinking the same thing. If you're stranded on a dark road in the middle of nowhere and some guy comes up to you all alone in his car, you have to be on guard as well. As a matter of fact, it's probably scarier to be the person who's stranded because the suspicous person might be the only person.
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