Coming down with a cold directly affects the client within the therapeutic environment. The other three choices are irrelevant to a client.

The Wright's hyperabduction test raises the client's arms above their heads through abduction which stretch tightens the pectoralis minor. A change in the radial pulse indicates a positive test for impingement by the pectoralis minor.

The Adams Apple is a protrusion on the anterior portion of males named after the ancient story of Adam eating the fruit from Eve and having a piece become lodged in his throat. This protrusion is the larangeal prominence formed by an angular section of thyroid cartilage. It is present in both men and women. However, it grows in size during puberty in young men.

The concern with fraternizing with clients outside of the therapeutic environment is to avoid the possibility of creating a dual relationship.