Elvira felt horrible because none of this happened in the past; all of her clients listened to her and let her help them. While the boss was speaking to the client, she started using Carter's three steps (think, act, and speak). Elvira began to think of how she can persuade her client to start the physical therapy session. She wanted to start her off easy, but that would not even work. Elvira also thought about how this situation can harm her, the boss, company and other clients in the room. If anyone knew what went on at the clinic, they probably would not want to attend again thinking it is not the right place. Elvira could not have that happen so she decided to take the next step and act. She knew she was obliged to follow the code of ethics,