A 22-Year-Old Otherwise Healthy Male Client Arrives 20 Minutes Late

A 22-year-old otherwise healthy male client arrives 20 minutes late for an initial client examination, and the client states he could not find a parking spot and that he had to park a distance away and run to the office. The client is a materials engineer who works for a start-up company in Silicon Valley. The client reports a lack of sleep, heavy caffeine consumption (coffee) , and a recent increase in tobacco use, primarily spit tobacco due to work responsibilities and stress. The client makes statements about having a previous bad experience in a dental office as a child. The client has cold, clammy hands, is perspiring heavily, and states that he is not feeling well
-The client's blood pressure is in the hypertensive range. All of the following could be attributed to the high blood pressure except:

A) anxiety.
B) recent tobacco use.
C) white coat syndrome.
D) running to the appointment.
E) presyncope.