A nurse is caring for a client who was admitted with major depressive disorder. The nurse and client find that they have much in common, including each having a neighbor's son. They make plans to have dinner and a sleepover with their sons after the client is discharged. What does this situation reflect?

Choice A reason: A strong professional relationship does not involve personal plans outside of the therapeutic context.

Choice B reason: Countertransference refers to the nurse's emotional response to the client, not planning personal activities together.

Choice C reason: Successful relationship building occurs within professional boundaries and does not involve personal plans.

Choice D reason: The correct answer is d) because making personal plans with a client blurs the boundaries of the professional therapeutic relationship, which can affect the nurse's objectivity and professionalism.

Choice A reason: Referring the case to the ethics committee is not the immediate action required.

Choice B reason: The correct answer is b) because documenting the client's refusal ensures that it is noted in the medical record and appropriate follow-up actions can be taken.

Choice C reason: Administering the medication by another route without consent is not appropriate.

Choice D reason: Informing the client that she cannot refuse medication due to involuntary admission is not accurate; clients retain certain rights even when involuntarily admitted.