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Unsecured email poses risks of unauthorized access. The social worker should acknowledge the message, clarify risks, and educate the client about safer channels (encrypted email, secure portals, phone). Encourage use of agency-approved platforms while respecting client access needs. Document the discussion and steps taken. Option A disregards privacy. Option C violates confidentiality. Option D may harm engagement. A balanced, educational approach preserves confidentiality and the therapeutic relationship.

Auditory hallucinations may occur in multiple contexts: psychotic disorders, trauma, cultural/spiritual practices, or substance use. The social worker should assess onset, content, frequency, impact on functioning, and associated risks (command hallucinations, suicidality). Cultural considerations are critical: in some traditions, hearing voices is normative. With consent, collateral information and medical/psychiatric consultation support differential diagnosis. Option A is premature without full evaluation. Option C neglects potential risk. Option D exceeds scope of practice. Comprehensive biopsychosocial and cultural assessment is the first ethical and clinical step.

Suicidal ideation requires immediate attention. The social worker should clarify that confidentiality does not apply if safety is at risk, conduct a risk assessment (intent, plan, means), and follow crisis protocols. Option A creates false promises. Option C and D risk harm. Transparency and protective action balance ethics and safety.

Assessment of trauma-related nightmares begins with exploring the trauma history, current triggers, frequency, and severity of symptoms. Evaluate safety concerns (domestic violence, self-harm), sleep hygiene, substance use, and medical contributors. This holistic understanding informs whether trauma-focused therapy, CBT for insomnia, or referrals are needed. Option B exceeds scope for social workers. Option C neglects significant distress. Option D is incomplete. A structured assessment addressing trauma and sleep patterns ensures safety and accurate planning.

Relapse is part of the recovery process. The social worker should explore triggers (stress, peers, emotions), update coping strategies, and revise the relapse prevention plan. Motivational interviewing can strengthen readiness for change. Option A and D are punitive. Option C ignores learning opportunities. Supportive, nonjudgmental intervention fosters resilience and engagement in treatment.