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Assessment should synthesize multiple data sources objectively and nonjudgmentally. NCAC II competencies highlight using standardized tools, collateral information (with authorization), and objective tests to clarify severity and risk. Option C balances accuracy and alliance: review state prescription monitoring data; obtain confirmatory testing when immunoassays are discrepant; and complete a timeline follow-back mapping days of use, doses, routes, and consequences. Discuss findings collaboratively, emphasizing safety (overdose, withdrawal) and placement implications. This method informs decisions about medication evaluation, monitoring frequency, and contingency management. Option A sacrifices clinical integrity and can miss life-threatening risks. Option B shames and jeopardizes engagement. Option D may be correct ultimately, but premature labeling without full assessment undermines collaborative planning. Document the rationale, results, and next steps, including risk education, naloxone access where appropriate, and measurable objectives (e.g., medical referral by a date, weekly tox with feedback, craving logs) to guide ongoing care.