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NCAC II assessment competencies emphasize comprehensive, culturally responsive, and trauma-informed practice. Early assessment should identify trauma symptoms using validated screeners while avoiding intensive exposure-based interventions during intake. Option B integrates standardized measures (for example, brief PTSD and alcohol screens), careful pacing, grounding, and opt-out options to protect safety and rapport. With informed consent, collateral information (medical/behavioral health records, family input) increases reliability and informs level of care, risk management (e.g., suicidality, withdrawal risk), and treatment planning. Option A risks destabilization and is not appropriate at intake. Option C ignores the strong bidirectional relationship between trauma and substance use, potentially missing key drivers of use. Option D narrows focus and overlooks co-occurring disorders that affect outcomes. A balanced assessment also reviews sleep, medications, risk, strengths, social supports, and readiness to change, leading to integrated planning that may include coordinated trauma services once stabilization and skills are in place.