A 38-year-old woman who immigrated from Guatemala seven years ago is referred to the PMHNP for evaluation of persistent anxiety, insomnia, and somatic complaints including chronic headaches and diffuse body aches. She works two jobs, speaks limited English, and sends money to family members remaining in Guatemala. She describes worrying constantly about her immigration status, her children's safety at school, and financial pressures. She reports 'nervios' and 'dolor de cerebro' (brain pain) when describing her symptoms. She avoids medical care due to fear of authorities and had a traumatic border crossing experience that she does not wish to discuss in detail. She has never received mental health treatment and expresses skepticism about psychiatric medication, stating that prayer and herbal remedies are her family's traditional approach to emotional distress. A Spanish-speaking interpreter is present. The PMHNP is conducting a culturally informed psychiatric assessment. Which of the following assessment approaches most accurately integrates the concept of acculturative stress into this clinical evaluation?