Do not resuscitate (DNR) orders are legally separate from advance directives.

Reestablish the absolute state of health the client had before his or her illness.
This choice is incorrect. The Orem Self-Care Model does not aim to restore clients to their absolute state of health before illness. Instead, it focuses on empowering individuals to engage in self-care activities independently to maintain or improve their health status. It's not about restoring to a previous state but enhancing the individual's ability to care for themselves.

Help the client conduct self-care activities to reach the highest level of functioning.
This choice is correct. The primary goal of nursing in the Orem Self-Care Model is to assist clients in performing self-care activities to the best of their ability. Nurses assess the client's self-care abilities and provide appropriate support and education to help them achieve the highest level of functioning possible. The model emphasizes enhancing the client's self-care capacity, promoting independence, and improving overall functioning.

Prevent further injury to the client's biosystems.
While preventing injury is essential in nursing, it is not the primary focus of the Orem Self-Care Model. This model is more concerned with promoting self-care and independence rather than injury prevention.

Help balance technological care with humanistic aspects of care.
Balancing technological care with humanistic aspects of care is crucial in modern nursing practice, but it is not the specific primary goal of the Orem Self-Care Model. This model primarily emphasizes assisting clients in self-care activities to enhance their functioning and independence.

Beneficence includes acts that end a client's suffering permanently: This statement is not accurate. Beneficence refers to the duty to do good and promote the well-being of the patient, but it does not necessarily include actions that end a patient's life permanently. Assisted suicide is a complex ethical issue and not universally considered an act of beneficence.

Paternalism is justified when the client is unsure about the best course of treatment: This statement is not accurate. Paternalism refers to the restriction of a person's autonomy for their own good. In cases of assisted suicide, paternalism would oppose the individual's right to make the decision about their own life, even if they are unsure about the best course of treatment.

Informed consent can only be fulfilled by the client understanding all alternatives: This statement is not accurate. While informed consent requires the patient to understand the alternatives, it is not specifically related to the ethical principle supporting assisted suicide. Informed consent is a broader concept applied to various medical procedures and interventions.

The right to self-determination includes the decision to end one's life: This statement is accurate. The right to self-determination is a fundamental ethical principle that respects an individual's autonomy and ability to make decisions about their own life, including decisions related to death, as seen in the case of assisted suicide.