A reader of qualitative research notes that a study is identified as Heideggerian phenomenology

The purpose of the study was to explore the lived experience of the long-term process of separating from a longtime partner and subsequently marrying another person, and to elicit descriptions of the experience's meaning. This topic is unexplored in the literature. The sample of 21 was randomly selected from 68 volunteers. Participants' interviews were tape-recorded and transcribed, and then coded by two raters, whose inter-rater reliability was reported as 95%. The findings revealed that there was a lengthy period of adjustment following separation, and that participants filled this time by denying permanency, creating possibilities, appreciating silence, developing personal strengths, trusting, developing skepticism, "starting a new page," and maintaining mental boundaries. The most immediate evaluative critique point about this article relates to which the following?
a. It is not clear what the findings contribute to the current body of knowledge.
b. The development and implementation of the study methodology is not congruent with its philosophical foundation.
c. Tape-recording, transcription, and coding by two raters is not likely to capture the essence of this experience, without video-recording and participant observation.
d. The findings do not seem to be a credible reflection of reality.


ANS: B
Critical appraisal is not complete with making judgments about the validity of the study. Synthesis of the evaluative criteria for qualitative studies can be reframed as philosophical congruence, methodological coherence, intuitive comprehension, and intellectual contribution. Philosophical congruence is the problem here: parts of the development and implementation of the study (sample selection, data analysis) are not congruent with phenomenologic enquiry.

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A patient weighs 140 kg and is 60 in. tall. The patient's blood sugar is being controlled by glipizide. As the nurse discusses discharge instructions, the primary treatment goal with this type 2 diabetes patient would be

a. signs of hypoglycemia. c. weight loss. b. proper injection technique. d. increased caloric intake.

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A patient is being discharged home after liver transplantation. The patient still has a hepatic artery catheter in place. What is this hepatic artery catheter for?

A) To monitor portal hypertension B) To give immunosuppressive drugs during the first weeks after transplantation C) To monitor vascular changes in the hepatic system D) To deliver a continuous chemotherapeutic dose until completed

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A patient about to receive an enema complains and appears to be very upset. You should

A) tell the patient you will return in one hour. B) report this to your immediate supervisor. C) wait and report this to the doctor. D) go ahead with the enema.

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The time at which insulin's effect is strongest is called the ________. 

Fill in the blank(s) with the appropriate word(s).

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