Diet therapy

Correct answer: A. It can put extra load on the liver

Explanation: Alcohol is processed by the liver and excessive intake can worsen inflammation, fatty change, scarring, and impaired liver function, depending on the disease. It may also interact with medicines and displace nutritious food. Therefore, avoiding alcohol is an important part of advice for many liver conditions, but the exact plan must be made by a clinician because liver diseases differ and severe cases require specialized nutritional management.

Correct answer: B. It helps identify actual energy intake

Explanation: A food diary records what a person eats and drinks, including portions, timing, snacks, sweetened beverages, and sometimes the emotions or situations linked with eating. Reviewing it can reveal unnoticed energy intake, irregular habits, and opportunities for realistic change. The diary does not reduce food automatically or replace exercise and medical care; it supports awareness, counselling, and long-term behaviour change.

Correct answer: B. Increasing energy and protein density

Explanation: Adding an appropriate amount of milk powder can increase the energy and protein provided in the same volume of milk. This is useful when an underweight patient has a small appetite, early fullness, or difficulty eating large portions. The strategy makes the food nutrient-dense, but it should consider lactose tolerance, kidney function, allergies, and the prescribed nutritional plan rather than being used without assessment.

Correct answer: B. Digestion and appetite may be reduced

Explanation: Fever and the illness causing it may reduce appetite and temporarily affect digestive tolerance. Easily digestible foods can provide energy, protein, and other nutrients without placing excessive strain on the gastrointestinal system. Small portions, adequate fluids, and gradual adjustment may be helpful, but food does not replace treatment of the cause. The exact diet should reflect symptoms, hydration, age, and medical advice.

Correct answer: B. Removing suspected allergen and observing symptoms

Explanation: An elimination diet temporarily removes a suspected food or ingredient while symptoms are observed and the nutritional adequacy of the diet is protected. If medically appropriate, a structured reintroduction or challenge may help confirm the trigger, but this must be planned by a qualified professional because severe allergy can cause dangerous reactions. The goal is identification and safe avoidance of the allergen, not removal of all nutrients.

Correct answer: B. Due to tissue repair and stress response

Explanation: A significant burn can produce a stress response that raises metabolism and increases losses through the injured skin. The body also needs additional energy and protein to support immune function, collagen formation, tissue repair, and wound healing. Requirements vary with burn size, infection, age, and clinical condition, so nutrition support must be calculated and monitored by the healthcare team rather than estimated from water or salt intake.

Correct answer: B. They contain fibre that may slow sugar rise

Explanation: Whole grains retain more of the grain’s fibre and nutrients than refined grains. Fibre can slow digestion and glucose absorption, which may reduce a rapid rise in blood sugar after a meal. However, whole grains still contain carbohydrate, so portion size, total carbohydrate, meal timing, and the patient’s prescribed treatment must also be considered.

Correct answer: B. Small nutritious meals with acceptable taste

Explanation: Cancer treatment can alter taste and smell, making previously preferred foods unpleasant. A dietitian may suggest small, frequent, nutrient-dense meals, different safe flavours, suitable temperatures, and good oral care while respecting the patient’s tolerance. Completely stopping food or fluids can worsen weakness, dehydration, and malnutrition.

Correct answer: C. Due to chewing difficulty and nutrition needs

Explanation: Older adults may experience tooth loss, weak chewing muscles, swallowing difficulty, or reduced appetite. Soft foods such as well-cooked vegetables, porridge, curd, or appropriately prepared pulses can be easier to eat while still supplying energy and nutrients. Texture should be adjusted without unnecessarily lowering nutritional value.

Correct answer: C. Patient receives correct type and amount of food

Explanation: A hospital diet prescription communicates the patient’s required diet to the food-service team. It may specify energy, protein, salt, fluid, texture, allergies, feeding schedule, or other restrictions according to the medical plan. This supports safe, individualized nutrition and helps coordinate the physician, dietitian, nurses, and kitchen staff.

Correct answer: C. Identifying individually intolerable foods

Explanation: Gas and bloating can result from swallowed air, rapid eating, constipation, or intolerance to particular foods, and triggers differ among individuals. Keeping a food-and-symptom record, eating slowly, chewing well, and modifying identified triggers can help. Severe, persistent, painful, or unexplained symptoms require medical assessment.

Correct answer: C. Motivation and clarity for adherence improve

Explanation: Explaining diet goals helps a patient understand the connection between food choices and treatment outcomes, such as better glucose control, reduced symptoms, or improved healing. Clear, realistic goals support motivation, shared decision-making, and adherence. The diet plan should be discussed in understandable language and reviewed as the patient’s condition changes.

Correct answer: C. Light small meals at cool or room temperature

Explanation: During chemotherapy-related nausea, large, greasy, hot, or strongly scented meals may be difficult to tolerate. Small, frequent portions of bland food served cool or at room temperature may produce less smell and be easier to consume. Adequate fluids and prescribed anti-nausea treatment are also important, and persistent vomiting needs medical attention.

Correct answer: C. Some foods can change drug effect or absorption

Explanation: Some foods, beverages, or supplements can alter how a medicine is absorbed, metabolized, or eliminated. For example, particular products may increase or reduce drug action, while some medicines may affect appetite or nutrient status. Therefore, the patient should disclose all foods and supplements and follow the specific timing and restriction advice of the doctor or pharmacist.

Correct answer: C. One who cannot chew normal hard food

Explanation: A semi-solid diet can be useful when a patient has difficulty chewing or swallowing ordinary solid food but can safely take a thicker texture. Examples may include appropriately prepared porridge, mashed foods, or soft khichdi. The texture must match swallowing safety, and the diet should still provide adequate energy, protein, fluids, vitamins, and minerals.

Correct answer: C. When blood phosphorus is high

Explanation: Damaged kidneys may not remove phosphorus efficiently, allowing its blood level to rise. Persistent high phosphorus can disturb calcium balance and contribute to bone and vascular problems. Dietary restriction is not automatic for every patient; it should be based on laboratory results, kidney function, prescribed medicines, and a renal dietitian’s individualized plan.

Correct answer: C. Low-residue focuses on reducing stool residue

Explanation: A low-residue diet is designed to reduce the amount of undigested material reaching the intestine and therefore reduce stool volume or frequency when clinically indicated. A high-fibre diet intentionally increases fibre to support bowel regularity and other health goals. They have different purposes, so neither diet should be started without considering the disease and medical advice.

Correct answer: D. Considering nutritional needs of both mother and fetus

Explanation: Pregnancy increases the need for several nutrients and requires attention to the growth of the fetus as well as the mother’s health. If illness is present, restrictions must be balanced with adequate energy, protein, fluids, vitamins, and minerals. A therapeutic plan should be individualized by qualified professionals rather than reducing all food or fluids without reason.

Correct answer: D. Yellow-orange fruits and green leafy vegetables

Explanation: Yellow-orange fruits and vegetables often provide provitamin A carotenoids, while dark green leafy vegetables can also contribute carotenoids and other nutrients. The body converts some carotenoids to vitamin A, although conversion varies. A balanced diet may also require animal sources or medically prescribed supplements, especially in significant deficiency; professional assessment is important.

Correct answer: D. Very hot or cold food may cause discomfort in some patients

Explanation: Food temperature can influence comfort, swallowing, nausea, mouth sensitivity, and acceptance. A patient with oral sores, throat irritation, dental sensitivity, or treatment-related nausea may tolerate cool or room-temperature foods better, while another may prefer warm foods. The suitable temperature should be selected according to symptoms and safe swallowing ability.

Correct answer: D. Giving small amounts of nutrient-rich food

Explanation: When appetite is poor, large meals may be rejected and total intake can fall. Small, frequent, nutrient-dense meals can provide more energy and protein in a manageable volume; suitable snacks, preferred flavours, and prescribed supplements may also help. The underlying cause, hydration, swallowing ability, symptoms, and unintended weight loss should be assessed by the care team.

Correct answer: D. When normal food cannot meet needs

Explanation: A nutrition supplement may be considered when ordinary food cannot meet energy, protein, or micronutrient needs because of poor appetite, illness, malabsorption, increased requirements, or difficulty chewing and swallowing. It should complement, not automatically replace, meals and must be selected according to the patient’s condition, allergies, kidney or liver status, and professional advice.

Correct answer: D. Safe regular adherence by the patient

Explanation: A therapeutic diet is successful when it is nutritionally adequate, safe, suited to the disease, and practical enough for the patient to follow consistently. Adherence should be considered together with measurable outcomes such as improved symptoms, laboratory values, weight, healing, or glucose control. An expensive or highly restrictive plan is not automatically effective.

Correct answer: D. To reduce forgetting and help correct adherence

Explanation: Written instructions give the patient and family a clear reference after leaving the hospital or clinic. They can state meal timing, portions, allowed and restricted foods, preparation methods, fluid advice, alternatives, and warning signs. Clear written plans reduce misunderstanding and forgetting, but they should be explained verbally and updated when the patient’s condition or treatment changes.

Correct answer: D. To make swallowing and digestion easier for the patient

Explanation: Changing consistency from clear liquid to full liquid, semi-solid, soft, or another prescribed texture can make eating safer and more comfortable for a patient with chewing, swallowing, oral, gastrointestinal, or post-operative problems. The chosen texture must suit the patient’s assessed ability and should still deliver adequate nutrients and fluids rather than simply reducing food quality.