Diet therapy

Correct answer: A. They may improve availability of some nutrients

Explanation: Sprouting can reduce some antinutritional factors, improve digestibility, and increase the availability of selected nutrients. Sprouted pulses and grains can contribute iron and protein, but plant iron is non-haem iron and its absorption is limited. Combining them with vitamin-C-rich foods may help absorption; confirmed anaemia still requires diagnosis and appropriate medical treatment.

Correct answer: A. Therapeutic diet is modified according to disease

Explanation: A normal hospital diet is generally planned to meet ordinary nutritional needs when no special restriction is required. A therapeutic diet modifies nutrients, energy, portion, consistency, timing, or route according to a disease, treatment, laboratory result, or patient ability. It should remain nutritionally adequate and be prescribed and monitored by the healthcare team.

Correct answer: A. Very heavy meals may increase abdominal fullness and breathing discomfort

Explanation: A heavy meal can distend the stomach and increase pressure against the diaphragm. This may make breathing feel more difficult, especially for a person already experiencing asthma-related breathlessness. Therefore, smaller, lighter and balanced meals may be advised, although individual dietary advice should come from a qualified clinician.

Correct answer: A. It helps in collagen formation

Explanation: Vitamin C is needed for collagen synthesis, and collagen provides important structural support for skin and connective tissue. Adequate vitamin C therefore supports tissue repair, wound healing and immune function. Protein, energy, zinc and other nutrients are also important, but collagen formation is the specific reason option A is correct.

Correct answer: A. According to the disease condition and medical advice

Explanation: Iodine requirements are not identical in all thyroid disorders. Both iodine deficiency and excessive iodine can be harmful in particular situations, and treatment may depend on the diagnosis, medication and clinical assessment. Therefore, the patient should follow individualized advice from a doctor or dietitian rather than stopping or increasing iodine without guidance.

Correct answer: A. Some may be high in potassium

Explanation: A low-potassium diet is prescribed when the body cannot remove potassium adequately, as may occur in some kidney disorders. Fruits and vegetables vary greatly in potassium content, so high-potassium choices may need to be limited while suitable alternatives are selected. They are not all harmful, and the plan must follow professional advice.

Correct answer: A. In choosing alternatives with similar nutritive value

Explanation: A food exchange list groups foods with broadly similar amounts of energy and important nutrients, especially carbohydrate. It allows a person with diabetes to replace one measured food portion with another while preserving meal balance and portion control. It does not independently prescribe medicine or require removal of every carbohydrate.

Correct answer: A. To support wound healing and tissue repair

Explanation: Bedsores, or pressure ulcers, damage skin and deeper tissues. Protein supplies amino acids needed for collagen formation, immune function, and rebuilding tissue. Adequate energy is also essential because it prevents the body from using protein mainly as fuel. Thus, sufficient calories and protein support repair, although exact requirements depend on the patient.

Correct answer: A. Helps adherence and recall

Explanation: Written diet instructions provide a clear reference after counselling has ended. The patient and family can check permitted foods, restricted foods, portions, meal timing, and preparation methods instead of relying only on memory. This improves understanding, consistency, and adherence, though instructions should still be explained verbally and adapted to the person’s literacy and circumstances.

Correct answer: A. To reduce digestive irritation

Explanation: A bland diet uses mild foods and avoids excessive chilli, strong spices, and other possible irritants when the digestive tract is sensitive. Reducing hot spices may lessen burning, discomfort, nausea, or irritation in selected digestive conditions. It does not remove protein or iron automatically, and the diet should be individualized rather than applied to every healthy person.

Correct answer: A. Both mother and foetus have nutritional needs

Explanation: Pregnancy is a special physiological life stage in which the mother must maintain her own tissues while supporting growth of the placenta and foetus. Illness may impose restrictions, but the therapeutic plan must still provide appropriate energy, protein, vitamins, minerals, and fluids. Requirements and restrictions should be individualized by qualified professionals.

Correct answer: A. To meet chewing ability and nutrition needs

Explanation: Older adults may have missing teeth, weak chewing muscles, swallowing difficulty, reduced appetite, or digestive changes. Soft texture improves comfort and safety, while nutrient density helps meet energy and protein needs in smaller portions. Soft food does not mean nutritionally poor food; it can include appropriately prepared pulses, eggs, dairy, vegetables, and other nourishing choices.

Correct answer: A. Immunity may be weak

Explanation: Illness, surgery, medicines, or poor nutritional status may weaken a patient’s immune defenses and increase vulnerability to foodborne infection. Safe water, clean hands and utensils, adequate cooking, correct storage, and prevention of cross-contamination therefore become especially important. Hygiene protects the patient; it does not merely improve colour or cost.

Correct answer: A. To improve diet adherence at home

Explanation: Family members often purchase ingredients, prepare meals, remind the patient about timing, and provide emotional encouragement. Their understanding of the diet can make the prescribed plan realistic and consistent at home. Support should respect the patient’s autonomy and preferences; it is intended to improve adherence, not to force or punish the patient.

Correct answer: A. Giving more energy in small volume

Explanation: Energy density is the amount of energy supplied by a given weight or volume of food. When appetite is poor, enriching a small portion with suitable energy- and nutrient-dense ingredients can help the patient meet needs without having to eat a large plate. The choice must still respect disease restrictions and should not mean giving only fat, sugar, or salt.

Correct answer: A. A child needs extra attention for growth

Explanation: Children are still building tissues, bones, organs, and body reserves, so illness does not remove their need for growth and development. A therapeutic diet must control the disease while providing suitable energy, protein, vitamins, and minerals for age-related needs. Unnecessary restriction can impair growth, immunity, recovery, and school or physical functioning.

Correct answer: A. To avoid unnecessary nutrient deficiency

Explanation: An elimination diet should remove the confirmed or strongly suspected trigger, not every food. Incorrect identification can unnecessarily exclude nutritious foods, cause deficiencies, reduce quality of life, and make the diet difficult to follow. Proper assessment and supervised reintroduction or use of safe substitutes help confirm the trigger while maintaining nutritional adequacy.

Correct answer: A. It is not nutritionally complete

Explanation: A clear liquid diet generally includes transparent fluids such as water, clear broth, and strained drinks. It may provide fluid and limited carbohydrate, but usually lacks sufficient protein, fat, fibre, vitamins, minerals, and total energy for prolonged use. It is therefore normally temporary and should be advanced or supplemented under professional supervision.

Correct answer: A. More nutrition may be provided

Explanation: A full liquid diet can include milk and other smooth liquid or liquidized foods that are excluded from a clear liquid diet. Milk may supply protein, energy, calcium, and some vitamins, so it can improve nutritional value. However, tolerance, allergy, lactose digestion, disease restrictions, and the need for additional nutrients must be considered individually.

Correct answer: A. In some digestive and acidity problems

Explanation: In some digestive or reflux-related conditions, large amounts of fat may delay gastric emptying and worsen discomfort, while hot spices may aggravate burning or irritation in susceptible people. A lower-fat, mildly seasoned pattern may therefore improve tolerance. It is not universally required and should be adjusted to the diagnosis, symptoms, and professional advice.

Correct answer: A. Assessment of actual dietary intake

Explanation: A food record documents what was eaten, how much was eaten, and when meals or snacks occurred. This helps identify energy and nutrient patterns, skipped meals, excessive portions, symptoms related to timing, and differences between the prescribed and actual diet. Accuracy improves when portions, preparation methods, drinks, and snacks are recorded honestly and promptly.

Correct answer: A. They may be high in fat

Explanation: Fried foods and cream can contribute substantial total fat and, depending on the food, saturated fat. Reducing these foods may help lower saturated-fat and cholesterol intake as part of cardiovascular risk management. The diet should replace them with suitable unsaturated-fat sources and fibre-rich foods where appropriate, not eliminate all fat or nutrients indiscriminately.

Correct answer: A. Boredom and low interest may occur

Explanation: Repeatedly serving one food can cause sensory boredom, reduce appetite, and make the therapeutic plan feel restrictive or unpleasant. Appropriate variety within the permitted food groups can improve taste, cultural acceptability, motivation, and long-term adherence while also supporting a wider nutrient intake. Variety must remain consistent with allergies, disease restrictions, and prescribed portions.

Correct answer: A. Ensuring patient comfort and safety

Explanation: Keeping food at a safe and comfortable temperature is part of patient-centred diet therapy and safe food service. Food that is too hot may burn the mouth or throat, while food that is too cold may cause discomfort or reduce acceptance. The other options describe nutrient modifications, not temperature control. Therefore, option A is correct.

Correct answer: A. When the patient has digestive discomfort and poor tolerance for fibre

Explanation: A direct shift to a very high-fibre diet can be inappropriate for a patient who already has digestive discomfort or low tolerance. A sudden increase may cause bloating, abdominal pain, gas, constipation or diarrhoea. Fibre should generally be introduced gradually, with adequate fluids and monitoring of the patient’s response. The other options describe conditions that support safer fibre modification rather than a reason to avoid it.