Prevention of chronic diseases

Correct answer: A. They can provide fibre, some vitamins and minerals, and support digestive health

Explanation: Whole grains retain more of the grain's bran and germ than refined grains. They can therefore contribute dietary fibre, some B vitamins, minerals, and useful plant compounds. Fibre may support bowel regularity and help improve the overall quality of the diet, although the amount and form must suit the patient's condition. They are nutritious foods, not medicines, so option A is correct.

Correct answer: A. It should be carefully limited

Explanation: A food high in both sodium and added sugar should generally be limited, because frequent or large consumption may reduce diet quality. Excess sodium can contribute to difficulty controlling blood pressure, while added sugar increases energy intake and may worsen blood-glucose management. The label should also be read per serving and compared with the number of servings in the package. Therefore, option A is the appropriate conclusion.

Correct answer: B. During wound healing and tissue repair

Explanation: Protein supplies amino acids needed for the formation of new tissue, collagen, enzymes, immune components, and other structures involved in recovery. During wound healing, illness, or some periods of increased stress, protein needs may rise relative to usual needs. The amount must still be individualized, especially when kidney or liver disease is present.

Correct answer: A. When confirming iron deficiency or blood-sugar status

Explanation: Laboratory indicators provide objective information about a patient's nutritional or metabolic status. Haemoglobin and iron-related tests can support assessment of iron deficiency, while blood-glucose measures help evaluate diabetes control. Results must be interpreted with symptoms, diet history, examination, and medical advice.

Correct answer: A. In some kidney disease conditions

Explanation: Option A is correct because impaired kidney function can reduce the body’s ability to excrete potassium. Depending on kidney function, blood potassium, medicines, and the type of renal disease, a clinician may prescribe restriction or, in other cases, a different approach. Potassium should never be restricted or increased without professional assessment because both low and high levels can be dangerous.

Correct answer: A. Because quantity helps estimate energy and nutrient intake

Explanation: Recording only the names of foods cannot show how much energy, protein, carbohydrate, fat, vitamins, or minerals the patient consumed. Portion or household measures allow the nutrition specialist to estimate nutrient intake, compare it with requirements, identify excesses or deficiencies, and design a more accurate plan.

Correct answer: D. For a patient with diabetes and a need for weight control

Explanation: For a patient with diabetes and a need to control weight, choosing lower-glycemic carbohydrate sources and appropriate portions can reduce rapid glucose rises and limit excessive energy intake. The plan must still be balanced, individualized, and coordinated with medicines, activity, and monitoring.

Correct answer: D. Because malnutrition and muscle wasting may increase

Explanation: Many people with liver disease already have inadequate intake, muscle loss, and increased nutritional risk. Unnecessary protein restriction can worsen sarcopenia and reduce the body's ability to recover. Protein amount, distribution, quality, energy intake, encephalopathy history, renal function, and the clinical cause should be considered by a specialist rather than applying a blanket restriction.

Correct answer: A. For disease prevention and behaviour improvement

Explanation: Normal biochemical reports show that measured values are currently within the expected range, but they do not prove that all dietary habits are healthy. Diet counselling can correct excess salt, sugar, unhealthy fat, irregular meals, or inadequate activity before disease develops. Therefore, counselling supports prevention, risk reduction, and sustainable behaviour change rather than treating only an abnormal laboratory value.

Correct answer: B. They are supportive parts of a balanced diet, not complete disease treatment

Explanation: Antioxidant nutrients and phytochemicals can help protect cells from oxidative damage as part of an adequate, varied diet. However, evidence for a single nutrient or high-dose supplement as a universal cure is limited and may be misleading. Disease prevention and treatment also involve diagnosis, prescribed therapy, physical activity, sleep and other lifestyle factors. Supplements must never replace necessary medical care.

Correct answer: A. The patient's condition may worsen

Explanation: Therapeutic diets may restrict or supply specific amounts of sodium, sugar, protein, potassium, fluids, or texture. Giving the wrong tray can therefore worsen disease control, cause allergy or aspiration risk, disturb blood glucose or fluid balance, and delay recovery. Patient identity, diet order, allergies, and tray labels must be checked before service.

Correct answer: A. Blood potassium may increase

Explanation: Some fruit juices contain substantial potassium, and excessive intake can contribute to hyperkalaemia when the kidneys cannot excrete potassium effectively. Fruit and juice choices should therefore depend on kidney function, blood potassium, fluid allowance, and the prescribed renal plan. The risk is not identical for every patient or every fruit.

Correct answer: A. Some conditions, such as kidney disease, may require protein control

Explanation: Protein needs depend on diagnosis, kidney and liver function, nutritional status, age, treatment, and the presence of wounds or infection. Extra protein may support healing in some patients, but impaired kidney function can require carefully controlled amounts because nitrogenous waste must be handled by the body. Individual assessment is therefore essential, making option A correct.

Correct answer: A. Limit salt and check blood pressure regularly

Explanation: A family history increases susceptibility to hypertension, although it does not make disease inevitable. Limiting sodium, choosing minimally processed foods, maintaining a healthy weight, being physically active, and checking blood pressure regularly can identify and reduce risk early. Avoiding check-ups or increasing salty foods would work against prevention.

Correct answer: B. Because added sugar and energy intake decrease

Explanation: Sugar-sweetened beverages can deliver a large amount of rapidly absorbed sugar and energy without providing much fibre or lasting fullness. Replacing them with water or unsweetened drinks can reduce total energy intake and repeated blood-glucose rises. This supports healthier weight and lowers a modifiable risk factor for type 2 diabetes.

Correct answer: C. Increase low-oil balanced home-cooked food

Explanation: Replacing daily fried outside food with balanced home-cooked meals is a practical first step because it gives better control over the amount and type of oil, salt, ingredients, and portion size. Including vegetables, pulses, whole grains, and suitable protein improves diet quality. Food should not be stopped; the unhealthy pattern should be changed.

Correct answer: A. Because diet, activity, sleep, behaviour, and body-fat distribution also need assessment

Explanation: Body weight is a useful indicator, but it does not describe body composition or the behaviours causing health risk. People with the same weight may have different muscle, abdominal fat, diets, activity levels, sleep patterns, and metabolic risks. Effective prevention therefore combines weight with waist or fat distribution, lifestyle assessment, and appropriate clinical checks.

Correct answer: A. To keep future risk lower

Explanation: Preventive health education is useful before a measurable problem appears. A consistently high-sodium diet can contribute to rising blood pressure in susceptible people, especially with ageing, excess weight, or family risk. Moderate salt use, fresh foods, label awareness, physical activity, and periodic checks help maintain low future cardiovascular risk; prevention does not mean eliminating all sodium.

Correct answer: A. Because food amount, activity, and weight also affect it

Explanation: Blood-glucose control depends on the whole eating pattern and lifestyle, not only on table sugar. Portion size, carbohydrate-rich foods and drinks, fibre, body weight, physical activity, sleep, medicines when prescribed, and individual metabolism all matter. Avoiding added sugar is useful, but it cannot compensate for excessive total energy or carbohydrate intake and inactivity.

Correct answer: B. Because sugar, fat, and energy must also be checked

Explanation: A low-salt claim describes only one aspect of a product and does not guarantee that it is generally healthy. The nutrition label should also be checked for added sugar, total and saturated fat, energy, fibre, serving size, and sometimes ingredient names. Reading the complete label helps consumers compare products and choose foods that support overall chronic-disease prevention.

Correct answer: A. It can raise LDL and lower HDL cholesterol, increasing heart-disease risk

Explanation: Industrial trans fat has an unfavourable effect on blood lipids: it can increase LDL cholesterol and reduce protective HDL cholesterol. This promotes atherosclerotic plaque formation and raises coronary heart-disease risk. Avoiding partially hydrogenated oils and limiting certain fried or bakery products is therefore important, together with overall dietary quality, activity, and medical advice where needed.

Correct answer: B. Because energy intake may still exceed expenditure

Explanation: Body weight is influenced by the relationship between energy consumed and energy used, although metabolism and body composition also matter. Daily exercise is beneficial, but large portions or energy-dense foods can provide more energy than the activity expends. Sustainable weight control combines regular activity with suitable portions, nutritious foods, sleep, and consistent habits.

Correct answer: A. Increase fibre-rich foods and adequate water intake

Explanation: Fibre-rich foods such as vegetables, fruits, pulses, and whole grains add volume and usually support fullness for longer. Adequate water helps fibre function and supports normal digestion. This approach can make portion control easier and help prevent excess energy intake and obesity. Refined foods, sweetened drinks, and skipped meals generally do not provide sustained satiety.

Correct answer: C. Because a person may choose more sweet or fried comfort food

Explanation: Stress can alter appetite, sleep, emotions, and routine. Some people respond by seeking highly palatable comfort foods that are rich in sugar, fat, or salt, while others may eat irregularly. Repeated stress-related overeating can increase energy intake and affect weight and metabolic health. Stress management, planned meals, sleep, and support can help.

Correct answer: A. Because tobacco is linked with many chronic diseases

Explanation: Tobacco smoke and other tobacco products expose the body to substances that damage many organs. Tobacco use is associated not only with lung disease and cancer but also with cardiovascular disease, stroke, cancers of several organs, respiratory illness, and pregnancy-related harms. Avoidance or cessation therefore reduces broad health risks, and counselling or cessation support can improve success.