What patient comment might lead the nurse to suggest a referral for nutritional assistance?

The patient comment that indicates a need for nutritional assistance is the one expressing concerns about affording groceries or meals. This suggests that financial constraints may be preventing the patient from accessing healthy food options or maintaining a proper diet. When individuals face economic barriers to purchasing nutritious foods, they often turn to cheaper, less healthy alternatives, which can adversely impact their health and well-being.

In this context, a nurse's referral for nutritional assistance can provide the patient with support in accessing appropriate resources, such as food pantries, community programs, or government assistance that can help them secure nutritious foods within their budget. This action can lead to improved dietary habits and overall health outcomes.

Other comments might point to challenges in meal planning, portion control, or timing of meals, but they do not necessarily indicate a financial barrier, which is critical to address for anyone struggling to meet their nutritional needs.