1.What does it mean when we say that in blockchain, consensus determine the truth?
Blockchain uses a consensus mechanism (PoW, PoS, DPos, etc) to define the rules of the consensus.Nodes have incentive to carry out these rules. Several nodes must verify a single conclusion in order for it to be confirmed on the blockchain. Consensus of the nodes on the network, determines the truth of the ledger when all nodes play by the rules.
2.How is this different from how truth is determined in a central database?
Truth is determined by an authoritative entity that is able to verify or falsify what they deem fit. Usually kept on a central copy or database, if this truth is altered by said authority or another malicious party, the truth can be altered. In a centralized database, there is only one version of the truth.