DECLARE @xml XML =
'<ROOT>
<SPECIALNEEDS>
INCLUDE
<NEED>
BLIND
</NEED>
<NEED>
BRAILLE AUDIO
</NEED>
</SPECIALNEEDS>
</ROOT>'
SELECT TD.D.value('./text()[1]','Varchar(400)')
FROM @xml.nodes('/ROOT/SPECIALNEEDS') AS TD(D)
Please note the whitespace preserved on the left of INCLUDE, as it's part of the node text.
You can LTRIM it or make sure you XML formed appropriately eg:
'<ROOT>
<SPECIALNEEDS>INCLUDE
<NEED>
BLIND
</NEED>
<NEED>
BRAILLE AUDIO
</NEED>
</SPECIALNEEDS>
</ROOT>'