As nurse case manager for Catherine, a six-year-old with Down syndrome, you enjoy your periodic visits to the family and like to watch her interact with her brothers and sisters.

One day, you notice that Catherine is sitting off to the side while the other youngsters play Old Maid and Fish.

In talking with her mother, you discover that Catherine can’t seem to communicate which card she wants from the other children.
Click this button for an appropriate nursing intervention.

Her mother likes the idea, and promises to implement it that week.