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Difficulty with exams

I currently have a student that is averaging a 45% - 50% on exams. In class, the individual seems to understand the material and participates in discussions. However, when it comes time for the exam there seems to be a mental block. I have spoken to this individual to ask if there was anything I could do to help and to find out what she thinks the problem might be. She made a comment that she often gets text anxiety. However, she has also already taken exams that thought she did really well, only to get another low grade. Another instructor allowed this student to take her exam in a more private location, thinking the stress of being in the class with others may be part of the issue. But test scores did not improve. Any suggestions?

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