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It might be that they have a particular learning style. I know I, myself, am not an auditory learner at all - in one ear, out the other. I like things written down. Have you made sure instructions are visible on the blackboard as well?
This! Also, keep in mind that there could be something going on in the student’s life that makes concentrating nearly impossible. You may very well be the only calming and helpful presence. Handle with care… 💕
The above answer is good. I would also add “look around the room at your peers. What do you see them doing?”
I say that all the time, esp with my severe ADHD student.
Providing a visual sample might help. Also, rephrasing the directions in another way.
Ask your peer partner