Sarah Is a Third-Grade Student with a History of Nerve

Sarah is a third-grade student with a history of nerve graft secondary to a right brachial plexus injury. You notice that she rushes through her hand exercises and is sometimes resistant to working on tip pinch activities. Which of these factors is responsible for Sarah's behavior during therapy?

A) Sarah lives on a farm, and she is tired from doing chores.
B) Sarah also has a diagnosis of ADHD.
C) Sarah is bored with fine motor tasks.
D) Sarah is three years post-surgery, and her progress is plateauing.