It's mostly an attention problem, I think - thinking she can get by with less work than what she really needs to do, being overconfident then getting whacked when she takes the test and finds she really doesn't know it. Aggravated by the fact that she thinks she'll never use chemistry, and by the fact that the Prozac she takes for her eating disorder takes a toll on her attention.
We've been here before with other classes, she will pull it up (she's perfectly capable of As when she focuses) but of course her grade will not be what it could be - it takes a lot to balance out a month of F grade.