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Why?

The student may be tired and fatigued for a variety of social and emotional reasons resulting in increased difficulty maintaining attention to what is happening within the classroom.

So?
Implications

This demonstrates that the student is not listening and attending to the classroom proceedings. Having their head on the desk would mean that information would be less likely to be processed and may lead to:

difficulty following instructions

difficulty learning new material

will perform poorly on given tasks

won’t engage in group activities

Now what?
Strategies

Check vision, hearing or any other relevent specific disorders.

liaise with parents about student’s fatigue during the school day (perhaps address sleeping patterns, extra-curricular activities, diet, health etc..)

break up sessions with interactive activities that require movement (breaks to stretch, jog around the room etc..)

whole body listening

use visual stimuli to engage attention inside the classroom

use your intonation to draw attention to important points (vary tone, increase enthusiasm in voice, etc.)

have visual or tactile aids for each student to enhance the engagement in the task

vary information presentation (use videos, tapes, and other media to present information to students)