Fran is a 25-year-old woman who has been having a great deal of difficulty taking care of herself. her iq score is 68, though this surprises her parents because they recall that her iq was tested several times when she was in school and it was always in the 80s. the diagnosis of intellectual disability for fran is appropriate because she meets the criteria for iq and has difficulty with self-care. inappropriate because she does not meet the iq criterion. inappropriate because we do not have sufficient evidence of impairment. inappropriate because she did not appear to meet criteria before age 18.