Claris and John come from low-income, working- class families in the Midwest. They are the first in their families to complete college and earn a de- gree. They were childhood sweethearts and mar- ried after graduating from college. They moved from the Midwest and settled in a major city in the East where John worked as a financial analyst, and Claris worked as a schoolteacher. They have three children, ages 14, 12, and 7. As John worked his way up the ladder in the company, they enjoyed a home in the suburbs, two cars, college funds for the kids, and funds in the stock market. Now Claris stays at home and cares for the children. The sudden economic recession caused John, who is now 44, to lose his job, and his search for a new job is not going well. The couple's savings are depleted, and they have suffered major losses in the stock market. Since being out of work, John has been experiencing episodes of depression. He has been admitted to the hospital with chest pains and diagnosed as having an inferior wall myocardial infarction. In the step-down unit, the nurse is planning dis- charge teaching for John and has set up a meeting with Claris and John. During the interview, John begins to cry and says it would be better for his family if he had died. Claris begins to cry, too, and expresses their inability to even buy food for the children or pay the hospital bills. She also says they cannot meet their mortgage payment and may lose their home. 1. How should the nurse respond to validate this family's concerns? 2. What could the nurse do to help relieve the family stress? 3. Is this a good time for the nurse to continue discharge teaching? 4. What impact can the changes in the family health and financial status have on the children?