Gaga1976,
In an engine out situation I ALWAYS ask the pilot what he needs, do you need to return to the airport immediately, do you need to go out and dump fuel first, etc. We have a check list of items that we are supposed to ask you but I try to let you fly the aircraft first and worry about answers for my emergency check list later.
Every emergency situation is different, and so your needs will vary, so I as a controller will tailor what I do to help you.
I only wish that the General Aviation community was better at letting us know when they are experiencing problems, so that we could help them before the situation becomes critical and they end up landing off field or worse crashing.
Mike
NATCA FWA