& ANSWERS | LATEST ALREADY GRADED
A+ UPDATE 2025|2026
🎓 Tennessee LPC/MHSP Licensure and
Ethics Exam – Comprehensive Review
1. Which professional body regulates counselors, marital and family therapists,
and clinical pastoral therapists in Tennessee?
A. Tennessee Board of Nursing
✅ B. Board for Professional Counselors, Marital and Family Therapists, and Clinical
Pastoral Therapists
C. Tennessee Department of Mental Health
D. American Counseling Association
💡 Rationale:
This board licenses and regulates these professionals under the Division of Health Related
Boards.
2. How is “actively engaged” in counseling practice defined for licensure?
A. Working with patients monthly
B. Teaching or counseling part-time
✅ C. A minimum of 10 hours per week in patient contact, teaching, supervision, or
research
D. Conducting workshops quarterly
💡 Rationale:
Active engagement requires at least 10 clock hours weekly of direct counseling or related
professional activity.
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,3. Which license holders qualify as approved supervisors for LPC candidates?
A. LPC, RN, and Psychologist
B. LPC, LMFT, and RN
✅ C. LPC, LMFT, LCPT, LCSW, Licensed Psychologist with Health Service Provider,
Licensed Senior Psychological Examiner, or Licensed Psychiatrist
D. Only LPCs with MHSP
💡 Rationale:
Approved supervisors must hold one of these mental health licenses. An LPC (without MHSP)
cannot supervise an MHSP candidate.
4. How long must a supervisor be licensed before providing supervision?
A. 2 years
✅ B. 5 years
C. 3 years
D. 10 years
💡 Rationale:
Supervisors must have at least 5 years of active licensure before supervising counseling
candidates.
5. Which activities count as “clinically related” for licensure hours?
✅ A. Workshops, supervision, research, and treatment team meetings
B. Administrative supervision and graduate coursework
C. Volunteer service and teaching only
D. Case note reviews
💡 Rationale:
Clinically related activities include skill-building and clinical development; admin supervision
and coursework do not count.
6. Which is a requirement for an acceptable clinical setting?
✅ A. Licensed mental health professional on-site at least 20 hours per week
B. Must be owned by the applicant
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, C. Virtual-only counseling services
D. No emergency plan required
💡 Rationale:
Clinical sites must meet HIPAA standards, have licensed professionals on-site, and provide
emergency procedures.
7. What division provides administrative support to the counseling board?
A. Tennessee Psychological Association
✅ B. Division of Health Related Boards (HRB)
C. American Counseling Association
D. Southern Accrediting Council
💡 Rationale:
The Division of Health Related Boards under the Department of Health supports all professional
licensure boards.
8. What does HRB stand for?
A. Health Resource Bureau
✅ B. Health Related Boards
C. Health Review Board
D. Human Regulation Branch
💡 Rationale:
HRB refers to the Tennessee Division of Health Related Boards, overseeing health professions'
administrative support.
9. What can a counselor without an MHSP legally do?
✅ A. Treat marital, family, and adjustment issues but not diagnose mental disorders
B. Diagnose depression and anxiety
C. Conduct psychological testing
D. Prescribe medications
💡 Rationale:
LPCs without MHSP can handle adjustment and relational issues but not mental disorder
diagnosis or psychological testing.
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