PRACTICE QUESTIONS WITH ANSWERS AND DETAILED
RATIONALES 2026/2027 EDITION
1. Which NH statute specifically establishes the Board of Mental
Health Practice and governs the licensure of counselors?
A. RSA 330-A
B. RSA 135-C
C. RSA 169-C
D. RSA 491
Correct Answer: A
Rationale: NH RSA 330-A is the specific statute that establishes the
Board of Mental Health Practice and governs the licensure and
regulation of mental health counselors.
2. What is the primary statutory mandate of the NH Board of Mental
Health Practice?
A. To advocate for higher insurance reimbursement rates.
B. To protect the public by regulating the practice of mental health
counseling.
C. To set national counseling standards.
D. To provide free legal counsel to therapists.
Correct Answer: B
Rationale: The primary statutory mandate of the NH Board of Mental
Health Practice is to safeguard the health, safety, and welfare of the
public by ensuring that licensed professionals meet established
standards.
3. If a counselor practicing in New Hampshire is convicted of a
misdemeanor related to their practice, what is their obligation to the
,Board?
A. Wait for the Board to discover it during the next renewal cycle.
B. Report it only if the client files a complaint.
C. Self-report the conviction to the Board within a specified timeframe.
D. No obligation, as it is a misdemeanor.
Correct Answer: C
Rationale: Licensees are legally required to self-report certain criminal
convictions, particularly those related to their practice, to the Board
within the mandated timeframe.
4. Under NH administrative rules, which of the following is required
for a licensed clinical mental health counselor to maintain their
license?
A. Monthly supervision sessions.
B. Continuous membership in the ACA.
C. Annual publication of research.
D. Completion of continuing education credits as specified by the Board.
Correct Answer: D
Rationale: NH rules mandate specific continuing education
requirements to ensure ongoing professional competence and license
renewal.
5. What is the required number of continuing education (CE) hours for
a NH LCMHC during each two-year renewal cycle?
A. 40 hours.
B. 30 hours.
C. 20 hours.
D. 50 hours.
Correct Answer: A
,Rationale: NH mandates 40 hours of continuing education every two
years, with specific requirements for ethics and clinical content.
6. Of the required continuing education hours in NH, how many must
be in ethics?
A. 2 hours.
B. 4 hours.
C. 6 hours.
D. 10 hours.
Correct Answer: B
Rationale: NH requires a minimum of 4 continuing education hours
specifically in professional ethics during each two-year renewal cycle.
7. What is the consequence of practicing mental health counseling in
NH without a license?
A. A written warning.
B. A civil lawsuit only.
C. Misdemeanor or felony charges, including fines and potential
imprisonment.
D. Nothing, as long as no fee is charged.
Correct Answer: C
Rationale: Practicing without a license or beyond the scope of a license
is a criminal offense in NH, carrying legal penalties including fines and
potential jail time.
8. Which entity has the authority to investigate complaints against NH
licensed counselors?
A. The local police department.
B. The NH Board of Mental Health Practice.
C. The American Counseling Association.
, D. The NH Department of Insurance.
Correct Answer: B
Rationale: The Board of Mental Health Practice is the state agency
vested with the authority to investigate complaints, hold hearings, and
impose disciplinary actions.
9. What is the required response time for a licensee to respond to a
Board inquiry or subpoena?
A. 60 days.
B. 30 days.
C. The timeframe specified in the inquiry or as mandated by law.
D. 14 days.
Correct Answer: C
Rationale: Licensees are required to respond promptly to Board
inquiries within the timeframes specified in the administrative rules or
legal subpoenas, typically within 14 to 30 days depending on the nature
of the request.
10. According to NH rules, what constitutes unprofessional conduct?
A. Disagreeing with a supervisor.
B. Practicing outside one's scope of competence.
C. Using a sliding scale fee.
D. Failing to cure a client in 10 sessions.
Correct Answer: B
Rationale: Practicing outside the boundaries of one's education,
training, and experience constitutes unprofessional conduct and a
violation of NH licensing rules.
11. What is the minimum educational requirement to become a
Licensed Clinical Mental Health Counselor (LCMHC) in NH?