You need a graphics card that has TV output (you'll be hard pressed to find one that doesn't), and then set it to "clone" mode.
Note that some things don't clone, like video overlays and certain kinds of 3D renders. For video however, there are special modes of operation (like ATI's "Theater Mode"), wherein the video plays on the main screen as it normally does, and at the same time is shown fullscreen on the TV-out.