This chapter discusses the scope and standards of geriatric nursing practice relating to leadership and management, research, ethical and legal issues, and professional competency. All gerontological nurses must be leaders in making sure they provide the highest quality care to the older adults they are responsible for, be it direct bedside care or facilitating patient care by others. Nurses working with older adults need to practice good management, which is described as being able to manage the staff and the budget, follow the organization's policies and procedures, and generate high-quality care. Nurses working with older adults in long-term care facilities can attend professional development classes on a variety of topics, such as the organizational structure, philosophy, goals, and objectives of the agency. The nursing profession was the first of the healthcare disciplines to develop gerontological care standards for their members to demonstrate and be tested for their level of expertise.