I look after about 160 client Windows computers -- virtually all Windows 7 today. I have been doing this for 13 years now.
On patch Tuesday, they get an email at about 1pm EST telling them that if they are using their computers today, they should immediately close all applications, start Windows Update, click Check for updates. Then simply click Install.
They are to never open either category. Never check mark anything. Never even open the Optional link.
Bottom line: Only the updates categorized as "Important" get installed. Even if there is one in the Important category and UNCHECKED, it is not installed.
I use remote control software and manage to log into each computer at least once per year. When I do that one part of my routine is to examine these un-installed updates and install, hide or do nothing with them.
Up until recently, Microsoft has been pretty good about this categorization. Lately, with updates like KB3022345 and KB3035583, they have crossed the line. These updates (and there are likely more) are not Important to their computers or the people themselves.
They are important to Microsoft in meeting its goals.
I am currently re-thinking my policies.