#Pick a group to approve an update for
$group = $wsus.GetComputerTargetGroups() | ? {$_.Name -eq "Domain Servers"}
#Define the actions available for approving a patch
$all = [Microsoft.UpdateServices.Administration.UpdateApprovalAction]::All
$install = [Microsoft.UpdateServices.Administration.UpdateApprovalAction]::Install
$NotApproved = [Microsoft.UpdateServices.Administration.UpdateApprovalAction]::NotApproved
$Uninstall = [Microsoft.UpdateServices.Administration.UpdateApprovalAction]::Uninstall
#Approve the update
$update.Approve($install,$group)
Using UpdateServices
import-module -name UpdateServices
Upprove the updates
Get-WsusUpdate -Classification All -Approval Unapproved | Approve-WsusUpdate -Action Install -TargetGroupName "All Computers"