"Approve" is the most useful word. You can use it in a lot of situations.
The other words are for specific situations.
ratify + a treaty, a constitution, an amendment, etc.
authorize + a transaction, a purchase, etc. This is a word for your boss, your bank, etc.
"confirm" means to say something is correct or accurate. This is a formal word, less common in conversation.
"validate" is similar but is more technical. validate a transaction (banking), validate the results of an experiment, etc. Also formal and uncommon in conversation.