Final answer:
McMurphy's first request for an Accompanied Pass is denied because he is seen as a disruptive influence and a risk to the other patients. Nurse Ratched believes that granting him a pass would disrupt the order and routine of the hospital and may also want to maintain control and power over the patients.
Step-by-step explanation:
In the novel One Flew Over the Cuckoo's Nest, McMurphy's first request for an Accompanied Pass is denied because he is seen as a disruptive influence and a risk to the other patients.
The nurse, Nurse Ratched, believes that McMurphy's influence on the other patients is detrimental to their treatment and believes that granting him a pass would disrupt the order and routine of the hospital.
Additionally, Nurse Ratched may also want to maintain control and power over the patients, and granting McMurphy's request could be seen as a loss of that control.