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90%+ of Mac software I have installed in newer versions needs some broad "accessibility" permission, simply because the OS is too restrictive for an application that wants to do anything even slightly complex. 1Password needs it to autofill text inputs. Zoom needs it for screenshare. iTerm needs it for remapping keys. The OS presents it as "this scary app wants to control your computer!!" when the permission should really be broken down.

Well of course it has to register the keystrokes first. And only when it knows which key you struck can it produce that Dolby Surround spatially consistent clack.

Is there a good way to monitor/block all outbound network traffic from this/similar apps?

I used Little Snitch for a while, but found its payment model more trouble than it was worth. YMMV.

I can't assure you you haven't, since the only way to tell would be via the source code, but for what its worth, I've installed a lot of other applications that ask for permission to "control your computer", including "Discord, League of Legends, Steam, Zoom, Logitech Options, etc.