Even in positions well known to you and theory, there's still a psychological factor to consider. How well do you know the different variations for the opening? Do you want to try out something new or stick with a line you're more comfortable with? How well do you think your opponent knows the possible positions? If they're playing a generally positional opening, do you want to try a risky line to throw them out of their comfort zone? Or is the opposite the case?
All of these questions (and probably more) can come to mind when you're considering moves even as early as 2, or even as early as 1 (Hmmm... An e4 player. Do I want to play a sicilian or play e5 and hope he doesn't pick an opening I'm not comfortable playing? Or how about a nice Caro-Kann or French?)
Nevertheless, even in known positions, I check to make sure the position is what I think it is. I am fairly sure I try to take more than 60 seconds to make any move, especially the first through fifth moves of any opening. Maybe that's because I am old. Or maybe it's because I remember rash moves when I was younger when I thought I knew what I was doing in the opening. When you have the typical 40 moves in 120 minutes you have plenty of time not to make an error. I have never felt the time was wasted.