Weapons will always sway slightly, you'll get used to it eventually, try crouching

Well, if that's the case, they did change that aspect from Fallout 3 then. With Small Guns at 100 in F3, there was zero 'sway'. With Guns at 100 in FNV, there's still quite a bit of it, for me anyway. Even with the recommended strength requirement, as I previously mentioned.