Multimodal Large Language Models (MLLMs) show promising results for embodied agents in operating meaningfully in complex, human-centered environments. Yet, evaluating their capacity for nuanced, human-like reasoning and decision-making remains challenging. In this work, we introduce VIVA+, a cognitively grounded benchmark for evaluating the reasoning and decision-making of MLLMs in human-centered situations. VIVA+ consists of 1,317 real-world situations paired with 6,373 multiple-choice questions, targeting three core abilities for decision-making: (1) Foundational Situation Comprehension, (2) Context-Driven Action Justification, and (3) Reflective Reasoning. Together, these dimensions provide a systematic framework for assessing a model's ability to perceive, reason, and act in socially meaningful ways. We evaluate the latest commercial and open-source models on VIVA+, where we reveal distinct performance patterns and highlight significant challenges. We further explore targeted training and multi-step reasoning strategies, which yield consistent performance improvements. Finally, our in-depth analysis highlights current model limitations and provides actionable insights for advancing MLLMs toward more robust, context-aware, and socially adept decision-making in real-world settings.