From back when I was involved in outdoor shops, there were a few things we always recommended. I reckon they still ring true;
Travel plug (as per Stoner's advice)
Small Petzl (Make sure it takes AA or AAA as they're the most common global size)
Jelly Aerobie – The soft one. Stuffs in a bag and can be great for killing time as well as playing on the beach. Hacky-sacks are good for that as well.
Leatherman and/or Swiss Army knife – Again, as recommended above
Some good travel literature (Try a bit of Bruce Chatwin, some lovely writing)
A Moleskine travel journal/notebook (A Chatwin link, as well as Hemingway!)
Condoms. No joke. Take some.
A door wedge. Seems silly, but in shared rooms/showers etc. a wedge under the door can actually give a little security and privacy!
An option might be to buy a grab-bag of various of those, put 'em all together as a gift.