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Getting the Noblestalk for Derryth is just a quest for her, although not sure if it effects her having more in her shop in Act 3 or not if you do not get it and it acts as a full heal and can be used in combat like heal potions so I like buying them off her then .
No, the Noblestalk can be used with Shadowheart to help her retrieve part of her suppressed memory. However, it does nothing for her hand.
You can either give it to Derryth, or use it with Shadowheart in Act 1, but you can't do both.